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Epic Test Code LAB3766 Warfarin, Plasma

Additional Codes

MML:FWARP


Specimen Required


**Must submit one specimen per order. Specimens cannot be shared between multiple orders.***

Collection Container/Tube: EDTA (lavender top) or pink top

Submission Container/Tube: Plastic vial

Specimen Volume: 1 mL

Collection Instructions:

1. Draw blood in EDTA (lavender top) or pink top tube(s). Plasma gel tube is not acceptable.

2. Centrifuge and send 1 mL of plasma refrigerate in preservative-free plastic vial.


Method Name

High Performance Liquid Chromatography/Tandem Mass Spectrometry (LC/MS/MS)

Reporting Name

Warfarin, Plasma

Specimen Type

Plasma EDTA

Specimen Minimum Volume

0.5 mL

Specimen Stability Information

Specimen Type Temperature Time Special Container
Plasma EDTA Refrigerated (preferred) 30 days
  Ambient  30 days
  Frozen 

Reject Due To

Other Polymer gel separation tube (SST or PST)

Reference Values

Reporting limit determined each analysis.

None Detected mcg/mL

Day(s) Performed

Monday-Sunday

Report Available

9 to 11 days

Specimen Retention Time

2 weeks

Performing Laboratory

NMS Labs

CPT Code Information

80375

NY State Approved

Yes

Interpretation

The dosage of warfarin is best adjusted based on the International Normalized Ratio (INR) for prothrombin time. Peak plasma concentrations following single 10 mL doses averaged 0.6 mcg/mL for both R-warfarin and S-warfarin (combined concentration 1.2 mcg/mL). This test is not chiral specific and does not distinguish between the R and S enantiomers of warfarin. The blood to plasma ratio is approximately 0.5.