HOMOCYSTEINE

Test Code
LAB8118


CPT Codes
83090

Includes



 


Preferred Specimen
1 Lavender tube (EDTA)


Note: Cannot add on to previously drawn sample


Patient Preparation
Place specimen on wet ice immediately after venipuncture. 

Minimum Volume
0.3 mL (1 mL optimal)


Instructions
Centrifuge for complete separation of plasma from red cells WITHIN 4 HOURS. Levels of Homocysteine increase when there is a delay in seperation of the red cells. Transfer plasma into an aliquot tube and maintain refrigerated or frozen DO NOT send whole blood


Transport Container
Transfer tube


Transport Temperature
Refrigerate or freeze 


Specimen Stability
  • Plasma stored at 2-8°C up to 2 days
  • -20°C for 7 days


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
  • Whole blood submitted
  • Improper storage temperature
  • Frozen lavender tube


Methodology
Chemiluminescent

Setup Schedule
M, T, W, Th, F, Sa, Sun

As received, STAT testing is available


Reference Range
3.7-13.9 umol/L


Clinical Significance
Homocysteine levels are used to diagnose homocystinuria, vitamin B12 deficiency, and folate deficiency. It has also been utilized to assess risk of stroke, dementia, and cardiovascular disease.  This test is often performed in conjunction with lipid testing.


Performing Laboratory
Alverno Central Lab



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.