Folate

Message
 NEW! Remove serum or plasma from gel as soon as possible. 


Test Code
FOLAT


Alias/See Also
Epic: LAB69

Folic acid
Pteroylglutamic acid


CPT Codes
82746

Preferred Specimen

Specimen Type: Serum
Collection Container
Serum gel
Specimen Volume: 3 mL




Minimum Volume

0.2 mL




Other Acceptable Specimens

Specimen Type: Plasma
Collection ContainerGreen top (Lithium heparin)




Instructions
 NEW! Centrifuge and separate serum/plasma from cells and gel after clot formation and within 4 hours of collection.  Protect from light.


Transport Container
Plastic vial


Specimen Stability

Room temperature: Undefined
Refrigerated: 7 days
Frozen: 30 days




Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)

Samples stored on gel >24 hours, unlabeled, mislabeled, wrong tube type, hemolyzed, QNS, exceeds specimen stability requirements, extended exposure to light.




Methodology

Chemiluminescent Microparticle Immunoassay (CMIA)



Setup Schedule

Daily




Report Available

Same day




Limitations

Hemolyzed specimens will give falsely elevated folate levels.



Folate samples should be protected from light.



Accumulation of denatured protein from the pre-treatment step in the sample probe may impact other assays on the ARCHITECT.  Daily maintenance procedure 6041 must be run to eliminate this effect.



Specimens containing human anti-mouse antibodies (HAMA) may show either falsely elevated or depressed values when tested.  Heterophilic antibodies in human serum can react with reagent immunoglobulins, interfering with in vitro assays.  Patients routinely exposed to animals or animal serum products can be prone to this interference, and anomalous values may be observed.  Serum or plasma from patients with renal impairment or failure may exhibit varying degrees of falsely depressed folate values. Methotrexate, aminopterin, and folinic acid (Leucovorin) are chemotherapeutic agents whose molecular structures are similar to folate, and can cross react with folate binding protein.  Do not use the ARCHITECT Folate assay for patients using these drugs.




Reference Range
Folate deficiency: <3.5 ng/mL
Indeterminate folate: 3.5 – 5.4 ng/mL
Normal folate: >5.4 ng/mL



Performing Laboratory

Inova Laboratories

2832 Juniper Street

Fairfax, VA 22031




Last Updated: March 11, 2024
Last Review: N. Wolford, March 11, 2024


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.