Iron, Liver Tissue

Message
Sendout, Mayo test code: FET


Test Code
LAB3


Alias/See Also
Fe (Iron)
Hemochromatosis
Hepatic Iron Concentration
Hepatic Iron Index
Iron (Fe)
Iron, Tissue Liver
Metals, Tissue
Quantitative Iron
Total Iron, Liver Tissue
FET


CPT Codes
83540

Preferred Specimen
2 mg of liver tissue in a Mayo metal-free specimen vial


Minimum Volume
2 cm (22-gauge needle)
1 cm (18-gauge needle)
2 mm x 2 mm (punch) 0.3 mg by dry weight


Other Acceptable Specimens
Paraffin block, if not more than 1 or 2 cuts have been made to it for slides


Instructions
1. Two mg of liver tissue is required. This is typically a piece of tissue from a 22-gauge needle biopsy at least 2 cm long. If an 18-gauge needle is used, the tissue must be at least 1 cm in length.
2. Any specimen vial other than a Mayo metal-free vial used should be plastic, leached with 10% nitric acid for 2 days, rinsed with redistilled water, and dried in clean air.
Additional Information: Paraffin blocks will be returned 3 days after analysis is complete.


Transport Temperature
Refrigerated


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
All specimens will be evaluated at Mayo Clinic Laboratories for test suitability.


Methodology
Inductively Coupled Plasma-Mass Spectrometry (ICP-MS)

FDA Status
Approved

Setup Schedule
Monday, Thursday


Report Available
3-6 days


Limitations
Formalin-fixed, paraffin-embedded tissue can be used when histologic examination (including iron stains) is requested in addition to the hepatic iron concentration and calculated hepatic iron index; however, fresh or frozen tissue is preferred.
 
Paraffin blocks from which many slides have been previously cut often appear to contain sufficient quantity of tissue, however, the specimen is often very thin and less than 2 mg in weight.


Reference Range
Included with report


Clinical Significance
Diagnosis of hemochromatosis using liver tissue specimens


Performing Laboratory
Mayo Clinic Laboratories, Rochester, Minnesota

Additional Information
Iron, Liver Tissue


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.