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Hemosiderin is a complex protein that contains iron and is typically found within cells, particularly in macrophages, which are a type of immune cell. This protein serves as an important marker for intravascular hemorrhage, indicating that there has been bleeding within the blood vessels. When there is an increase in free hemoglobin levels in the bloodstream, the kidneys respond by attempting to excrete this excess hemoglobin. As a result, hemosiderin can appear in the urine, which is a significant finding in various clinical scenarios. To detect the presence of hemosiderin, a random urine sample or a first morning voided specimen is collected. A qualitative test is then conducted, often utilizing methodologies such as a semi-quantitative microscopic stain, to ascertain whether hemosiderin is present in the urine. This testing is crucial for diagnosing conditions related to bleeding and iron metabolism, providing valuable information for further medical evaluation and management.
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Hemosiderin testing is indicated in various clinical situations where there is a suspicion of intravascular hemorrhage or conditions related to iron metabolism. The following are specific indications for performing a qualitative hemosiderin test:
The procedure for testing hemosiderin in urine involves several key steps to ensure accurate results. The following outlines the procedural steps:
After the hemosiderin testing procedure, there are generally no specific post-procedure care requirements for the patient, as the test involves non-invasive urine collection. However, it is important for healthcare providers to communicate the results to the patient and discuss any necessary follow-up actions based on the findings. If hemosiderin is detected, further diagnostic evaluations may be warranted to investigate the underlying cause of the intravascular hemorrhage or iron overload. Continuous monitoring and appropriate management strategies should be considered based on the patient's clinical condition and the results of the hemosiderin test.
| Short Descr | ASSAY OF HEMOSIDERIN QUAL | Medium Descr | ASSAY OF HEMOSIDERIN QUALITATIVE | Long Descr | Hemosiderin, qualitative | Status Code | Statutory Exclusion (from MPFS, may be paid under other methodologies) | Global Days | XXX - Global Concept Does Not Apply | PC/TC Indicator (26, TC) | 9 - Not Applicable | Multiple Procedures (51) | 9 - Concept does not apply. | Bilateral Surgery (50) | 9 - Concept does not apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 9 - Concept does not apply. | Co-Surgeons (62) | 9 - Concept does not apply. | Team Surgery (66) | 9 - Concept does not apply. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | CLIA Waived (QW) | No | APC Status Indicator | Conditionally packaged laboratory tests | Type of Service (TOS) | 5 - Diagnostic Laboratory | Berenson-Eggers TOS (BETOS) | T1H - Lab tests - other (non-Medicare fee schedule) | MUE | 1 | CCS Clinical Classification | 233 - Laboratory - Chemistry and Hematology |
| 90 | Reference (outside) laboratory: when laboratory procedures are performed by a party other than the treating or reporting physician or other qualified health care professional, the procedure may be identified by adding modifier 90 to the usual procedure number. | 26 | Professional component: certain procedures are a combination of a physician or other qualified health care professional component and a technical component. when the physician or other qualified health care professional component is reported separately, the service may be identified by adding modifier 26 to the usual procedure number. | Q4 | Service for ordering/referring physician qualifies as a service exemption | RT | Right side (used to identify procedures performed on the right side of the body) | U6 | Medicaid level of care 6, as defined by each state |
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| 2015-01-01 | Changed | Code description changed. |
| 2013-01-01 | Changed | Medium Descriptor changed. |
| 2011-01-01 | Changed | Short description changed. |
| Pre-1990 | Added | Code added. |
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