Metanephrines, Fractionated, LCMSMS, Random Urine [14961X]

Test Code
149618

CPT Codes
82570, 83835

Includes
Metanephrines, Normetanephrines, Total Metanephrines, Creatinine

Preferred Specimen
5 mL random urine with 6N HCl collected in a plastic screw-cap container

Patient Preparation
It is preferable for the patient to be off medications for three days prior to collection. Patient should avoid tobacco, tea, coffee, for three days prior to specimen collection. Common antihypertensives (diuretics, ACE inhibitors, calcium channel blockers, alpha and beta blockers) cause minimal or no interference. Medications which are alpha agonists (Aldomet), alpha blockers (Dibenzyline) should be avoided 18-24 hours prior to specimen collection.

Minimum Volume
1.5 mL

Other Acceptable Specimens
Unpreserved urine with pH <6

Instructions
Room temperature stability: 1 week (acidified)
After urine collection, add 6N HCl to maintain a pH below 3. Urine without preservative is acceptable if pH is below 6 and the sample is shipped frozen. Record patients age on test request form and urine vial.

Transport Temperature
Preserved urine: Room temperature
Unpreserved urine: Frozen

Specimen Stability
Room temperature: 7 days
Refrigerated: 8 days
Frozen: 30 days

Methodology
Kinetic Alkaline Picrate • Liquid Chromatography/Tandem Mass Spectrometry (LC/MS/MS)

FDA Status
This test was developed and its analytical performance characteristics have been determined by Quest Diagnostics. It has not been cleared or approved by FDA. This assay has been validated pursuant to the CLIA regulations and is used for clinical purposes.

Setup Schedule
Set up: Mon-Sat a.m.; Report available: 2 days

Reference Range
See Laboratory Report

Clinical Significance
Useful in the evaluation of pheochromocytoma.

Performing Laboratory
Quest Diagnostics Nichols Institute
14225 Newbrook Drive
Chantilly, VA 20153




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.