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Test Code PSACT Protein S Activity, Plasma

Reporting Name

Protein S Activity, P

Performing Laboratory

Mayo Clinic Laboratories in Rochester

Useful For

Second-order testing for diagnosis of congenital or acquired protein S deficiency, ie, as an adjunct to initial testing based on results of protein S antigen assay (free protein S antigen, with or without total protein S antigen assay)

 

Evaluating patients with a history of venous thromboembolism


Specimen Required


Specimen Type: Platelet-poor plasma

Patient Preparation: Patient must not be receiving Coumadin.

Collection Container/Tube: Light-blue top (3.2% sodium citrate)

Submission Container/Tube: Plastic vial

Specimen Volume: 1 mL

Collection Instructions:

1. For complete instructions, see Coagulation Guidelines for Specimen Handling and Processing

2. Centrifuge, transfer all plasma into a plastic vial, and centrifuge plasma again.

3. Aliquot plasma into a plastic vial leaving 0.25 mL in the bottom of centrifuged vial.

4. Freeze specimen immediately (no longer than 4 hours after collection) below -40° C.


Specimen Minimum Volume

0.5 mL

Specimen Type

Plasma Na Cit

Specimen Stability Information

Specimen Type Temperature Time
Plasma Na Cit Frozen 14 days

Day(s) Performed

Monday through Friday

Report Available

1 to 4 days

Reference Values

Males: 65-150%

Females

<50 years: 50-150%

≥50 years: 65-150%

Newborn infants have normal or near-normal free protein S antigen (≥50%), although total protein S antigen is usually below the adult reference range. There are insufficient data concerning protein S activity in normal neonates, infants, and children; but normal or near-normal activity (≥50%) probably is present by age 3 to 6 months.

Method Name

Optical Clot-Based

Test Classification

This test has been cleared, approved, or is exempt by the US Food and Drug Administration and is used per manufacturer's instructions. Performance characteristics were verified by Mayo Clinic in a manner consistent with CLIA requirements.

CPT Code Information

85306

LOINC Code Information

Test ID Test Order Name Order LOINC Value
SFX Protein S Activity, P 27822-6

 

Result ID Test Result Name Result LOINC Value
SFX Protein S Activity, P 27822-6

Forms

If not ordering electronically, complete, print, and send an Coagulation Test Request (T753) with the specimen.