FERRITIN, SERUM

Test Code
4598


CPT Codes
82728

Preferred Specimen
"Serum
"


Minimum Volume
0.3


Transport Container
"Red-top tube or gel-barrier tube
"


Transport Temperature
"Refrigerate.
"


Specimen Stability
5 days


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
"Citrate plasma specimen; improper labeling
"


Methodology
"Electrochemiluminescence immunoassay (ECLIA) "

Limitations
"


Ferritin is an acute-phase reactant and thus may be increased in people with inflammation, liver disease, chronic infection, autoimmune disorders, and some types of cancer. Ferritin measurement is of limited usefulness during pregnancy because it diminishes late in pregnancy, even when bone marrow iron is present.

In patients receiving therapy with high biotin doses (ie, >5 mg/day), no sample should be taken until at least eight hours after the last biotin administration.1 As with all tests containing monoclonal mouse antibodies, erroneous findings may be obtained from samples taken from patients who have been treated with monoclonal mouse antibodies or have received them for diagnostic purposes.1 In rare cases, interference due to extremely high titers of antibodies to streptavidin and ruthenium can occur.1
"


Reference Range
"

0-5 m


13-273


12-219




6-12 m


12-95


12-110




1-5 y


12-64


12-71




6-11 y


16-77


15-79




12-19 y


16-124


15-77




Adult


30-400


15-150

"


Clinical Significance
"Diagnose hypochromic, microcytic anemias. Decreased in iron deficiency anemia and increased in iron overload. Ferritin levels correlate with and are useful in evaluation of total body storage iron. In hemochromatosis, both ferritin and iron saturation are increased. Ferritin levels in hemochromatosis may be >1000 ng/mL.
"




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.