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D-Dimer

Additional Codes

Epic# -

LAB313

 

Cerner name(s):

  • D-Dimer
  • DDimer 

Performing Lab(s)

Memorial-Belleville & Memorial-Shiloh

Specimen Requirement (s)

Specimen Type:  Plasma

Container/Tube:   Citrated light-blue top

Specimen Volume:    full tube

Specimen Minimum Volume: full tube

 

Collection Instructions: Avoid hemolysis

Unacceptable Conditions

  • Short draws 
  • clotted specimens 

Day(s)/Shift(s) Test Set Up and Turnaround Time

Sunday through Saturday

Hours: 24 hours

 

Turnaround Time:

STAT: 45 minutes

Routine: less than 1 hours from receipt.

Transport and Stability

Test must be performed within 8 hours of collection.

Transport temperature: Ambient to lab

 

Analyte Stability

Ambient: 24 hours

Refrigerated: 24 hours

Frozen: 72 hours

Reference Values

D-Dimer

Age

Reference Values

0 – 1 month

0 – 1199 ng/mL FEU

>1month  – 12 months

0 – 899 ng/mL FEU

> 1 year – 5 years

0 – 749 ng/mL FEU

>5 years - 150 years

0 – 499 ng/mL FEU

CPT/LOINC Codes

85379

Interpretive Data

FDA approved the D-dimer, in conjunction with a low or moderate pretest probability score, to exclude venous thromboembolic events (VTE) (PE and DVT) in outpatients when the D-dimer result is < 500 ng/ml FEU. 

Evidence supports using an age-adjusted D-dimer cut-off for outpatients older than 50 (age x 10) to improve specificity without sacrificing sensitivity. Example: age 68, VTE cut-off 680 ng/ml FEU. References; Schouten HT et al. Brit Med J. 2013;346:f2492. Raja AS et al. Annals Int Med. 2015;163:701-11.”

Current interpretive data was last revised on 11/19/2019.