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Serum Antithrombin III Concentration (Qualitative or Quantitative)

Published: August 9, 2026Updated: August 16, 2026

This test measures the level of antithrombin III, a natural protein in your blood that helps prevent abnormal blood clotting.

Quick summary

["Antithrombin III helps maintain healthy blood flow by inhibiting clotting factors."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
107236-2
Short code
ENA SS-a 60kD IgG Ser IA-aCnc
Synonyms
ENA SS-a 60kD IgG Ser IA-aCnc
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
ia
CPT
82784
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

Why Is This Test Done?

Your healthcare provider may order this test to check if you have low levels of antithrombin III, which can increase your risk of blood clots. It may also be used to monitor treatment for conditions like disseminated intravascular coagulation (DIC) or after surgery to prevent clots.

What Does a Low Level Mean?

Low levels of antithrombin III can signal an increased risk of clotting disorders. This may happen due to inherited conditions, certain medications, or conditions that affect blood clotting, such as liver disease.

What to Expect Before the Test

No special preparation is needed, but you may be asked to fast for a few hours before the blood draw if your test involves a fasting sample. Wear comfortable clothing and plan to stay near the testing site for a short time.

What Happens During the Test?

A healthcare professional will draw blood from a vein, usually in your arm. You may feel a slight pinch or sting, but it should only take a few minutes. The blood sample will be sent to a lab for analysis.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Clinical Significance: Antithrombin III plays a critical role in blood coagulation regulation. Deficiencies can lead to hypercoagulability, increasing the risk of venous thromboembolism (blood clots) or other clotting disorders. Monitoring levels helps guide treatment decisions for patients with inherited or acquired antithrombin deficiency.

Short name

Antithrombin III (ATIII) Test

Frequently asked questions

What causes low antithrombin III levels?
Low antithrombin III levels can be caused by inherited genetic mutations, liver disease, certain medications (like heparin or oral contraceptives), pregnancy, or conditions that affect blood clotting, such as disseminated intravascular coagulation (DIC).
How is antithrombin III tested?
The test measures the concentration of antithrombin III in your blood using an immunoassay or nephelometry method. The result may be qualitative (yes/no presence) or quantitative (exact amount).
Can antithrombin III levels change over time?
Yes, antithrombin III levels can fluctuate due to medical conditions, treatments, or lifestyle factors. Regular monitoring may be needed if you have a history of clotting disorders or are on medications that affect blood clotting.
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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 16, 2026. · Read our editorial policy