Iron Binding Capacity, Including Iron and % saturation (TSAT)

Message
For Specimen Integrity during Extreme Weather see the “Lockbox Usage in Extreme Weather” document at the top of this page.


Test Code
FEPR


Alias/See Also
70120;
FE IBC;
FE, IBC %SAT;
FE, Total, TIBC, %SAT;
Iron Binding Capacity (IBC);
Iron Profile;
Iron Panel;
Iron Saturation;
Iron, TIBC; Saturation, Iron%;
Saturation,
Transferrin;
TIBC;


CPT Codes
83540;83550

Includes
Includes: Iron, serum (70132)and % saturation (TSAT)


Preferred Specimen
serum


Minimum Volume
1 mL


Other Acceptable Specimens
plasma from Lithium Heparin (Light Green Top)tube


Instructions
Barrier tubes (serum separator tubes or plasma separator tubes) are preferred. If non-barrier tubes are utilized, the serum/plasma must be removed immediately after centrifuging and placed in a screw-cap transfer tube.

Collection notes: Avoid hemolysis. Invert tubes at least 8 times. Allow to clot in an upright position for 30 minutes. Within 2 hours, centrifuge tubes 10 minutes. Keep tightly stoppered.

Do NOT re-centrifuge tubes. Do NOT freeze the primary collection tube.


Transport Container
Original tube preferred, may be sent in a screw-top transfer tube.


Transport Temperature
Room Temperature or Refrigerated


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Hemolysis, Lipemia, incorrect specimen type, insufficient sample volume, improper storage conditions, contaminated sample.


Methodology
See Individual components

Setup Schedule
24/7
AU


Report Available
daily


Clinical Significance
Serum iron quantification isĀ useful in confirming the diagnosis of iron-deficiency anemia or hemochromatosis. The measurement of total iron binding in the same specimen may facilitate the clinician's ability to distinguish between low serum iron levels caused by iron deficiency from those related to inflammatory neoplastic disorders. The assay for iron measures the amount of iron which is bound to transferrin. The total iron binding capacity (TIBC) measures the amount of iron that would appear in blood if all the transferrin were saturated with iron. It is an indirect measurement of transferrin concentrations but expressed as an iron measurement. To obtain the percent saturation, the serum iron is divided by the TIBC which gives the actual amount of saturated transferrin. The percent saturation is low in iron deficiency and high in iron storage diseases.


Performing Laboratory
CompuNet Clinical Laboratories, LLC
2308 Sandridge Drive
Moraine, OH 45439


Last Updated: November 22, 2021


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.