Vitamin B12

Message
Protect from sunlight
 


Test Code
VB12


Alias/See Also
B12
 


CPT Codes
82607

Preferred Specimen
1.0 mL collected in a SST (serum seprator-gold top tube)


Patient Preparation
Patient should be fasting

Minimum Volume
0.5 mL


Other Acceptable Specimens
Tiger top (SST)
Red top

Plasma - Na Heparin
Plasma - Li Heparin

Plasma –EDTA (Lavender)


Instructions
Patient should be fasting.


Transport Temperature
Refrigerated or on ice packs.
Protect from sunlight
 


Specimen Stability
Room Temperature: 2 hours at 20-25°C
Refrigerated: 2 days at 2-8°C
Frozen: 8 weeks at ­20°C, Freeze only once.


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Samples not labeled with complete first and last name and date of birth.
Grossly hemolyzed


Methodology
Electrochemiluminescence immunoassay

Setup Schedule
Sun-Sat


Report Available
Same day


Limitations
Samples should not be taken from patients receiving therapy with high biotin doses (i.e. > 5 mg/day) until at least 8 hours following the last biotin administration.


Reference Range
232 - 1245 pg/mL    

 


Clinical Significance
Nutritional and macrocytic anemias can be caused by a deficiency of vitamin B12. This deficiency can result from diets devoid of meat and bacterial products, from alcoholism, or from structural/functional damage to digestive or absorptive processes (forms of pernicious anemia). Malabsorption is the major cause of this deficiency through pancreatic deficiency, gastric atrophy or gastrectomy, intestinal damage, loss of intestinal vitamin B12 binding protein (intrinsic factor), production of autoantibodies directed against intrinsic factor, or related causes. This vitamin is necessary for normal metabolism, DNA synthesis, and red blood cell regeneration.
 


Performing Laboratory
Frederick Health Laboratory 400 W 7th Street Frederick, MD. 21701


Last Updated: December 28, 2023


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.