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Fibrinogen (Prothrombin Fragment PP) Coagulation Assay

Published: August 9, 2026Updated: August 17, 2026

This test measures small fragments of fibrinogen produced during blood clotting, which can help assess early stages of coagulation and fibrin formation.

Quick summary

["Understanding your blood clotting process and early clotting activity through fibrinogen fragments."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 17, 2026Editorial policy

Key facts at a glance

LOINC
48664-7
Short code
Fibrinogen PPP Coag.derived-mCnc
Synonyms
Fibrinogen PPP Coag.derived-mCnc
Category
coagulation
Sample
plasma
Container
Lavender-top (EDTA) or Green-top (Heparin)
Units
N/A
Ref low
200
Ref high
400
Critical range
60 N/A – —
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
coag-derived
CPT
85384
SNOMED
47279000
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

What This Test Measures

Fibrinogen is a protein that plays a critical role in blood clotting. When blood clots form, fibrinogen is converted into fibrin, which helps stabilize the clot. This test specifically looks at a specific fragment (Prothrombin Fragment PP) generated during this process. Measuring these fragments can provide insights into how efficiently your blood is clotting and whether clotting is occurring normally or prematurely.

Why It Might Be Ordered

Your healthcare provider may order this test if you have symptoms or conditions related to abnormal clotting, such as bleeding disorders, clotting disorders, or if you are undergoing treatments that affect blood clotting (e.g., anticoagulants). It may also be used to monitor certain medical conditions or to assess the effectiveness of treatments aimed at blood clotting.

Common Conditions or Situations

This test is often used in scenarios where there is suspicion of altered fibrin formation, such as in patients with bleeding disorders (e.g., hemophilia), those receiving anticoagulant medications, or individuals with conditions affecting blood vessel integrity. It can also be part of a broader evaluation for conditions like disseminated intravascular coagulation (DIC).

Sample Collection and Preparation

This test typically uses a sample of whole blood collected in a special tube that prevents clotting. The blood is processed to separate the plasma, where the fibrinogen fragments are measured. The test may be performed on fresh or stored samples, depending on laboratory protocols.

Reference range

Adult: 200-400 mg/dLN/A

Specimen: plasma

Inform your healthcare provider if you are taking blood thinners. No special preparation required.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

Fibrinogen PP Coagulation Marker

Frequently asked questions

What does a high or low result mean?
A high result may suggest that your blood is clotting more actively than usual, which could be due to conditions like blood clots, pregnancy, or certain cancers. A low result might indicate problems with blood clotting, such as bleeding disorders or certain medications that affect clotting.
How is this test different from standard fibrinogen tests?
Unlike standard fibrinogen tests that measure the total amount of fibrinogen in your blood, this test specifically looks at Prothrombin Fragment PP, which is a marker of fibrin formation during the clotting process. It provides additional detail about the early stages of clot development.
Can I eat or drink before this test?
Yes, you can typically eat and drink normally before this test unless your healthcare provider has given specific instructions. However, avoid smoking or consuming alcohol for a few hours before the test, as these can 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 17, 2026. · Read our editorial policy