Folate, Serum

Test Code
466


CPT Codes
82746

Preferred Specimen
1 mL serum


Minimum Volume
0.5 mL


Other Acceptable Specimens
Amber vial


Instructions
Dietary supplements containing biotin may interfere in assays and may skew analyte results to be either falsely high or falsely low. For patients receiving the recommended daily doses of biotin, draw samples at least 8 hours following the last biotin supplementation. For patients on mega-doses of biotin supplements, draw samples at least 72 hours following the last biotin supplementation.


Transport Container



Transport Temperature
Refrigerated (cold packs)


Specimen Stability
Room temperature: 36 hours
Refrigerated: 7 days
Frozen: 30 days


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


Methodology
Immunoassay (IA)

Setup Schedule
Set up: Mon-Sat; Report available: Next day


Reference Range
≤4 years Not established
5-9 years >7.1 ng/mL
10-17 years >8.0 ng/mL
   
≥18 years  
  Low <3.4 ng/mL
  Borderline 3.4-5.4 ng/mL
  Normal >5.4 ng/mL


Clinical Significance
Folic acid deficiency is common in pregnant women, alcoholics, in patients whose diets do not include raw fruits and vegetables, and in people with structural damage to the small intestine. The most reliable and direct method of diagnosing folate deficiency is the determination of folate levels in both erythrocytes and serum. Low folic acid levels, however, can also be the result of a primary vitamin B12 deficiency that decreases the ability of cells to take up folic acid.


Performing Laboratory
Quest Diagnostics Nichols Institute
14225 Newbrook Drive
Chantilly, VA 20153




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.