Tryptase

Message
Sendout, Mayo test code: TRYPT


Test Code
LAB827


Alias/See Also
Mast Cell Tryptase
TRYPT


CPT Codes
83520

Preferred Specimen
0.5 mL serum from a gold serum gel tube


Minimum Volume
0.2 mL 


Other Acceptable Specimens
Red tube


Instructions
Centrifuge and aliquot serum into plastic vial.
Additional Information: Tryptase degenerates very quickly when left in the presence of red blood cells.


Transport Container
Plastic vial


Transport Temperature
Frozen


Specimen Stability
Frozen (preferred): 14 days
Refrigerated: 7 days


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Gross hemolysis: OK
Gross lipemia: OK
Gross icterus: OK


Methodology
Fluorescence Enzyme Immunoassay (FEIA)

FDA Status
Approved

Setup Schedule
Monday through Friday


Report Available
2-5 days 


Limitations
Normal tryptase concentrations may be observed in some patients with acute mast cell activation if specimens are obtained greater than 12 hours after an anaphylactic episode or allergen challenge.
 
Some individuals may demonstrate an increase in tryptase concentrations above baseline after anaphylaxis or allergen challenge while remaining below 11.5 ng/mL; measurement of tryptase in specimens obtained 1 to 6 hours and at least 24 hours after the episode may be useful in demonstrating a transient increase in concentrations.


Reference Range
Included with report


Clinical Significance
Evaluation of individuals with suspected mast cell activation, which may occur as a result of anaphylaxis or allergen challenge
 
Evaluation of patients with suspected cutaneous or systemic mastocytosis


Performing Laboratory
Mayo Clinic Laboratories, Rochester, Minnesota

Additional Information
Tryptase, Serum


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.