Mucopolysaccharides Quantitative, Random, Urine

Test Code
39335


CPT Codes
83864

Preferred Specimen
2 mL random urine collected in a plastic container


Patient Preparation
Do not administer low-molecular weight heparin prior to collection

Minimum Volume
1 mL


Instructions
Collect a random urine specimen (early morning preferred).
1. Patient's age is required.
2. Reason for referral is required.
3. Biochemical Genetics Patient Information (T602, in Special Instructions) is recommended. This information aids in providing a more thorough interpretation of results. Send information with specimen.
4. If not ordering electronically, Biochemical Genetics Patient Information (T602, in Special Instructions) is required. Send information with specimen.


Transport Temperature
Refrigerated (cold packs)


Specimen Stability
Room temperature: 7 days
Refrigerated: 90 days
Frozen: 1 year


Methodology
Liquid Chromatography/Tandem Mass Spectrometry

FDA Status
This test was developed and its performance characteristics determined by Mayo Clinic in a manner consistent with CLIA requirements. This test has not been cleared or approved by the U.S. Food and Drug Administration.

Setup Schedule
Set up: Varies; Report available: 8 days


Report Available
8 Days


Reference Range
  Age (mg/mmol Cr)        
Dermatan Sulfate   ≤1.00
     
Heparan Sulfate ≤4 years old:  ≤0.50
  ≥5 years old: ≤0.25
     
Chondroitin -6 Sulfate ≤24 months: ≤10.00
  25 months-10 years: ≤2.50
  ≥11 years: ≤1.50
     
Keratan Sulfate ≤12 months: ≤2.00
  13-24 months: ≤1.50
  25 months-4 years: ≤1.00
  5-18 years: ≤0.50
  ≥19 years: ≤0.30


Clinical Significance
Supporting the biochemical diagnosis of one of the mucopolysaccharidoses: types I, II, III, IV, VI, or VII




The CPT Codes provided in this document are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payor being billed. Any Profile/panel component may be ordered separately. Reflex tests are performed at an additional charge.