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Test Code IRN Iron Level

EHR Test Codes

  Test Code Test Name
Atlas IRN Iron
Cerner IRN Iron Level

Specimen Requirements

Preparation of Patient: 

Irons should be drawn before 12 Noon, but will be drawn at any time. Irons drawn after 12 Noon may exhibit up to a 30% decrease due to diurnal variation

 

Container Type: 

Green Top 5mL Lithium Heparin Separator Tube

Or

 

Gold Top 6mL SST Gel & Clot Activator Tube

Specimen Type:

Plasma or Serum

 

Specimen Volume: 

2.5 mL Plasma or Serum minimum .5 mL

 

Specimen Handling/Transport:

Separate plasma or serum from cells within 2 hours of collection.

Transport ambient room temperature.

 

Specimen Stability/Storage:

4 days ambient room temperature

5 days refrigerated 2-8°C

 

Specimen Rejection:

Hemolysis

Performing Laboratory

Munson Healthcare Laboratories

Chemistry Department

Priority, Frequency, & Turnaround

Priority:

Non-Emergent

 

Frequency:

24 hours 7 days a week

 

Turnaround:

0 - 1 days

STAT 45 minute from receipt in lab

Methodology

TPTZ chromogenic

Reporting

Reference Range:

Male 50 -175 ug/dL

Female 39 - 167 ug/dL

 

Interpretive Data:

Irons drawn after 12 noon may be decreased due to diurnal variation.
 

Critical Decision: 

None

Clinical Significance

Increased iron levels seen in hemochromatosis, excessive parenteral administration of iron, acute iron toxicity and liver disease. Decreased iron levels are seen in iron deficiency, reduction in quantity of transferrin, chronic infections and chronic kidney disease.

CPT Code(s)

83540

Billing

Medicare frequency limitations exist for this test in addition to diagnosis requirements. Click on link for list of medically necessary diagnoses and frequency limits: Medicare NCD Iron Studies Jan26. Click on link for Advance Beneficiary Notice of Noncoverage form: ABN Form