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Test ID SRAU Serotonin Release Assay, Unfractionated Heparin, Mass Spectrometry, Serum

Method Name

Liquid Chromatography Tandem Mass Spectrometry (LC-MS/MS)


Shipping Instructions


Specimen should be frozen if shipped or stored for longer than 48 hours.



Specimen Required


Patient Preparation:

1. Fasting: 8 hours, preferred but not required; Collect during an episode of suspected heparin-induced thrombocytopenia

2. Patient should not be on ticagrelor (Brilinta) as this may interfere with the assay, yielding a false-negative result.

Supplies: Sarstedt Aliquot Tube, 5 mL (T914)

Collection Container/Tube: Red top (serum gel/SST are not acceptable)

Submission Container/Tube: Polypropylene plastic vial

Specimen Volume: 1 mL

Collection Instructions:

1. After collection, allow the specimen to sit for a minimum of 1 hour at ambient temperature to ensure it clots completely.

2. Centrifuge and aliquot serum into a plastic vial.

Specimen Stability Information: Frozen (preferred) 2 years/Refrigerate 7 days


Reporting Name

Serotonin Release Assay, UFH, MS, S

Specimen Type

Serum Red

Specimen Stability Information

Specimen Type Temperature Time
Serum Red Frozen (preferred)
  Refrigerated  7 days

Report Available

1 to 4 days

Performing Laboratory

Mayo Clinic Laboratories in Rochester

LOINC Code Information

Test ID Test Order Name Order LOINC Value
SRAU Serotonin Release Assay, UFH, MS, S 50736-8

 

Result ID Test Result Name Result LOINC Value
616230 Low Heparin Serotonin Release 50728-5
616231 High Heparin Serotonin Release 50727-7
616232 Serotonin Release Assay Result 66488-8
616233 Interpretation 50733-5
616234 Comment 77202-0
616235 Disclaimer 62364-5

Forms

If not ordering electronically, complete, print, and send a Coagulation Test Request (T753) with the specimen.

Useful For

Detecting heparin-dependent platelet activating antibodies implicated in the pathogenesis of heparin-induced thrombocytopenia

Day(s) Performed

Monday through Friday

Test Classification

This test was developed and its performance characteristics determined by Mayo Clinic in a manner consistent with CLIA requirements. It has not been cleared or approved by the US Food and Drug Administration.

CPT Code Information

82542

Specimen Minimum Volume

1 mL

Reference Values

Low Heparin Serotonin Release: <20%

High Heparin Serotonin Release: <20%

Serotonin Release Assay Result: Negative