Methylmalonic Acid, GC/MS/MS, Random Urine

Message
Order MMA24U for a 24 hr urine.


Test Code
MMARU


Quest Code
91032


Alias/See Also
Methylmalonic Acid 24 hr urine
Methylmalonic Acid random urine


CPT Codes
82570, 83921

Preferred Specimen
1.7 mL of an unpreserved random urine submitted in a plastic leak-proof container


Minimum Volume
0.6 mL


Other Acceptable Specimens
Unpreserved, catheterized urine, or first void clean catch urine, or random clean catch urine or 24-hour urine


Instructions
Do not use preservatives


Transport Temperature
Refrigerated (cold packs)


Specimen Stability
Room temperature: 4 days
Refrigerated: 12 days
Frozen (-20° C): 30 days
Frozen (-70° C): 90 days


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Received room temperature • Acidified urine


Methodology
Chromatography/Mass Spectrometry

Setup Schedule
Set up: Tues, Fri; Report available: 4 days


Reference Range
Methylmalonic Acid, Urine0.3-2.2 mmol/mol creat

Creatinine, Random Urine
0-6 Months0.18-2.48 mmol/L
7-11 Months0.18-2.74 mmol/L
1-2 Years0.18-9.72 mmol/L
3-8 Years0.18-11.49 mmol/L
9-12 Years0.18-14.14 mmol/L
>12 Years1.77-23.31 mmol/L


Clinical Significance
Methylmalonic Acid (MMA) is useful to diagnose and monitor Vitamin B12 (cobalamin) deficiency, and to diagnose and monitor patients with methylmalonic acidemia.


Performing Laboratory
Quest Diagnostics Nichols Institute-San Juan Capistrano, CA
33608 Ortega Highway
San Juan Capistrano, CA 92675-2042



Last Updated: December 21, 2021


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.