Factor XI Activity Assay

General Information

Lab Name

Factor XI Activity

Lab Code

F11

Epic Name

Factor XI Activity

Description

Factor XI (11) activity is a PTT-based factor assay used for diagnosing deficiency of coagulation factor XI. A relatively high incidence of congenital factor XI deficiency (Hemophilia C) occurs among individuals of Ashkenazi Jewish descent.

Emicizumab (Hemlibra) will affect all PTT-based assays and will overestimate the factor concentrations.

Outside clients should fill and submit Coagulation Patient Clinical History Form: Coagulation Patient Clinical History Form

Synonyms

Factor 11

Interpretation

Method

Stago STA Clottable Factor assay

Reference Range

Units: %

Female Male
AgeRangeAgeRange
0-29d23-150 0-29d23-150
1m-2m27-150 1m-2m27-150
3m-5m41-150 3m-5m41-150
6m-11m38-150 6m-11m38-150
1y-50-150 1y-50-150

Effective date: 07/01/2004

Interferences and Limitations

Clinical assay interference and limitations: Patients on bivalirudin (Angiomax), dabigatran (Pradaxa), argatroban (Novastan), rivaroxaban (Xarelto), apixaban (Eliquis), and edoxaban (Savaysa) may show prolonged clotting times. This may cause an under- estimation of the factor concentrations. Emicizumab (Hemlibra) will affect all PTT-based assays and will overestimate the factor concentrations.

Ordering & Collection

Specimen Type

Blood

Collection

3 or 5 mL BLUE TOP (CITRATE) tube

Forms & Requisitions

Outside clients should fill and submit Coagulation Patient Clinical History Form: Coagulation Patient Clinical History Form

Handling Instructions

The Laboratory MUST process specimen, within 4 hrs of blood collection

Quantity

requested: entire specimen

Processing

UW-MT Instructions: Take specimen to UW-MT Coag lab for processing. Coag Tech will freeze plasma sample for transport to HMC Coag.

HMC Instructions: Take specimen to HMC Coag lab for processing.

Outside Laboratory: Centrifuge for 10 minutes, remove plasma & re-spin plasma for another 10 minutes. Decant & Freeze plasma (minimum 1.0 mL) @ -20°C to -80°C. Send frozen on dry ice.

Performance

LIS Dept Code

Coagulation (COAG)

Performing Location(s)

HMC Coagulation
206-520-4600

325 9th Ave, Rm # GWH-47, Seattle, WA 98104-2420

Frequency

Run Monday-Friday. Reported by end of day.

Available STAT?

Yes, Monday to Friday 8 am - 3 pm. For other times contact the Lab Medicine resident for approval. Please notify the Special Coag lab on Friday (206-744-2621) if sending a stat factor XI on the weekend.

Billing & Coding

CPT codes

85270

LOINC

3226-8

Interfaced Order Code

UOW1218

Interfaced Result Code

UOW1218