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St. John Health System
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Index:

Protein S Antigen, Free

Order Name PROT S FRE
Test Number: 1507050
Revision Date 05/04/2026
Test Name Methodology LOINC Code
Protein S Antigen, Free
Latex Immunoassay Agglutination 27821-8 
SPECIMEN REQUIREMENTS
Specimen Specimen Volume (min) Specimen Type Specimen Container Transport Environment
Preferred 1.5mL (1) Plasma Sodium Citrate 3.2% (Blue Top) Frozen
Instructions Patient Preparation: Avoid warfarin (Coumadin®) therapy for two weeks and heparin therapy for two days prior to the test. Do not draw from an arm with a heparin lock or heparinized catheter.
Stability: Room Temperature: N/A, Refrigerated: N/A, Frozen: 28 Days (Freeze Thaw Cycles stable x3)
Causes for Rejection: Gross hemolysis; clotted specimen; frozen specimen thawed in transit; improper labeling

Blood should be collected in a blue-top tube containing 3.2% buffered sodium citrate.1 Evacuated collection tubes must be filled to completion to ensure a proper blood-to-anticoagulant ratio.2,3 The sample should be mixed immediately by gentle inversion at least six times to ensure adequate mixing of the anticoagulant with the blood. A discard tube is not required prior to collection of coagulation samples unless the sample is collected using a winged (butterfly) collection system. With a winged blood collection set a discard tube should be drawn first to account for the dead space of the tubing and prevent under-filling of the evacuated tube.4,5 When noncitrate tubes are collected for other tests, collect sterile and nonadditive (red-top) tubes prior to citrate (blue-top) tubes. Any tube containing an alternative anticoagulant should be collected after the blue-top tube. Gel-barrier tubes and serum tubes with clot initiators should also be collected after the citrate tubes.

If the patient's hematocrit exceeds 55%, the volume of citrate in the collection tube must be adjusted. Refer to Coagulation Collection Procedures for directions.
GENERAL INFORMATION
Expected TAT 3-4 Days  
Clinical Use The presence of rheumatoid factor may lead to an over-estimation of the free protein S level. The presence of anti-bovine albumin and/or anti-mouse antibodies in certain subjects may lead to an over-estimation of the free protein S level. 
CPT Code(s) 85306
Service Provided By Labcorp Oklahoma, Inc.
Lab Section Reference Lab