Days Set Up
Daily, 24 hours
Analytic Time

2 hours

MiChart Code
Anti-IIa, Unfractionated Heparin
Soft Order Code
UFH2A

Test Updated:

Synonyms
 

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Test Overview

Test Methodology

Chromogenic Substrate Assay

Test Usage

Used to monitor treatment with unfractionated (standard) heparin. Specifically for patients with history of Eliquis (Apixaban) or Xarelto (Rivaroxaban) therapy.

Reference Range

Due to concurrent or recent therapy with an Anti-Xa inhibitor, the UNFH is measured by an Anti-IIa Assay.
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The therapeutic range for the Adult ACS/AFib and stroke nomograms is 0.2-0.5 IU/mL. The therapeutic range for the Adult DVT/PE nomogram is 0.3-0.7 IU/mL. Patients not being followed with the Adult UMHS nomogram, the therapeutic range for unfractionated heparin is 0.3 to 0.7 IU/mL

* Reference ranges may change over time. Please refer to the original patient report when evaluating results.

Specimen Requirements

Collection Onsite

Collect specimen in a blue top (citrate 3.2%) tube. Mix by inversion. Specimen should arrive at lab within one hour of collection; transport at room temperature. Collection of the blood through lines that have been previously flushed with heparin should be avoided. If the blood must be drawn through a VAD (vascular access device), the line should be flushed with 5 mL of saline and the first 5 mL of blood or six dead space volumes of the VAD discarded.

Collection Offsite

Collect specimen in a blue top (citrate 3.2%) tube. Mix by inversion. Specimen should arrive at lab within one hour of collection; transport at room temperature. Alternatively, centrifuge, aliquot plasma into a plastic vial, and freeze the specimen within 1 hour of collection. Transport frozen specimen on dry ice. Collection of the blood through lines that have been previously flushed with heparin should be avoided. If the blood must be drawn through a VAD (vascular access device), the line should be flushed with 5 mL of saline and the first 5 mL of blood or six dead space volumes of the VAD discarded.

Blue Top Tube
Normal Volume
Full 2.7mL tube or 1mL plasma aliquot
Minimum Volume
Full 1.8mL tube or 1mL plasma aliquot

Billing Information

CPT Code
85130
Pro Fee Code
 
LOINC
 

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Our High Standard

Quality that sets us apart

As the reference laboratory division of Michigan Medicine's Department of Pathology, MLabs shares the institution's commitment to applying established quality principles to clinical laboratory testing. Like other large organizations in complex, consequential fields, we rely on an established approach to monitor quality throughout the testing process.