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Test Code PLHBB Plasma Free Hemoglobin, Plasma

Important Note

Order LABRFHGBPS in Epic

Performing Laboratory

Mayo Clinic Laboratories in Rochester

Specimen Type

Plasma EDTA


Specimen Required


Supplies: Sarstedt Aliquot Tube, 5 mL (T914)

Collection Container/Tube: Lavender top (EDTA)

Submission Container/Tube: Plastic vial

Specimen Volume: 2 mL Plasma

Collection Instructions:

1. Within 2 hours of collection, centrifuge and aliquot plasma into a plastic vial.

2. Results could be falsely elevated due to artifactual red blood cell lysis if not centrifuged within 2 hours of collection.


Specimen Minimum Volume

Plasma: 1.5 mL

Specimen Stability Information

Specimen Type Temperature Time
Plasma EDTA Refrigerated (preferred) 20 days
  Frozen  30 days
  Ambient  4 days

Reference Values

Total plasma hemoglobin

≥12 months: 0.0-15.2 mg/dL

Reference values have not been established for patients younger than 12 months.

 

Oxyhemoglobin

≥12 months: 0.0-12.4 mg/dL

Reference values have not been established for patients younger than 12 months.

Day(s) Performed

Monday through Sunday

CPT Code Information

83051

Report Available

1 to 3 days

Reject Due To

Gross hemolysis OK
Gross lipemia OK

Method Name

Spectrophotometry (SP)

Forms

If not ordering electronically, complete, print, and send a Benign Hematology Test Request Form (T755) with the specimen.

Secondary ID

9096