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platelet screening epinephrine
Synonyms: PFA Platelet Screening with Epinephrine 
Computer Code: (PEPI)
Specimen Collection: Two 2.7 mL blue top (citrate) tubes AND
2 mL lavender (EDTA) tube. 
Minimum Volume: 2.7 mL blue 1.5 mL lav 
Handling Instructions for Offsite Areas: Handling instructions for off site areas: Keep at room temperature (DO NOT REFRIGERATE) Do not centrifuge Send to AMCH Hematology lab within 2 hours of collect time In house: Should meet the same criteria as off site plus, do not use tube system to transport specimen to lab, walk it down to the lab receiving area, sending by tube system activates the platelets which causes the sample to be "UNSUITABLE" for testing. 
Reference Values: 80-184 seconds  
Lab Code: HEM 
Requisition: C/H
Test Frequency: Daily 
Routine TAT: 4 hr (from collect time) 
Stat TAT: 1 hr (from receive time) 
CPT Code(s): 85576 
LCD or NCD:  
Methodology Used: 85
See Addendum XVII

Albany Medical Center
43 New Scotland Avenue
Albany, NY, 12208
Date: 10/24/2014
Time: 11:31:02 (24hr)