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Protein S Free (Anticoagulant Activity) in Plasma

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

This test measures the amount of free Protein S in your plasma, an important protein that helps prevent blood clots.

Quick summary

["Free Protein S supports blood health by regulating clotting factors."]

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

Key facts at a glance

LOINC
59232-9
Short code
PSA Free Plr-mCnc
Synonyms
PSA Free Plr-mCnc
Category
chemistry
Sample
fluid
Container
Sterile tube
Units
N/A
Ref low
0
Ref high
4
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
CPT
84153
SNOMED
39392002
Specimen volume
2-5 mL
Stability
Room temperature: 2h, Refrigerated: 24h
Hemolysis max
300
TAT
4–24 hours
Order
routine

Your doctor may order this test to help diagnose a health condition, check how well an organ or body system is working, monitor an ongoing illness, or screen for problems before symptoms appear. It can also be used to see how well a current treatment is working for you.

Your healthcare provider may recommend this test if you have a history of blood clots, certain blood disorders, or if you’re taking medications that affect clotting. It could also be part of a broader evaluation for conditions like antiphospholipid syndrome or inherited thrombophilia.

Before your test, your care team will explain the procedure and answer any questions you have. You may be asked to avoid certain foods, medicines, or activities beforehand, and to bring a list of your current medications along with your insurance information and photo ID.

No special preparation is usually needed, but you may be asked to fast for 8–12 hours before the test if your lab uses a fasting protocol. Avoid smoking or consuming alcohol for at least 24 hours before testing, as these can affect blood components.

During the test, a trained technician or nurse will follow a specific procedure to collect the information or sample your doctor needs. The process is usually quick and comfortable, and your care team will guide you through each step to help you stay relaxed and at ease.

Blood is drawn from a vein, typically in your arm. The sample is then processed to separate plasma, where Protein S is measured using a specialized immunoassay or similar method to detect its anticoagulant activity.

Your results will show whether your values fall within a normal range or point to a condition that may need attention. Your doctor will review the findings with you, explain what they mean for your overall health, and discuss any follow-up testing or treatment options if needed.

Results are compared to a reference range specific to your lab. Low levels of free Protein S may indicate an increased risk of blood clots, while very low or undetectable levels could suggest a genetic or acquired deficiency requiring further evaluation.

Reference range

Normal: <4.0 ng/mLN/A

Specimen: fluid

No special preparation required. For PSA, avoid sexual activity for 24-48 hours before the test.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

Protein S Free

Frequently asked questions

Low free Protein S levels are linked to an elevated risk of venous thromboembolism (blood clots in veins) or arterial clots. It’s particularly important for patients with inherited or acquired thrombophilia, pregnancy, or conditions like lupus. Your provider may adjust treatment (e.g., blood thinners) based on these results.
Most test results are ready within a few days, though some may take a week or longer depending on the type of test performed. Your doctor's office will contact you to review the results, explain what they mean, and answer any questions you may have.
Results are typically available within 1–3 business days, depending on your lab’s processing schedule. Follow up with your healthcare provider to discuss the meaning of your specific result.
Whether you can eat or drink before this test depends on the specific test you are having. Some tests require fasting for a certain number of hours, so follow the instructions your care team gives you and call the office if you are unsure.
Is this test painful?
The blood draw itself may cause mild discomfort, but most people tolerate it well. A small bandage or bandage may be applied afterward. If you have a hard time with needles, let your provider know so they can prepare accordingly.
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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