Skip to content

Complement Factor H (CFH) – Serum or Plasma Concentration

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

This test measures the amount of Complement Factor H, a protein that helps regulate the immune system’s complement pathway, which protects cells from damage.

Quick summary

["CFH helps maintain balance in your immune response and may be checked if you have symptoms of immune-related conditions."]

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

Key facts at a glance

LOINC
47014-6
Short code
CD21IHC
Synonyms
CD21 Ag Tiss Ql ImStn
Category
chemistry
Sample
serum
Container
Tissue biopsy in 10% neutral buffered formalin (NBF); serum (if applicable) in serum separator tube (SST) or red-top tube.
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
≥ 0 years
Method
immune-stain
CPT
88342
SNOMED
446131000124105
Specimen volume
Tissue: adequate biopsy size (minimum 0.5 cm³ recommended for adequate representation); Serum: 1-2 mL.
Stability
Tissue in formalin: stable for 24-72 hours at room temperature (15-25°C); formalin-fixed paraffin-embedded blocks stable indefinitely at room temperature. Serum: stable for 7 days at 2-8°C, 30 days at -20°C.
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
24–72 hours
Order
routine

Why This Test Is Done

Your doctor may order this test if you have symptoms like vision changes, kidney problems, or skin rashes that could be linked to an overactive or imbalanced immune response. It may also be part of evaluating conditions such as age-related macular degeneration (AMD) or hereditary angioedema.

What to Expect Before the Test

No special preparation is needed. You may have a blood sample drawn from a vein in your arm, or if testing urine, you’ll collect a sample at home or during a scheduled visit. Avoid alcohol or certain medications for 24 hours before testing if instructed.

What the Results Mean

Results are interpreted by your healthcare provider based on your medical history and symptoms. Abnormal levels may indicate conditions affecting immune regulation or specific genetic disorders.

Common Conditions Linked to CFH Levels

Elevated levels might be seen in certain immune disorders, while low levels could be associated with conditions like hereditary angioedema or autoimmune diseases. Always discuss results with your doctor.

Reference range

Reported as Positive (present) or Negative (absent) for CD21 antigen expression in tissue. Positive staining is characterized by membranous and/or cytoplasmic reactivity in follicular dendritic cells, B-lymphocytes, and selected epithelial/immune cell populations. Results interpreted by pathologist in clinical and morphologic context.N/A

Specimen: serum

No special patient preparation required prior to tissue biopsy or surgical specimen collection. For serum specimens (if concurrently ordered), no fasting is necessary.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

CFH Level

Frequently asked questions

What causes abnormal CFH levels?
Abnormal CFH levels can result from genetic mutations, chronic immune disorders, or certain medications that affect protein production. Your doctor will consider your full medical history and symptoms.
How long does it take to get results?
Results are typically available within 1–3 business days, depending on your lab’s processing time. Follow-up with your healthcare provider to discuss findings.
Can diet or supplements affect CFH levels?
Dietary factors alone rarely affect CFH levels, but certain supplements (like fish oil) or medications may influence immune-related proteins. Always ask your doctor before starting new supplements.
  1. 1
  2. 2
  3. 3

Click any link to access the full source. PubMed Central (PMC) links provide free full-text access.

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