CARNITINE, TOTAL AND FREE

Test Code
706500


Alias/See Also
"Carnitor®/Carnitor® SF
L-Carnitine®
Levocarnitine
"


CPT Codes
82379

Preferred Specimen
"Serum or plasma
2.5 mL
"


Minimum Volume
"1.5 mL
"


Instructions
"Transfer separated serum or plasma to a plastic transport tube and freeze. To avoid delays in turnaround time when requesting multiple tests on frozen samples, please submit separate frozen specimens for each test requested.
"


Transport Container
"Red-top tube, gel-barrier tube, or green-top (heparin) tube
"


Transport Temperature
Frozen


Specimen Stability
"Frozen

14 days"


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
"


Specimen not frozen
"


Methodology
"High-pressure liquid chromatography/tandem mass spectrometry (LC/MS-MS) "

Clinical Significance
"Evaluate various muscle disorders
L-carnitine is a normal component of human serum. Its concentrations are altered in patients with acute muscular necrosis, kidney disease, systemic carnitine deficiency, and diabetes mellitus. L-carnitine (t-trimethylamino-(ß)-hydroxybutyric acid) is essential for the transport of free fatty acids into mitochondria and hence to the site of fatty acid oxidation for energy production from fat. Carnitine deficiency has been associated with several cases of myopathy and may play an important role in at least some disorders of lipid metabolism.
"




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.