Porphyrins, Stool (24, 48, 72, or 96 hour collection)

Message
Collect a stool specimen for either 24, 48, 72, or 96 hours. (24 hour collection is adequate if the collection volume is approximately 100g)
Need a list of medications the patient is currently taking. 
Record total weight of specimen and document the duration of collection.


Test Code
LAB00458


Alias/See Also
LAB00458
Mayo TC: FQPPS
Mayo Test Name: Porphyrins, Feces


CPT Codes
84126

Preferred Specimen
24, 48, 72, or 96 hour stool collection


Minimum Volume
24 hour stool collection with a minimum volume of 100g.


Transport Temperature
Refrigerated


Specimen Stability
Refrigerated: 14 days


Methodology
High-Performance Liquid Chromatography (HPLC)

Report Available
3-7 days


Limitations
Heme from red meat can contibute to fecal protoporphyrin concentrations and cause a misleading indication of erythropoietic protoporphyria, X-linked dominant protoporphyria, or variegate porphyria.
Asprin ingestion may cause minimal gastrointestinal bleeding, leading to false elevations of protoporphyrin.
Specimen submitted should contain at least 100g of feces. Specimens smaller than 100g may not provide interpretable results. Specimens weighing less than 10 grams will be rejected.


Clinical Significance
Evaluation of patients who present with signs or symptoms suggestive of porphyria cutanea tarda, hereditary coproporphyria, variegate porphyria, congenital erythropoietic porphyria, erythropoietic protoporphyria, or X-linked dominant protoporphyria.


Performing Laboratory
Mayo Clinic Laboratories



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.