Methylmalonic Acid, Urine with Creatinine

Test Code
91032


CPT Codes
82570, 83921

Preferred Specimen
1.7 mL of an unpreserved random urine submitted in a plastic leak-proof container


Minimum Volume
0.6 mL


Other Acceptable Specimens
Unpreserved, catheterized urine, or first void clean catch urine, or random clean catch urine or 24-hour urine


Instructions
Do not use preservatives


Transport Temperature
Refrigerated (cold packs)


Specimen Stability
Room temperature: 4 days
Refrigerated: 12 days
Frozen (-20° C): 30 days
Frozen (-70° C): 90 days


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Received room temperature • Acidified urine


Methodology
Chromatography/Mass Spectrometry

Setup Schedule
Set up: Tues, Fri; Report available: 4 days


Reference Range
Methylmalonic Acid, Urine0.3-2.2 mmol/mol creat

Creatinine, Random Urine
0-6 Months0.18-2.48 mmol/L
7-11 Months0.18-2.74 mmol/L
1-2 Years0.18-9.72 mmol/L
3-8 Years0.18-11.49 mmol/L
9-12 Years0.18-14.14 mmol/L
>12 Years1.77-23.31 mmol/L


Clinical Significance
Methylmalonic Acid (MMA) is useful to diagnose and monitor Vitamin B12 (cobalamin) deficiency, and to diagnose and monitor patients with methylmalonic acidemia.




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.