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Factor V Leiden Mutation (Activated Protein C Resistance) – Plasma

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

This test checks for a genetic variation in the Factor V gene that may increase your risk of blood clots, even with normal blood clotting factors.

Quick summary

["A genetic mutation that can raise your risk of blood clots, even if you don’t have other risk factors."]

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

Key facts at a glance

LOINC
96458-5
Short code
Fact V Act + Inhib Pnl PPP
Synonyms
Fact V Act + Inhib Pnl PPP
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
coag
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 This Test Might Be Ordered

Your doctor may recommend this test if you’ve had unexplained blood clots, a family history of clotting disorders, or if you’re considering pregnancy and have a history of recurrent miscarriages or clotting issues. It’s also used to evaluate patients with unexplained resistance to blood-thinning medications like warfarin.

What to Expect Before the Test

No special preparation is needed. You’ll have a small needle inserted into your arm to draw a blood sample. The test involves checking your plasma for the Factor V Leiden mutation, which is detected through genetic analysis.

What the Results Mean

If the test confirms the Factor V Leiden mutation, you may be at higher risk for blood clots. If it’s not present, your risk is likely normal, but other factors may still contribute to clotting. Discuss your results with your doctor to understand your personalized risk and next steps.

Common Symptoms or Conditions Linked to This Test

While this test doesn’t diagnose symptoms directly, it helps identify a genetic predisposition to conditions like deep vein thrombosis (DVT), pulmonary embolism, or recurrent pregnancy loss. Symptoms of clotting may include swelling, pain, or redness in the legs, chest pain, or shortness of breath.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

Factor V Leiden Test

Frequently asked questions

What does my test result mean if it’s positive?
A positive result means you have the Factor V Leiden mutation, which can make your blood more prone to clotting. Your doctor will work with you to manage this risk through lifestyle changes, medications (like blood thinners), or monitoring, depending on your overall health and history.
What if my test result is negative?
A negative result means the mutation is not present in your DNA. However, other genetic or lifestyle factors may still contribute to clotting. Your doctor will assess your overall risk and recommend appropriate precautions or monitoring based on your personal health profile.
How often should I get this test?
This test is typically done once, usually as part of an initial evaluation for clotting risk. If you have a family history or symptoms, your doctor may recommend follow-up testing or monitoring, but it’s not a routine annual check unless advised otherwise.
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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