Test Directory

Test Code
VITK
Test Name
Vitamin K1
CPT Codes
84597
Expected Turnaround Time
4-6 days
Clinical Utility

This test is used for the assessment of vitamin K deficiency. Vitamin K deficiency may be induced by obstructive liver disease, obstructive icterus, malabsorption due to celiac disease, pancreatitis, diarrhea, and antibiotic abuse; may be used to treat blood clotting disorders, bone metabolism disorders, and hemorrhagic disorders of newborns.

Specimen and Container Info

Preferred Specimen Type: Plasma

Alternate Specimen Type: Serum

  

Preferred Collection Container: Lavender Top (EDTA)  

Alternate Collection Container: Gold Top, Serum Separator or Red Top, Plain 

Desired Specimen Volume: 1 mL

Collection Instructions
  1. Collect specimen in lavender top EDTA tube via venipuncture.
  2.  Mix immediately by gentle inversion at least six times to ensure adequate mixing.
Processing and Submission Instructions
  1. Separate plasma from cells.
  2. Transfer 1 mL of plasma to an amber aliquot tube.
  3. Specimens should be light protected.
Patient Preparation

Patient should fast for 12 hours overnight.

Transport Instructions

Transport to the laboratory refrigerated. 

Stability Requirements

Room Temperature

 7 days

Refrigerated

14 days

Frozen

28 days

Freeze/Thaw Cycles

 Stable x3

Causes for Rejection
  • Mild or grossly lipemic specimen
  • Grossly hemolyzed specimen
  • Specimen not protected from light
  • Specimen outside of stability
  • Citrate plasma
Methodology
Liquid Chromatography - Tandem Mass Spectrometry (LC-MS/MS)
Reference Intervals

See patient report.

Limitations

Overnight (12-hour) patient fasting is required. Consumption of supplements or food with Vitamin K may elevate plasma concentrations of Vitamin K1 for testing.

Although lipemia does not interfere with the analytical measurement of Vitamin K1 by this test, Vitamin K1 levels are correlated with lipoprotein concentrations. As such, all lipemic samples should be rejected given Vitamin K1 levels are expected to be elevated in lipemic specimens and prevent evaluation for Vitamin K1 insufficiency.

Alternate Names

 Phylloquinone

Reference Lab
Labcorp Of America Holdings
Testing Schedule
Routine, daily