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Serum Bromocresol Green Protein Binding Capacity (BCG Protein Binding)

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

This test measures how well certain proteins in your blood bind to a dye called bromocresol green. It helps assess liver function and protein synthesis.

Quick summary

["Your liver’s ability to produce and manage proteins may be checked with this simple blood test."]

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

Key facts at a glance

LOINC
30387-5
Short code
RBC # Gast
Synonyms
RBC # Gast
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Ref low
10
Ref high
40
Critical range
2 N/A – 7 N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
CPT
84484
SNOMED
302774002
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

What Does This Test Measure?

The test evaluates protein binding capacity using bromocresol green, a dye that binds to specific proteins in serum. When the dye binds, it changes color, which is detected to estimate protein levels indirectly. This method helps assess liver function by reflecting how well proteins are synthesized and transported in the bloodstream.

Why Might You Need This Test?

Doctors may order this test if you have symptoms like fatigue, swelling, or unexplained weight loss that could indicate liver disease, malnutrition, or other conditions affecting protein metabolism.

Common Conditions Monitored

This test is sometimes used to monitor conditions such as chronic liver disease, cirrhosis, or protein-losing syndromes, though it’s not a direct measure of protein levels. It can complement other tests like albumin or liver enzymes.

Sample Collection and Preparation

A blood sample is drawn from a vein, typically in your arm. The serum (liquid part of blood after clotting) is separated and tested for dye binding. No special preparation is needed, but fasting may be advised in some cases depending on your doctor’s instructions.

Reference range

Adult: 10-40 U/LN/A

Specimen: serum

No special preparation required. Stay well hydrated.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

BCG Protein Binding Test

Frequently asked questions

This test indirectly reflects liver function by assessing protein binding capacity. Low results may suggest liver disease, malnutrition, or conditions impairing protein synthesis, but it’s not a standalone diagnostic tool. Results are often compared to baseline or other liver function tests for context.
What does a low or high result mean?
A low result may indicate reduced protein production or binding capacity, which can be linked to liver dysfunction, severe malnutrition, or chronic inflammation. A high result is less commonly reported and may require further investigation to rule out technical errors or less typical causes.
How soon will I get results?
Results are typically available within 1 to 3 business days, depending on lab processing times. Your healthcare provider will discuss them with you during your follow-up visit.
If your results are outside expected ranges, your doctor may recommend additional tests (like liver enzymes or albumin) or further evaluation to determine the cause. Follow their guidance for next steps, such as lifestyle changes, dietary adjustments, or treatment plans.
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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 17, 2026. · Read our editorial policy