Iron

Message
Performing Lab: Central Lab, Lakeview, Regions


Test Code
3775


Alias/See Also
Sunquest: FE


CPT Codes
83540

Preferred Specimen
0.1 mL Lithium Heparin Plasma (light green-top) tube


Minimum Volume

70 uL


Other Acceptable Specimens
Serum separator (gold-top), Lithium Heparin (light green-top) on ICE (ALL SITES)
Red, Red/Gray (Lakeview only)


Transport Temperature
Refrigerated


Specimen Stability
 Room Temperature (7 days), Refrigerated (3 weeks), Frozen (1 year)


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Hemolysis


Methodology
Two-point Rate

Setup Schedule
Hospital: Daily
Clinics: Monday - Friday


Report Available
Same day.


Limitations
Do not use hemolyzed specimens because of the high concentration of iron in hemoglobin.


Reference Range
  Gender Ref. Range Critical Value
      >= 350 mcg/dL
   
  Female 50 - 170 mcg/dL
Male 65 - 175 mcg/dL


Clinical Significance
Most body iron is found in hemoglobin. The serum measurement of iron is useful in the differential diagnosis of anemia, iron deficiency anemia, thalassemia, possible sideroblastic anemia, and iron poisoning.
Serum iron is increased in hemosiderosis, hemolytic anemias, thalassemia, sideroblastic anemias, hepatitis, acute hepatic necrosis, hemochromatosis, inappropriate iron therapy, and iron poisoning.
Serum iron is decreased in cases of insufficient dietary iron, chronic blood loss, inadequate absorption of iron, impaired release of iron stores (commonly observed in inflammation), infection, and chronic diseases.




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.