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Transferrin

CPT4 code

Name of the Procedure:

Transferrin Test (also known as Serum Transferrin, Total Iron-Binding Capacity [TIBC] Test)

Summary

The transferrin test measures the level of transferrin in the blood, a protein that binds to iron and transports it throughout the body. It helps to evaluate iron metabolism and diagnose various conditions related to iron deficiency or overload.

Purpose

The transferrin test is primarily used to diagnose iron deficiency anemia or iron overload disorders like hemochromatosis. It aims to assess the body's ability to binding and transport iron, providing insights into iron metabolism.

Indications

  • Symptoms of anemia (e.g., fatigue, weakness, pallor)
  • Symptoms of iron overload (e.g., joint pain, abdominal pain, fatigue)
  • Monitoring of patients with chronic diseases such as liver disease or chronic infection
  • Assessment before starting iron supplementation or therapy

Preparation

  • Typically, no special preparation or fasting is required.
  • Inform the healthcare provider about any medications or supplements, as certain drugs can affect transferrin levels.
  • Blood draw is usually performed like a routine blood test.

Procedure Description

  1. A healthcare provider cleans the skin on the inside of the elbow or the back of the hand with an antiseptic.
  2. A tourniquet is applied above the area to make veins more visible and easier to access.
  3. A needle is inserted into the vein to draw blood into a vial or syringe.
  4. Once collected, the blood sample is sent to a laboratory for analysis.
  5. The site of the needle insertion may be covered with a bandage.

Duration

The blood draw typically takes less than 5 minutes.

Setting

  • Outpatient clinic
  • Physician's office
  • Hospital laboratory

Personnel

  • Phlebotomist or nurse to draw blood
  • Laboratory technicians or medical technologists to analyze the sample

Risks and Complications

  • Minor discomfort or bruising at the needle site
  • Rarely, patients may experience lightheadedness or fainting
  • Infection is an extremely rare complication

Benefits

  • Accurate diagnosis of iron deficiency or iron overload
  • Informs treatment decisions and management of related conditions
  • Helps monitor existing iron-related conditions or treatments

Recovery

  • Patients can typically resume normal activities immediately after the blood draw.
  • Keeping the puncture site clean and covered can help prevent infection.
  • Any discomfort is usually minimal and subsides quickly.

Alternatives

  • Ferritin test: Measures stored iron in the body.
  • Serum Iron test: Measures the amount of iron in the blood.
  • Complete Blood Count (CBC): Provides a broader view of overall health, including red blood cell counts.

Patient Experience

  • The procedure involves a standard blood draw, which may cause temporary discomfort or a slight pinch.
  • Most patients experience minimal pain, and any discomfort generally dissipates shortly after the procedure.
  • Applying pressure to the puncture site can help minimize bruising.

By providing this detailed overview, you can ensure patients and healthcare providers are well-informed about the transferrin test, its purpose, and what to expect.

Medical Policies and Guidelines for Transferrin

Related policies from health plans