Skip to content

Antithrombin III (ATIII) Mass Concentration in Plasma

Published: August 9, 2026Updated: August 15, 2026

This test measures the amount of antithrombin III, a natural protein in your blood that helps prevent blood clots from forming.

Quick summary

["Antithrombin III supports blood circulation by inhibiting clotting factors."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 15, 2026Editorial policy

Key facts at a glance

LOINC
63169-7
Short code
ASPNIGG
Synonyms
A nidulans IgG-mCnc
Category
chemistry
Sample
serum
Container
Serum separator tube (SST) or red-top tube
Units
N/A
Ref low
12
Ref high
16
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
Enzyme-linked immunosorbent assay (ELISA)
CPT
86606
SNOMED
122449009
Specimen volume
1 mL serum (minimum 0.5 mL)
Stability
Stable for 7 days at 2-8°C; for longer storage, freeze at -20°C or below
Hemolysis max
100
Lipemia max
100
Icterus max
50
TAT
48–120 hours
Order
routine

Why This Test Might Be Ordered

Your healthcare provider may recommend this test if you have a history of blood clots, certain blood disorders, or are taking medications that increase your risk of clotting. It may also be checked before surgery or during treatment for conditions like disseminated intravascular coagulation (DIC).

What to Expect Before the Test

No special preparation is needed. You may have a small needle inserted into your arm or vein to draw a blood sample. If you’re on blood thinners, let your provider know beforehand to avoid unnecessary delays or complications.

What the Test Results Mean

Results are compared to a standard range for healthy adults. Low levels may indicate increased clotting risk, while very low levels could signal underlying conditions like liver disease or inherited disorders. Your provider will discuss results in the context of your health history.

Common Conditions Linked to Results

Low antithrombin III levels are often associated with conditions that increase clotting risk, such as thrombophilia (inherited or acquired), liver disease, or severe infections. High levels are less common but may occur in certain genetic conditions or during pregnancy.

Reference range

Negative: <12 mg/L; Equivocal: 12-16 mg/L; Positive: >16 mg/L (laboratory-specific)N/A

Specimen: serum

No special preparation required. Sample can be collected at any time of day.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Clinical Significance

Short name

Antithrombin III Level

Frequently asked questions

How often will I need this test?
Your provider will determine how often you need this test based on your medical history, treatment plan, and symptoms. Some patients may need it monthly, quarterly, or only as needed for monitoring.
What if my results are outside the normal range?
If your results are low, your provider may recommend additional tests, lifestyle changes (like increasing vitamin K intake if applicable), or adjustments to medications to manage your clotting risk. High levels may prompt further investigation into potential genetic causes.
Can I eat or drink before this test?
You can eat and drink normally before this test unless instructed otherwise. Blood tests like this are typically done on an empty stomach for accuracy, but your provider will confirm if fasting is required.
  1. 1
  2. 2
  3. 3

Click any link to access the full source. PubMed Central (PMC) links provide free full-text access.

This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 15, 2026. · Read our editorial policy