Test Directory

Test Code
PSFAG
Test Name
Protein S Free, Antigen
CPT Codes
85306
Expected Turnaround Time
2 - 3 days
Clinical Utility

This test is used for confirmation and characterization of protein S (PS) congenital deficiency.

Specimen and Container Info

Specimen Type: Citrated Platelet-Poor Plasma

  

Collection Container: Light Blue Top (Sodium Citrate)

Desired Specimen Volume: 1 mL

Collection Instructions
  1. Collect specimen in 2 light blue top (sodium citrate) tubes via venipuncture.
  2.  The sample should be mixed immediately by gentle inversion at least six times to ensure adequate mixing of the anticoagulant with the blood.
  3. A discard tube is not required prior to collection of coagulation samples unless the sample is collected using a winged (butterfly) collection system. With a winged blood collection set a discard tube should be drawn first to account for the dead space of the tubing and prevent under-filling of the evacuated tube.
  4.  When noncitrate tubes are collected for other tests, collect sterile and nonadditive (red-top) tubes prior to citrate (blue-top) tubes. Any tube containing an alternative anticoagulant should be collected after the blue-top tube. Gel-barrier tubes and serum tubes with clot initiators should also be collected after the citrate tubes.
Processing and Submission Instructions

Platelet-Poor Plasma Processing Instructions

  1. Perform platelet poor plasma processing procedure
  2. Transfer 1 mL of platelet-poor plasma to a LabCorp PP transpak frozen purple tube.
Patient Preparation

Avoid warfarin (Coumadin®) therapy for two weeks and heparin therapy for two days prior to the test. Do not draw from an arm with a heparin lock or heparinized catheter.

Transport Instructions

Transport to the laboratory frozen. 

Stability Requirements

Frozen

28 days

Freeze/Thaw Cycles

 Stable x3

Causes for Rejection
  • Gross hemolysis
  • Clotted specimen
  • Frozen specimen thawed in transit
  • Improper labeling
Methodology
Latex immunoassay (LI)
Reference Intervals

 See patient report.

Limitations

If the patient's hematocrit exceeds 55%, the volume of citrate in the collection tube must be adjusted.

Reference Lab
Labcorp Of America Holdings
Testing Schedule
Routine, daily