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