Skip to content

Serum/plasma concentration of free indocyanine green (ICG)

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

This test measures the amount of a dye called indocyanine green that your body can clear from the bloodstream. It helps assess liver function, particularly how well your liver processes and removes substances from circulation.

Quick summary

["A test for liver function that tracks how efficiently your liver clears a dye from your blood."]

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

Key facts at a glance

LOINC
96490-8
Short code
NIF IgG CSF Ql IF
Synonyms
NIF IgG CSF Ql IF
Category
chemistry
Sample
csf
Container
Sterile tube
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
if
CPT
82784
Specimen volume
1-2 mL
Stability
Immediate analysis required, Refrigerated: 1h
Hemolysis max
200
TAT
4–24 hours
Order
routine

What Is Free Indocyanine Green (ICG) Used For?

Free ICG is primarily used to evaluate liver function, especially in diagnosing conditions like cirrhosis, bile duct blockages, or severe liver disease. It can also help determine the effectiveness of liver transplants or treatments for liver-related disorders.

How Is the Test Performed?

A small amount of indocyanine green dye is injected into a vein. Your blood is then tested at specific time points to measure how quickly the dye is cleared from your bloodstream. This process is usually done in a hospital or clinic setting with medical supervision.

Why Might You Need This Test?

Your doctor may recommend this test if you have symptoms of liver problems, such as jaundice (yellowing of the skin or eyes), fatigue, or unexplained weight loss. It may also be used before liver surgery, to monitor liver transplant patients, or to assess liver function in people with chronic liver diseases.

What Are the Possible Results?

A higher than expected level of free ICG in your blood suggests your liver is not working as well as it should, which could indicate liver damage or disease. Lower levels may suggest normal liver function or improved liver health.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Elevated ICG levels often point to reduced liver function, which can be caused by chronic liver diseases, cirrhosis, or other conditions that impair bile flow. This test is particularly useful in diagnosing and monitoring conditions that affect how well the liver processes and removes toxins from the blood.

Short name

Free ICG Level

Frequently asked questions

What does an abnormal ICG result mean?
An abnormal result, typically a higher ICG level, may indicate your liver is not functioning properly. This could be due to liver disease, cirrhosis, or other conditions that affect how well your liver clears substances from your blood. Your doctor will discuss these findings with you and may recommend further tests or treatments.
How long does it take to get results from this test?
Results from an ICG test are usually available within a few days to a week, depending on the lab and your healthcare provider’s process. Your doctor will contact you once the results are ready to discuss them in detail.
Is there any preparation needed before this test?
No special preparation is usually required for this test. However, you may be asked to fast for a short period before the injection, depending on the protocol used by your healthcare provider. Always follow your doctor’s instructions.
  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