THROMBOELASTOGRAPHY WITH LYSIS 30

Synonyms: TEG with Lysis 30; TEG with LY30
Computer Code: (TEGN)
Specimen Collection: 2.7 mL blood in blue top tube. Sample can be sent by pneumatic tube system to the lab/LIS within 2 hours of collection. 
Minimum Volume: 2.7 mL 
Handling Instructions for Offsite Areas: Testing is offered in house only. Transport specimen at room temperature. Can be sent by pneumatic tube system with foam protective insert. 
Reference Values: (18 years and older): Rate (R ) = 5-12 min; Angle (A) = 47-74 degrees; Kinetics (K) = 0-4 min; Maximum Amplitude (MA) = 54-72 min; Lysis 30 (LY30) = <7.5%  
Lab Code:
Requisition: C/H
Test Frequency: Daily 
Routine TAT: 2 hrs 
Stat TAT: N/A
CPT Code(s): 85347, 85384x2, 85576x2
LCD or NCD:
Methodology Used:
See Addendum XVII