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Prothrombin Complex Activity (Prothrombin Time) with INR Calculation, Serum/Plasma

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

This blood test measures how long it takes for your blood to clot and evaluates the function of certain blood proteins involved in clotting. It helps assess bleeding risks and identify issues with blood clotting pathways.

Quick summary

["Helps diagnose bleeding disorders, liver disease, or clotting problems by checking clot formation time and protein activity."]

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

Key facts at a glance

LOINC
85359-8
Short code
PS-prothrom cmplx IgG SerPl IA-aCnc
Synonyms
PS-prothrom cmplx IgG SerPl 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 This Test Matters for Your Health

Your blood naturally clots to stop bleeding when a cut or injury occurs. This test checks how efficiently your blood clots by measuring the time it takes for a clot to form under controlled conditions. It also calculates the International Normalized Ratio (INR), a standardized way to compare results across labs.

What the Test Measures

The test evaluates the activity of several clotting factors (like prothrombin, factors VII, X, and protein C/S) in your blood. These factors work together to form a stable clot. The INR adjusts for differences in lab equipment and reagents, providing a consistent measure of clotting risk.

Common Conditions Monitored

This test is often used to monitor conditions like liver disease (where clotting factors may be produced poorly), blood clotting disorders (e.g., hemophilia), or patients on blood thinners (e.g., warfarin) to ensure safe dosing.

Preparation for the Test

No special preparation is needed, but you may be asked to fast for 12 hours before the test if your doctor specifies. Avoid aspirin or other blood-thinning medications unless cleared by your provider.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Elevated PT/INR may indicate liver disease, vitamin K deficiency, or medications that thin the blood. A prolonged test result suggests impaired clotting, while normal results confirm healthy clotting factor function. This test is critical for managing bleeding risks in high-risk patients.

Short name

Prothrombin Time (PT) with INR

Frequently asked questions

How long will I need to wait for results?
Results are typically available within 24 hours, but timing may vary by lab. Your doctor will contact you with the final report.
Can I eat or drink before this test?
Standard fasting rules apply (usually 12 hours), but check with your lab or doctor for specific instructions, especially if you’re on blood thinners.
Does this test require fasting?
Yes, fasting may be required to ensure accurate results, particularly if your doctor suspects liver or clotting issues. Follow your provider’s guidance.
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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