The Types, Procedure & Cost
Have you ever wondered why bleeding stops so quickly after a minor cut? Have you noticed that some people get serious bleeding issues after a minor cut, especially those who have undergone heart surgery?
This is because of blood clotting. Blood clotting is a phenomenon that prevents excessive bleeding after a cut. Clotting, however, should not happen when blood moves through the veins because it can cause a heart attack and even death.
The CPT code of the Coagulation test is 85730.
It is through a coagulation test the body’s ability to clot, and how long it takes to form a clot is diagnosed.
- Purpose of a coagulation test.
- The procedure of the test.
- The average cost of a Blood coagulation test.
Why do Doctors ask for a Coagulation Test?
Blood clotting is an essential part of the body, however, excessive clotting or minimal clotting can lead to dangerous conditions. Doctors often suggest a coagulation test to patients who suffer from heart disorders, high cholesterol, or someone who has a blood clotting problem and needs surgery. Following are some conditions that can cause coagulation problems.
- Liver disease
- Thrombophilia (excessive clotting)
- Haemophilia (inability to clot)
What are the different types of blood coagulation tests?
Let’s take a look at the different types of blood coagulation tests.
- Complete blood count test (CBC)
A CBC test measures the number of white blood corpuscles in the blood. This will tell you the number of neutrophils, lymphocytes, basophils, eosinophils, and monocytes in your blood.
- Factor V assay
Factor V assay test is a substance that is involved in blood clotting, and if found very low would indicate liver disease, fibrinolysis, or disseminated intravascular coagulation.
- Fibrinogen Level
Fibrinogen Level is a protein made by the liver. An abnormal level of fibrinogen in the blood may be a sign of excessive bleeding, placenta abruption, or fibrinolysis, etc.
- Prothrombin Time
Prothrombin is a protein produced by the liver. The prothrombin time (PT) measures how long it takes for the blood to clot. A normal blood clotting time is 25-30 seconds. For patients taking a blood thinner, the clotting time may increase. Sometimes, abnormalities are reported if the patient suffers from hemophilia, liver disease, etc.
- Platelets are cells in the blood that help in clotting. Platelet counts determine the number of conditions a patient may have. The platelet count can be low if you are suffering from malaria, dengue or even if someone is taking chemotherapy. Celiac diseases, vitamin K deficiency, and leukemia can also be diagnosed by low platelet count. High platelet count can be caused by Anaemia, primary thrombocythemia, or chronic myelogenous leukemia, etc.
- Thrombin time
Thrombin time measures how fibrinogen is working. Abnormal results can be the result of fibrinogen disorders, cancers, liver disorders, and sometimes even certain medicines.
- Bleeding time
Bleeding analyzes how veins close and stop bleeding. This test involves a patient bleeding, and then checking how much time it takes to stop the bleeding. A standard template bleeding time helps to understand the results better. It is either done by the IVY method, where an incision is made on the ventral side of the forearm and the blood pressure cuff is placed, then inflated to 40mmHg, or b Duke method where the patient is pricked with a special needle in the earlobe.
What results can be expected from the test?
Results from the IVY method: Prolonged bleeding can be the result of a decreased number of thrombocytes, or impaired blood vessels. The normal values fall between 3-10 minutes.
Results from Duke method: A 3-4 mm deep cut is made, then blood is wiped every 30 seconds with a filter paper until it completely stops. The usual time is 2-5 minutes. However, it is risky as it might cause a local hematoma.
What is the procedure of a coagulation profile test?
Blood coagulation tests are no different from other blood tests. Patients need to discontinue any blood-thinning medicine before the test. The healthcare provider will sterilize a particular spot at the back of your hand, inside the elbow, or other places suitable, and by inserting a needle into the vein, the blood will be drawn.
How much does a coagulation profile test cost?
A coagulation profile test, or coagulation panel test, might range from $100-$3000 depending on the type of test done. For the full range of coagulation tests, you might be charged more. For an uninsured patient, the average cost of such a test may range from $1000-$1500.
Well, you mustn’t get worried after reading all the above complex terminologies! You just need to find these in your reports and do a self-verification. That’s it. Your doctor, or healthcare provider, will take care of the rest. It is also important to make these tests economical by saving the maximum on your part.
In a situation like this where the world is still gripped with the COVID crisis, we must keep in mind matters of safety, price, and quality. Always check for hidden costs from your provider.
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