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Test Code LAB90435 Iron and Total Iron-Binding Capacity, % Saturation, and Ferritin, Plasma or Serum

Reporting Title

Iron Study with Ferritin

Methodology

Roche Diagnostics- RMH,GMC, DH, OBH, MGH, MH

Useful in diagnosis and treatment for iron deficiency anemia and hemochromatosis, and in differential diagnosis of other anemias.

Performing Laboratory

OhioHealth Laboratory Services-RMH, GMC, MGH, OBH Core Laboratories

Specimen Requirements

Submit only 1 of the following specimens:

 

Preferred:

Serum

Draw blood in a gold-top serum gel tube(s) in early a.m. (Hemolyzed specimen is not acceptable.) Spin down within 1 hour of draw and send 1 mL of serum refrigerated.

Note:

1. Iron concentrations are highest at 8 a.m. and lowest at 12 a.m. (midnight).

2. Iron supplements should be avoided for 24 hours prior to draw.

3. A speckled-top serum gel tube (s) or a plain, red-top tube(s) is also acceptable.

4. Indicate serum on request form.

5. Label specimen appropriately (serum).

 

Alternate:

Draw blood in a mint green-top (heparin) gel tube(s) in early a.m. (Hemolyzed specimen is not acceptable.) Spin down within 1 hour of draw and send 1 mL of heparinized plasma refrigerated.

Note:  1. Iron concentrations are highest at 8 a.m. and lowest at 12 a.m. (midnight).

2. Iron supplements should be avoided for 24 hours prior to draw.

3. Indicate plasma on request form.

4. Label specimen appropriately (plasma).

 

Sample Stability Information:

Ferritin stable 48 hours at room temperature;  7 days refrigerated;  1 year frozen

Iron and IBC stable 7 days room temperature; 3 weeks refrigerated

Specimen Transport Temperature

Refrigerate/Ambient OK/Frozen OK

Reference Values

IRON

Males

0-30 days:  100-250 mcg/dL

31 days-1 year:  40-100 mcg/dL

2-12 years:  50-120 mcg/dL

>13 years:  40-165 mcg/dL

Females

0-30 days:  100-250 mcg/dL

31 days-1 year:  40-100 mcg/dL

2-12 years:  50-120 mcg/dL

>13 years:  30-160 mcg/dL

TOTAL BINDING CAPACITY

225-430 mcg/dL

PERCENT SATURATION

20-50%

FERRITIN

Males:  30-400 ng/mL

Females:  13-150 ng/mL

Day(s) Test Set Up

Monday through Sunday; Continuously

Test Classification and CPT Coding

82728 - ferritin

83540 - iron

83550 - iron binding capacity