D-Dimer Quantitative

Laboratory - : Chemistry

PATIENT INFO

Patient Name:

Medical Record #:

BD: / / Sex: F M

PHYSICIAN INFO

Physician Name :

Address:

Ph: ( ) - Fax: ( ) -

Additional Report to:

Ph: ( ) - Fax: ( ) -

TESTS REQUESTED
Test Name:	ICD9 Code: (required)
1. D-Dimer Quantitative
2.
3.
4.
5.
6.

SPECIMEN INFO

Collection Date & Time:

Collected By:

Hospital:

Test ID :

QDIMR

Test Workstation :

MACH3

Specimen Type:

Blood

Tube Type:

Blue top (sodium citrate)

Collection Volume:

2.7 mL (minimum 1.8 mL) macrotainer Must use appropriate sodium citrate tube based on volume of blood drawn (1.8 mL or 2.7 mL tube)

Minimum Volume:

1.8 mL using appropriate 1.8 mL tube

Preferred Volume:

1.8 mL using appropriate 1.8 mL tube or 2.7 mL using appropriate 2.7 mL tube

Cause for Rejection:

Sample clotted, diluted with IV fluid; contam with heparin; improperly filled; specimen stability 8 hours room temp.

Storage:

Shipping: Send Ambient; Storage: Room Temp: 8 hours

Availability:

24 Hours/day, 7 days/week

Methodology:

Particle enhanced immunoturbidometric assay

Special Instructions:

Send immediately to Laboratory. Indicate clearly if a specimen has been drawn from an arterial line or from a line that has been rinsed with heparin. For Outpatients, send specimen by courier STAT to the lab at Mahoning Valley Hospital.

Lab/Phone:

330-743-8416

TAT:

4 hours

Additional Info:

Reference range: < 0.5 mg/L-FEU

CPT Code:

85379

Synonyms:

Fibrin degradation products

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D-Dimer Quantitative

Laboratory - : Chemistry

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