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Test Code 037 Activated Clotting Time (ACT)

Important Note

Requests for ACT testing other than for cardiac patients must be processed through a pathologist by the primary care physician.

Anticoagulation Fact Sheet for Clinical Monitoring

Additional Codes

ALAB: ACT

PowerChart: Activated Clotting Time

Specimen Requirement

0.5 mL whole blood is required.

Additional Specimen Collection Information

Two possible acquisition methods are acceptable:

Venipuncture: Using a syringe.  Arterial or Venous Line:

The specimen may be collected by nursing personnel from an arterial or venous line.

Useful For

The ACT is an indirect assessment of the efficacy of heparin in surgical procedures. Initial measurements determine sufficient heparin dose administration. Subsequent measurements are used to determine if the heparin dose has been sufficiently neutralized.

Performance

Performed by laboratory personnel at the patient bedside.

CPT Code Information

85347 Coagulation time, Lee and White, activated

Test Method

Kaolin activated clotting time; Abbott i-STAT

Reference Values

Reference values are established by the cardiologists or clinicians pertinent to the clinical situation.

Non-heparinized patients: 74-137 sec.

LOINC

3184-9 Activated Clotting Time In Blood By Coagulation Assay