Prothrombin Time with INR

Prothrombin Time with INR

Test Code

8847
85610
CPT Code is subject to a Medicare Limited Coverage Policy and may require a signed ABN when ordering.
8847
85610
CPT Code is subject to a Medicare Limited Coverage Policy and may require a signed ABN when ordering.
Not offered in Quest Diagnostics Nichols Institute (IFD) – San Juan Capistrano. Please provide SERVICE AREA INFORMATION to find available tests you can order.
In-home collection may be available in your area for purchase through Quest Mobile.

Clinical Significance

Prothrombin Time with INR - Screening test for abnormalities of coagulation factors that are involved in the extrinsic pathway. Also used to monitor effects of Warfarin therapy and to study patients with hereditary and acquired clotting disorders.

Test Details

Methodology

Photo-Optical Clot Detection

Reference Range(s)

INR

≤3 months  Not established 
>3 months   
   Reference range 0.9-1.1
   Moderate-intensity Warfarin therapy 2.0-3.0
   Higher-intensity Warfarin therapy 3.0-4.0

PT
≤3 months Not established
>3 months 9.0-11.5 sec

Flagging not provided. Pediatric reference intervals have not been established. Based on published literature, the adult reference interval (9.0-11.5 seconds) is generally applicable down to approximately 3 months of age with younger patients having a slightly higher upper limit by several seconds. Warfarin Therapeutic INR Range: 2.0 - 3.0

Alternative Name(s)

PT

LOINC® Codes, Performing Laboratory

Methodology

Photo-Optical Clot Detection

Reference Range(s)

INR
≤3 months  Not established 
>3 months   
   Reference range 0.9-1.1
   Moderate-intensity Warfarin therapy 2.0-3.0
   Higher-intensity Warfarin therapy 3.0-4.0

PT
≤3 months Not established
>3 months 9.0-11.5 sec

Flagging not provided. Pediatric reference intervals have not been established. Based on published literature, the adult reference interval (9.0-11.5 seconds) is generally applicable down to approximately 3 months of age with younger patients having a slightly higher upper limit by several seconds. Warfarin Therapeutic INR Range: 2.0 - 3.0

Alternative Name(s)

PT

Collection Instructions

A completely filled tube is necessary because the correct ratio of blood to citrate is critical (9:1).
Mix by gentle inversion 3-4 times. Do not uncap.

Reject Criteria

Gross hemolysis • Grossly lipemic • Improper blood to citrate ratio • High hematocrit • Improper blood collection

Setup Schedule, Preferred Specimen(s), Alternative Specimen(s), Minimum Volume, Transport Container, Transport Temperature, Specimen Stability

A completely filled tube is necessary because the correct ratio of blood to citrate is critical (9:1).
Mix by gentle inversion 3-4 times. Do not uncap.
Gross hemolysis • Grossly lipemic • Improper blood to citrate ratio • High hematocrit • Improper blood collection
Not offered in Quest Diagnostics Nichols Institute (IFD) – San Juan Capistrano. Please provide SERVICE AREA INFORMATION to find available tests you can order.
In-home collection may be available in your area for purchase through Quest Mobile.
Test Details

Clinical Significance

Test Resources

Reference ranges are provided as general guidance only. To interpret test results use the reference range in the laboratory report.

The CPT codes provided are based on AMA guidance and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payer being billed.

This material contains content from LOINC® (http://loinc.org). The LOINC Table, LOINC Table Core are copyright © 1995-2019, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee and is available at no cost under the license at http://loinc.org/license.

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