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Cdttrisialocdttetrasialoserpl

Published: August 9, 2026Updated: August 11, 2026
Medically reviewed by WellAlly Editorial TeamLast reviewed August 11, 2026Editorial policy

Key facts at a glance

LOINC
90420-1
Short code
CDT33_44
Synonyms
CDT Trisialo/CDT Tetrasialo SerPl
Category
chemistry
Sample
serum
Container
Serum separator tube (SST) or red-top vacutainer tube; plasma may be collected in lithium heparin or EDTA tubes
Units
N/A
Ref low
0
Ref high
0.05
Critical range
— – 0.1 N/A
Fasting
false
Population
adult
Sex
all
Age range
≥ 18 years
Method
High-performance liquid chromatography (HPLC) or capillary electrophoresis for separation and quantification of transferrin isoforms; immunodetection methods may also be used. The trisialo/tetrasialo ratio is calculated from chromatographic peak areas or electrophoretic band intensities.
CPT
82977 (Glutamine); CDT testing commonly billed under 82373 or as part of carbohydrate-deficient transferrin panel; verify with current payer guidelines
SNOMED
313471003 |Measurement of carbohydrate-deficient transferrin ratio| or related transferrin isoform SNOMED codes
Specimen volume
1-2 mL of serum or plasma
Stability
Room temperature: 7 days; Refrigerated (2-8°C): 14 days; Frozen (-20°C or below): 6 months. Avoid repeated freeze-thaw cycles.
Hemolysis max
50
Lipemia max
100
Icterus max
25
TAT
24–96 hours
Order
routine

Reference range

Trisialo/Tetrasialo transferrin ratio: typically <0.05 (or <5%) in healthy individuals with normal alcohol consumption. Values are interpreted as part of the complete carbohydrate-deficient transferrin (CDT) profile including asialo-, monosialo-, and disialo-transferrin fractions.N/A

Specimen: serum

No fasting required. Patients should abstain from alcohol for at least 2 weeks prior to testing for accurate assessment of alcohol-related changes, as transferrin glycosylation normalizes within 2-4 weeks of abstinence. Inform laboratory of any recent transfusions, iron supplementation, or liver disease diagnosis.

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 11, 2026. · Read our editorial policy