Test Code FAXCHR Chromogenic Factor X Assay
Specimen and Container/Tube
Specimen Type: Plasma
Preferred Specimen: Light Blue Top Tube, 3.2% Sodium Citrate
Other Acceptable specimens: N/A
Specimen Handling and Transport Instructions
UCMC Onsite Instructions:
Collect specimen per standard collection procedure and send to laboratory immediately.
NOTE: Once each blue top tube is completely filled, gently invert the sample tube at least five times to ensure complete mixing of the contents.
UCMC Offsite and UC MedLab Outreach Instructions:
- Collect specimen per standard collection procedure.
- Once each blue top tube is completely filled, gently invert the sample tube at least five times to ensure complete mixing of the contents.
- Centrifuge specimens at >2500 x g for 10 minutes at room temperature.
- Carefully remove plasma from cells using a plastic transfer pipette avoiding buffy coat.
- Aliquot removed plasma into 2 plastic tubes containing a minimum of 1.0 mL of specimen in each tube.
- Plasma samples must then be frozen at -20oC.
- Once solidly frozen, they must be shipped on dry ice. Samples that have thawed in transit will be rejected.
Rejection Criteria
- Common specimen rejected situations include: incorrect specimen type, insufficient volume, missing or incomplete specimen identifiers, incorrect specimen transport, or specimens outside stability limits.
- Specimens that have wrong ratio of blood to anticoagulant (fill volume), clotted or grossly hemolyzed.
Reference Values
Test |
Age |
Sex |
Reference Range |
Factor X Chromogenic |
All |
All |
74 - 124% |
Critical Values
Analyte |
Unit |
Low |
High |
Age |
N/A |
N/A |
N/A |
N/A |
N/A |
CPT Codes
85130
LOINC Codes
3219-3
Volume
Preferred Volume: 2.0 mL
Minimum Volume: 1.0 mL
Specimen Stability
Storage Temperature |
Stability |
Room temperature |
4 hours |
Refrigerated |
not acceptable |
Frozen |
30 days |
Collection Instructions
Collect specimen per standard laboratory collection procedures.
NOTE: Once each blue top tube is completely filled, gently invert the sample tube at least five times to ensure complete mixing of the contents.
Turnaround Time
Turnaround times are relative to the time the specimen is received in the test laboratory.
STAT Turnaround Time: N/A
Routine Turnaround Time: Up to 3 days
Testing Schedule: Monday to Friday from 8:00 am to 3:30 pm.
Clinical Indications
May be helpful as a monitor of oral anticoagulant therapy in instances where the INR is not reliable (e.g., cases where a
Lupus Anticoagulant has significantly prolonged the baseline PT/INR or if the patient is being bridged from a direct thrombin inhibitor onto warfarin).
Methodology
Chromogenic
Synonyms/Keyword Search
Factor X
Additional Information
Although the relationship is not precise between the INR and the chromogenic factor X level (r-squared=0.422), in 50 patients receiving oral anticoagulant therapy and having a chromogenic factor X level between 15-35%, all were found to have an INR between 2.0-4.0. McGlasson et al showed that in 339 warfarinized patients with a reliable INR, a therapeutic INR of 2.0 to 3.0 corresponded to a chromogenic X level of 35.5% to 23.5%, respectively. Blood Coagulation and Fibrinolysis. 2008. 19:513–517
Last Review Date
03/13/2024