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C3 Protein (Fibrinogen) Screening Test

Published: August 9, 2026Updated: August 16, 2026

This test measures the amount of fibrinogen, a blood protein that helps form clots. It may be ordered to assess bleeding risk, clotting disorders, or liver function.

Quick summary

["Fibrinogen helps your blood clot properly and supports liver health—low levels may signal bleeding risks or liver issues."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
44714-4
Short code
C3RATIO
Synonyms
C3/Prot Snv
Category
chemistry
Sample
fluid
Container
Sterile, screw-capped, leak-proof synovial fluid collection tube; plain tube without anticoagulant preferred for complement analysis. Transport to laboratory promptly at room temperature.
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
Immunonephelometry
CPT
86160
SNOMED
105001000119101
Specimen volume
1-2 mL of synovial fluid
Stability
Room temperature: 2 hours; Refrigerated (2-8°C): 24 hours; Frozen (-20°C or below): up to 4 weeks. Avoid repeated freeze-thaw cycles. Centrifuge synovial fluid prior to analysis if turbid.
Hemolysis max
300
TAT
24–72 hours
Order
routine

Why This Test Is Done

Your doctor may recommend this test if you have symptoms like easy bruising, excessive bleeding, or unexplained fatigue. It’s also used to monitor conditions like liver disease, DIC (disseminated intravascular coagulation), or after surgery to prevent clots.

What to Expect Before the Test

No special preparation is needed. You may have a small needle inserted into your arm to draw blood. If you’re on blood thinners, check with your doctor first.

How the Test Results Are Used

Low fibrinogen levels may indicate bleeding disorders, liver problems, or severe infections. High levels could suggest inflammation, dehydration, or certain clotting disorders. Your doctor will interpret results in context with your symptoms and medical history.

Common Conditions Linked to Fibrinogen Levels

Abnormally low fibrinogen is often seen in liver disease, clotting disorders like hemophilia, or conditions like DIC. High levels may appear with infections, burns, or certain cancers.

Reference range

No established reference range; results expressed as C3/total protein mass ratio. Interpretation is based on comparison with serum C3/total protein ratio and clinical context.N/A

Specimen: fluid

No fasting required. The joint aspiration site should be cleaned with antiseptic. Local anesthesia may be used prior to arthrocentesis. Patient should be informed of procedural risks including infection, bleeding, and joint damage.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Fibrinogen plays a critical role in blood clotting and liver function. It’s part of the body’s natural response to injury or infection. Monitoring levels helps diagnose or manage bleeding risks, liver health, or inflammatory conditions.

Short name

Fibrinogen Level Check

Frequently asked questions

What causes low fibrinogen levels?
Low fibrinogen can result from liver disease (like cirrhosis), bleeding disorders, severe infections, or conditions like DIC. It may also appear after surgery or trauma.
What causes high fibrinogen levels?
High fibrinogen is often linked to inflammation, infections, burns, or certain cancers. It can also be elevated during pregnancy or with some autoimmune diseases.
Does diet affect fibrinogen levels?
Dietary factors like high-fat or processed foods may influence inflammation, which could indirectly affect fibrinogen. However, fibrinogen is primarily regulated by the liver and clotting system, so diet alone doesn’t directly change test results.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy