Methemoglobin

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

Call transportation (937-297-8262 option 1) for STAT pickup to transport to MVH laboratory for testing.


Test Code
MHGB


Alias/See Also
70279


CPT Codes
83050

Preferred Specimen
3 mL whole blood Sodium Heparin (dark green top) tube.


Minimum Volume
1.0 mL


Instructions
After specimen collected invert tubes 8 - 10 times, then transport tube on wet ice slurry to MVH laboratory within 1 hour.


Transport Container
Sodium Heparin (dark green top)  tube


Transport Temperature
Transport on ice slurry to laboratory within 1 hour.


Specimen Stability
1 hour on ice slurry
Room Temperature = n/a
Refrigerated = n/a
Frozen = n/a


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


Methodology
ion selective electrode

Setup Schedule
24/7
MVCHEM


Report Available
1 hour from receipt


Clinical Significance
The iron in hemoglobin is normally maintained in the ferrous state by several effective mechanisms so that only a small percentage of the total hemoglobin is in the form of methemoglobin. The production of methemoglobin by oxidation of the iron to the ferric state, renders the hemoglobin incapable of interacting reversibly with molecular oxygen. The oxygen affinity of the unaffected heme is also increased, resulting in the decreased release of oxygen to the tissues at low partial pressure of oxygen. Methemoglobinemia is usually caused by exposure to various chemical agents, many which contain nitrogen.


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.