Skip to content

Hepatic Iron Index (HII) from Liver Tissue

Published: August 9, 2026Updated: August 17, 2026

This test measures the amount of iron stored in your liver tissue, which helps assess iron overload in the liver. It’s often used in patients with conditions like hemochromatosis.

Quick summary

["This test helps identify liver iron buildup that may require medical evaluation or treatment."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 17, 2026Editorial policy

Key facts at a glance

LOINC
49061-5
Short code
Hepatic iron index Liver-Rto
Synonyms
Hepatic iron index Liver-Rto
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Ref low
60
Ref high
170
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
CPT
83540
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

Why This Test Is Done

Your healthcare provider may order this test if you have symptoms like fatigue, joint pain, or liver-related issues, or if you have a family history of iron overload disorders. It’s also used to monitor iron levels in people with conditions like hemochromatosis or thalassemia.

What to Expect Before the Test

You’ll likely need a small biopsy of your liver tissue, which is done under sedation. The procedure is quick but may cause mild discomfort afterward. Avoid alcohol and certain medications before the procedure as directed by your doctor.

What the Results Mean

The test result reflects the iron content in your liver tissue. Higher levels may indicate iron overload, which can strain your liver and other organs. Your doctor will interpret the results in the context of your overall health and symptoms.

Common Conditions Linked to This Test

This test is particularly useful for diagnosing or monitoring hemochromatosis (iron overload disorder), liver disease, or other conditions affecting iron metabolism. It helps guide treatment decisions, such as phlebotomy (bloodletting) or dietary changes.

Reference range

NCBI: Serum Iron Male 65-180; Female 50-170 µg/dLN/A

Specimen: serum

No special preparation required. Avoid fatty meals before the test if possible.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Chronic iron overload in the liver can lead to liver damage, inflammation, and increased risk of liver diseases like cirrhosis or cancer. Early detection through tests like the Hepatic Iron Index helps prevent complications by allowing timely medical intervention.

Short name

Hepatic Iron Index (HII)

Frequently asked questions

How is the Hepatic Iron Index test performed?
The test involves a small liver biopsy, where a tiny sample of liver tissue is taken under local anesthesia. The sample is then analyzed in a lab to measure iron content. This procedure is usually done in a hospital or clinic setting.
Is there any pain or discomfort during the test?
You may feel mild discomfort during the biopsy, but most people experience only a brief pinch. Afterward, you might have some soreness or bruising at the site. Your doctor will provide post-procedure care instructions to manage any discomfort.
Can I eat or drink before the test?
Follow your doctor’s specific instructions, but generally, you may have clear liquids for a few hours before the procedure. Avoid solid foods and certain medications (like blood thinners) unless advised otherwise.
  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 17, 2026. · Read our editorial policy