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Test Code LAB2613 Coagulation Factor V Activity Assay, Plasma

Additional Codes

Test Name in EPIC EPIC Test Code Mnemonic
FACTOR V ASSAY LAB2613 FAC5

 

Methodology

Electromechanical Clot Detection

Clinical Information

Factor V is a vitamin K-independent protein synthesized in the liver and in other tissues (endothelium, megakaryocytes/platelets).   Deficiency of factor V may cause prolonged prothrombin time and activated partial thromboplastin time and may result in a bleeding diathesis. Plasma biological half-life varies from 12 to 36 hours.

Specimen Requirements

Specimen Type: Platelet-poor plasma

Container/Tube:

Fill Blue top tube to the etched line located just below the cap of the tube.

Preferred: Full Light-blue top (3.2% sodium citrate)

Acceptable: Full Sodium Citrate (BD® or Greiner tubes)

Specimen Volume: 1 mL

Specimen Minimum Volume: 0.5 mL

Collection Instructions:

1. Do not spin in refrigerated centrifuge.

2. Unacceptable specimens: Specimens that are short-draws, over-draws, clotted or hemolyzed may yield incorrect results.

3. If sending from a site spin down, remove top 2/3 of plasma, and spin plasma again in a polypropylene (cloudy plastic) vial.

4. Aliquot top 3/4 and place platelet-poor plasma in a polypropylene (cloudy plastic) vial.

5. Glass vials are not acceptable for processing/transport/storage.

Additional Information:

1. Double-centrifuged specimens are critical for accurate results as platelet contamination may cause spurious results.
2. If there is a delay in transport of > 4 hours, send specimen frozen.

Specimen Transport Temperature

Refrigerate* 8 hours/Frozen 15 days at -20° C or 1 month at -80° C OK/Ambient 4 hours at 20° ± 5° C OK

 

*Note: If the same plasma is also to be used for testing of Factor VII, do not store at 2-8° C.

Day(s) Test Set Up

Upon request (day shift only)

Performing Laboratory

Coagulation-

SMDC Clinical Lab

Test Classification and CPT Coding

85220

Reference Values

Reference Values

 

TEST AGE % Activity

Factor V Assay

0 – 2 days

64 - 103

 

3 days – 30 days

92 - 154

 

31 days – 1 Year

94 -141

 

1 Year - 5 Years

67 - 127

 

6 Years - 10 Years

56 - 141

 

11 Years - 17 Years

67 - 141

 

18 Years - 150 Years

62 - 139

 

Normal, full term infants may have boderline low or mildly decreased levels (greater than or equal to 30-35%) which may remain reach adult levels within 21 days postnatal.  Healthy premature infants (30-36 weeks gestation) may have boderline low or mildly decreased levels.  (per Mayo Medical Laboratories;4/2014)

 

Userful For/Utility

Diagnosing congenital deficiencies (rare) of coagulation factor V.    Evaluating acquired deficiencies associated with liver disease, factor V inhibitors, myeloproliferative disorders, and intravascular coagulation and fibrinolysis.  Investigation of prolonged prothrombin time or activated partial thromboplastin time.
This test is not used for the diagnosis of factor V Leiden mutation.