Methylmalonic Acid, Serum

Message
Sendout, Mayo test code: MMAS


Test Code
LAB835


Alias/See Also
B12 Deficiency
CblC
Cobalamin Deficiency
Methylmalonate
Methylmalonic Acid (MMA)
MMA (Methylmalonic Acid)
Methylmalonic Aciduria
MMAS


CPT Codes
83921

Preferred Specimen
1.5 mL serum from a red tube


Minimum Volume
0.5 mL


Other Acceptable Specimens
Serum gel tube


Instructions
Centrifuge and aliquot serum into a plastic vial.


Transport Container
Plastic vial


Transport Temperature
Refrigerated


Specimen Stability
Refrigerated: 48 days
Frozen: 48 months 
Room temperature: 48 days


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


Methodology
Liquid Chromatography-Tandem Mass Spectrometry (LC-MS/MS)

FDA Status
Approved

Setup Schedule
Monday through Friday


Report Available
3-5 days


Limitations
Diet, nutritional status, and age should be considered in the evaluation of serum or urine methylmalonic acid level.


Reference Range
Included with report


Clinical Significance
Evaluating children with signs and symptoms of methylmalonic acidemia using serum specimens
 
Evaluating individuals with signs and symptoms associated with a variety of causes of vitamin B12 (cobalamin) deficiency


Performing Laboratory


Additional Information
Methylmalonic Acid, Quantitative, 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.