Homocysteine : 31789

Test Code
HMCYC or 31789


CPT Codes
83090

Preferred Specimen
1 mL serum


Minimum Volume
0.5 mL


Other Acceptable Specimens
Plasma in sodium heparin (green-top) or EDTA (lavender-top)


Transport Temperature
Room temperature


Specimen Stability
Room temperature: 4 days
Refrigerated:14 days
Frozen: 6 months


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Gross hemolysis, Grossly lipemic, Unseparated serum or plasma, Whole blood specimens


Methodology
Immunoassay

Setup Schedule
Sunday - Saturday


Report Available
1 day


Reference Range
Homocystine Reference Range, μmol/L
AGE Male Female
0 to <2 yr Not established Not established
2 yr to <10 yr ≤7.6 ≤7.6
10 yr to <15 yr ≤9.7 ≤8.4
15 yr to <18 yr ≤11.3 ≤10.2
18 yr to <30 yr ≤12.9 ≤10.9
30 yr to <50 yr ≤13.5 ≤11.0
50+ yr ≤15.2 ≤13.4


Clinical Significance
An elevated concentration of homocysteine is an independent risk factor for cardiovascular disease. When used in conjunction with methylmalonic acid (MMA), these tests are useful to diagnose and monitor vitamin B12 (cobalamin) and folic acid deficiency and are often useful in evaluating macrocytosis (an elevated MCV, an erythrocytic index).


Performing Laboratory
med fusion



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.