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Hemosiderin is a complex, insoluble protein that contains iron and is typically found within cells, particularly in macrophages, which are a type of immune cell. It serves as a significant marker for intravascular hemorrhage, indicating the presence of bleeding within the vascular system. When there is an elevation of free hemoglobin levels in the bloodstream, the kidneys respond by attempting to excrete this excess hemoglobin, leading to the appearance of hemosiderin in the urine. The testing for hemosiderin can be performed using different methodologies. Specifically, CPT® Code 83071 refers to a quantitative test that measures the precise amount of hemosiderin present in a urine sample. This is in contrast to CPT® Code 83070, which involves a qualitative test aimed at identifying the presence of hemosiderin through methods such as semi-quantitative microscopic staining. For accurate results, a random urine sample or a first morning voided specimen is typically collected for analysis.
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The quantitative test for hemosiderin, as indicated by CPT® Code 83071, is performed under specific clinical circumstances. The primary indications for this procedure include:
The procedure for conducting a quantitative hemosiderin test involves several key steps, which are outlined as follows:
After the hemosiderin quantitative test is performed, there are generally no specific post-procedure care requirements for the patient, as the test involves non-invasive urine collection. However, it is essential for healthcare providers to communicate the results to the patient and discuss any necessary follow-up actions based on the findings. If elevated levels of hemosiderin are detected, further diagnostic evaluations or treatments may be warranted to address the underlying cause of the intravascular hemorrhage or related conditions.
| Short Descr | ASSAY OF HEMOSIDERIN QUANT | Medium Descr | ASSAY OF HEMOSIDERIN QUANTITATIVE | Long Descr | Hemosiderin; quantitative | 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 | 9 - 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 | APC Status Indicator | Items and Services Packaged into APC Rates | Type of Service (TOS) | 5 - Diagnostic Laboratory | Berenson-Eggers TOS (BETOS) | T1H - Lab tests - other (non-Medicare fee schedule) | MUE | Not applicable/unspecified. | CCS Clinical Classification | 233 - Laboratory - Chemistry and Hematology |
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