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Plasma Free Hemoglobin, Plasma

Additional Codes

LAB92

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

LOINC Code Information

Test ID Test Order Name Order LOINC Value
PLHBB Plasma Free Hemoglobin, P 87433-9

 

Result ID Test Result Name Result LOINC Value
31970 Total Plasma Hemoglobin 721-1
31971 Oxyhemoglobin 87437-0

Report Available

1 to 3 days

Specimen Retention Time

7 days

Forms

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