HEMOGLOBIN PLASMA

General Information

HLAB/HOL Code: HGBP
UPHSM LIS Test #: 026600
Schedule:
Testing Time: 1-3 Days
Testing Lab: Mayo

Specimen Info
Only 1 specimen type required, unless otherwise specified

Volume: 2.0 mL
Temperature: Refrigerate
Tube Type: Plasma (EDTA)
Collection Info:
Collection Instructions:
1. Centrifuge and transfer plasma to a plastic vial within 2 hours of collection.
2. Results could be falsely elevated due to artifactual RBC lysis if not centrifuged within 2 hours of collection.

Specimen Acceptability

REJECT DUE TO:
Gross hemolysis: OK
Gross lipemia: OK

Methods

Spectrophotometry (SP)

Clinical Utilities

Determining whether hemolysis is occurring such as from:
-Transfusion reaction
-Mechanical fragmentation of red blood cells
-Relative comparison to baseline levels in extracorporeal membrane oxygenation (ECMO) and centrifugal ventricular assist device (cVAD) patients to assess pump disruption

CPT Codes

83051

* The CPT codes provided 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 payer being billed.

Reference Range

TOTAL HEMOGLOBIN
<12 months : Reference values have not been established for patients who are less than 12 months of age.
> or =12 months: 0.0-15.2 mg/dL

OXYHEMOGLOBIN
<12 months : Reference values have not been established for patients who are less than 12 months of age.
> or =12 months: 0.0-12.4 mg/dL