Hemoglobin, Plasma Free

Message

Performed in Hematology
BDMC will perform for only BDMC; BUMCT will perform for BUMCT and BUMCS; BUMCP will perform for all other AZ locations.

Test Code

HGBPL

Alias/See Also

Plasma Hemoglobin

CPT Codes
83051

Preferred Specimen

3.0ml EDTA Lav Top - plasma

Minimum Volume

0.5 ml

Instructions

Recommend collection in a 21 gauge needle to reduce chance of hemolysis. Send 1ml refrigerated EDTA plasma. LIPEMIC samples will be rejected.

Transport Temperature

Ambient if testing perfomed on-site.
Refrigerated if being sent to BUMCP or BUMCT.

Specimen Stability

Whole blood must be spun within 2 hours of collection. Add-ons are not permitted beyond this time frame.

Setup Schedule

Daily

Report Available

Within 4 hours or receipt into lab

Reference Range

UNITS OF MEASURE			mg/dL
AGE RANGE			MALE	FEMALE
0	to	150 Y	<30	<30

Critical Values: None

Clinical Significance

Plasma hemoglobin is a measure of circulating red blood cell destruction and is considered to be the basic indicator of intravascular hemolysis.

Performing Laboratory
Banner University Medical Center Phoenix
Banner University Medical Center Tucson
Banner Desert Medical Center

The CPT Codes provided in this document are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payor being billed. Any Profile/panel component may be ordered separately. Reflex tests are performed at an additional charge.