Prothrombin Time
Label Mnemonic: PT
Epic code: LAB320
Order form: Laboratory Requisition
Supply order: Supply Order Form
Billing: Billing Policies
CPT code: 85610
Specimen(s):
Collection Medium:
Light Blue top tube 1.8 mL (Na Citrate)
Minimum:
Full draw; 1.8 mL light blue top (mix well). Tube must be at least 90% full.
Rejection Criteria:
Short drawn tube, clot, traumatic tap (excessive hemolysis).
Turn Around Time:
1 hour (upon receipt in laboratory)
Reference Range:
9-12 seconds

INR Critical Reference Value: greater than 3.9
Comments:
The INR corresponding to the PT is reported to assist in the monitoring of oral anticoagulants. Must be drawn swiftly with a clean venipuncture (no hematoma). Time drawn must be indicated on requisition. A PT can be performed on a sample if it is kept unopened and uncentrifuged at room temperature to be delivered to lab within 12 hours. A special tube from the lab is necessary if the hematocrit is over 55%.

Prothrombin Time may be performed on the same collection tube as Activated Partial Thromboplastin time (aPTT) and Fibrinogen.
Methodology:
Optical clot detection.
Sample Processing:
Double-centrifuge specimen to prepare platelet-free plasma.
Immediately centrifuge specimen at 3500 RPM for 12 minutes.
Using a plastic transfer pipette, carefully remove plasma from cells avoiding the platelet/buffy coat.
Place plasma into a labeled plastic tube.
Centrifuge plasma again at 3500 RPM for 12 minutes.
Remove the top of the plasma and place into a labeled plastic tube.
Freeze double-spun plasma within 4 hours of collection time at -20 degrees C or below.
Sample Storage:
Freeze plasma immediately.
Transport Instructions:
Place labeled specimen into zip-lock type biohazard bag; seal bag.
Place requisition into outside pocket of bag.
Place dry ice on top of specimen in Styrofoam container to maintain frozen temperature.
Samples received thawed will be cancelled.