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Test Code LAB829 Iron and TIBC (Total Iron Binding Capacity)

Important Note

DUE TO METHOD CHANGES SERUM IS THE ONLY SPECIMEN ACCEPTED

Useful For

Alterations in iron and total iron binding capacity (TIBC) levels result from changes in iron intake, absorption, storage, and release mechanisms.  Such changes are indicative of a wide range of dysfunctions including
anemias, nephrosis, cirrhosis and hepatitis.  Both iron and TIBC measurements are important for definitive diagnosis because they are interrelated.  Tietz has presented a summary of these relationships and the patterns of iron/total iron binding capacity associated with various disease states.

 

1. Serum iron is increased with oral contraceptives and in hemosiderosis, hemolytic anemias, especially thalassemia, sideroachrestic anemias, hepatitis, acute hepatic necrosis and hemochromatosis.

 

2. Serum iron is decreased with iron-dextran administration, insufficient dietary iron, chronic blood loss, inadequate absorption of iron and impaired release of iron stores as in inflammation, infection and chronic diseases.

Performing Laboratory

Asante Rogue Regional Medical Center (ARRMC)/ Asante Three Rivers Medical Center (ATRMC)

 

Performing Department

Chemistry

Specimen Required

Yellow (Gold) top tube (SST)  

Plain Red top tube  

 
Outpatient clients MUST draw SST

Specimen Minimum Volume

0.5 mL

Specimen Stability Information

Centrifuge and refrigerate within 2 hours of collection. 
Spun SST is stable for 48 hours at 2° to 8° C.

Reject Due To

Hemolysis

Quantity not sufficient (QNS)

Lack of Two Patient Identifiers:

         1-Patient's First & Last name 

         2-Patient's Date of Birth

Day(s) Performed

Routine – same day

ASAP – 2 hours after receipt of specimen in lab

STAT – 1 hour after receipt of specimen in lab

Method Name

Iron: Ferric Reduction
TIBC: Transferrin x 1.43

CPT Code Information

83540    Iron
83550    Iron Binding Capacity

Billing Code

2053197, 2050763

Profile Information

Tests included:

Iron

Iron Saturation

Transferrin

Total Iron Binding Capacity