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Serum/plasma mass concentration of free serum amyloid A protein

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

This test measures the amount of a protein called free Serum Amyloid A (SAA) in your blood, which can help identify inflammation or infection.

Quick summary

["Free SAA helps assess systemic inflammation, often used alongside other markers."]

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

Key facts at a glance

LOINC
10886-0
Short code
PSA Free SerPl-mCnc
Synonyms
PSA Free SerPl-mCnc
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Ref low
0
Ref high
4
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
CPT
84153
SNOMED
39392002
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 is this test done?

Your healthcare provider may order this test to evaluate signs of inflammation, such as fever, fatigue, or swelling, or to monitor conditions like infections, autoimmune diseases, or inflammatory disorders. Free SAA is particularly useful because it reflects recent inflammation and can be more sensitive than total SAA levels.

What does the test involve?

A blood sample is drawn from a vein, usually in your arm. The sample is then processed to separate free SAA from other proteins. The test measures the concentration of this specific protein in your blood plasma or serum.

What might affect results?

Several factors can influence free SAA levels, including infections (like pneumonia or urinary tract infections), autoimmune diseases (such as rheumatoid arthritis or lupus), chronic conditions (like heart disease or kidney problems), stress, or certain medications. Smoking, obesity, and age can also play a role.

What do results mean?

Elevated levels of free SAA often indicate an active inflammatory or infectious process. However, results alone are not diagnostic—they are typically interpreted alongside clinical findings and other tests. Your healthcare provider will consider your symptoms, medical history, and other lab results to determine the next steps.

Reference range

Normal: <4.0 ng/mLN/A

Specimen: serum

No special preparation required. For PSA, avoid sexual activity for 24-48 hours before the test.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Clinical significance: Free SAA is a sensitive marker of acute-phase inflammation. It rises quickly in response to infections, tissue damage, or immune activation, making it useful for monitoring conditions like sepsis, inflammatory bowel disease, or post-surgical inflammation. However, it can also be elevated in chronic conditions, so interpretation requires clinical correlation.

Short name

Free Serum Amyloid A (fSAA) level

Frequently asked questions

What does a high free SAA level mean?
A high level may suggest an ongoing inflammatory or infectious process, but it doesn’t confirm a specific diagnosis. Your doctor will use these results along with your symptoms, medical history, and other tests to guide treatment.
How often should I get this test?
The frequency depends on your medical condition and treatment plan. If you have an ongoing health issue, your doctor may recommend retesting at intervals they specify, such as every few weeks or months, to monitor changes in your inflammation levels.
Can lifestyle changes affect free SAA levels?
Yes, lifestyle factors like diet, exercise, smoking, and stress can influence inflammation. Reducing smoking, managing stress, and adopting an anti-inflammatory diet (rich in fruits, vegetables, and omega-3s) may help lower SAA levels, but results may take time to reflect changes.
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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