Amino Acid Profile, Quantitative, Urine

CPT: 82139
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Expected Turnaround Time

3 - 7 days


Related Information


Related Documents


Specimen Requirements


Specimen

Urine, frozen


Volume

5 mL


Minimum Volume

0.2 mL (Note: This volume does not allow for repeat testing.)


Container

Plastic urine container without preservative


Storage Instructions

Freeze.


Stability Requirements

Temperature

Period

Room temperature

Unstable

Refrigerated

Unstable

Frozen

14 days


Causes for Rejection

Room temperature or thawed specimens


Test Details


Use

Diagnosis and monitoring of inherited aminoacidurias, organic acidurias, and urea cycle defects. May be used as a follow-up confirmatory test to some abnormal newborn screen results. In most, but not all, cases where an amino acid is elevated in blood, it will also be elevated in urine. Some disorders, primarily those involving defective renal transport, will only manifest elevated amino acids in urine. In general, urinary amino acid levels are more variable than plasma levels. For this reason, screening for aminoacidopathies in urine alone is discouraged unless a disorder is suspected that predominantly manifests abnormalities in urine (eg, cystinuria, renal Fanconi syndrome).


Limitations

False-negative results can occur, especially when a patient is affected with a mild or intermittent variant of a disorder or when a clinical condition or dietary treatment causes secondary changes to the profile. Results of amino acid profiling should be interpreted in the context of clinical presentation as well as other laboratory tests.

This test was developed and its performance characteristics determined by Labcorp. It has not been cleared or approved by the Food and Drug Administration.


Methodology

Liquid chromatography/tandem mass spectrometry (LC/MS-MS)


Reference Interval

See Urine Amino Acid Reference Intervals in the Test Resources pages online.


References

Bremer HJ, Duran M, Kamerling JP, et al. Disturbances of Amino Acid Metabolism: Clinical Chemistry and Diagnosis. Baltimore, Md: Urban and Schwarzenberg; 1981.

LOINC® Map

Order Code Order Code Name Order Loinc Result Code Result Code Name UofM Result LOINC
700140 Amino Acid Profile, Qn, Urine 35087-6 700069 Taurine umol/g Cr 28595-7
700140 Amino Acid Profile, Qn, Urine 35087-6 700071 Aspartate umol/g Cr 30061-6
700140 Amino Acid Profile, Qn, Urine 35087-6 700072 Hydroxyproline umol/g Cr 28601-3
700140 Amino Acid Profile, Qn, Urine 35087-6 700073 Threonine umol/g Cr 30057-4
700140 Amino Acid Profile, Qn, Urine 35087-6 700074 Serine umol/g Cr 30058-2
700140 Amino Acid Profile, Qn, Urine 35087-6 700075 Asparagine umol/g Cr 28603-9
700140 Amino Acid Profile, Qn, Urine 35087-6 700076 Glutamate umol/g Cr 30059-0
700140 Amino Acid Profile, Qn, Urine 35087-6 700077 Glutamine umol/g Cr 30056-6
700140 Amino Acid Profile, Qn, Urine 35087-6 700078 Sarcosine umol/g Cr 28610-4
700140 Amino Acid Profile, Qn, Urine 35087-6 700079 Alpha-aminoadipate umol/g Cr 28598-1
700140 Amino Acid Profile, Qn, Urine 35087-6 700080 Proline umol/g Cr 30067-3
700140 Amino Acid Profile, Qn, Urine 35087-6 700081 Glycine umol/g Cr 30066-5
700140 Amino Acid Profile, Qn, Urine 35087-6 700082 Alanine umol/g Cr 30068-1
700140 Amino Acid Profile, Qn, Urine 35087-6 700083 Citrulline umol/g Cr 30161-4
700140 Amino Acid Profile, Qn, Urine 35087-6 700084 Alpha-aminobutyrate umol/g Cr 28590-8
700140 Amino Acid Profile, Qn, Urine 35087-6 700085 Valine umol/g Cr 30064-0
700140 Amino Acid Profile, Qn, Urine 35087-6 700086 Cystine umol/g Cr 30065-7
700140 Amino Acid Profile, Qn, Urine 35087-6 700087 Methionine umol/g Cr 30063-2
700140 Amino Acid Profile, Qn, Urine 35087-6 700090 Homocitrulline umol/g Cr 32248-7
700140 Amino Acid Profile, Qn, Urine 35087-6 700091 Cystathionine umol/g Cr 28599-9
700140 Amino Acid Profile, Qn, Urine 35087-6 700092 Alloisoleucine umol/g Cr 73908-6
700140 Amino Acid Profile, Qn, Urine 35087-6 700093 Isoleucine umol/g Cr 30052-5
700140 Amino Acid Profile, Qn, Urine 35087-6 700094 Leucine umol/g Cr 30053-3
700140 Amino Acid Profile, Qn, Urine 35087-6 700095 Tyrosine umol/g Cr 30054-1
700140 Amino Acid Profile, Qn, Urine 35087-6 700098 Phenylalanine umol/g Cr 30055-8
700140 Amino Acid Profile, Qn, Urine 35087-6 700099 Argininosuccinate umol/g Cr 32229-7
700140 Amino Acid Profile, Qn, Urine 35087-6 700100 Beta-alanine umol/g Cr 28588-2
700140 Amino Acid Profile, Qn, Urine 35087-6 700101 Beta-aminoisobutyrate umol/g Cr 28602-1
700140 Amino Acid Profile, Qn, Urine 35087-6 700102 Homocystine umol/g Cr 30051-7
700140 Amino Acid Profile, Qn, Urine 35087-6 700103 Gamma-aminobutyrate umol/g Cr 28593-2
700140 Amino Acid Profile, Qn, Urine 35087-6 700106 Tryptophan umol/g Cr 28608-8
700140 Amino Acid Profile, Qn, Urine 35087-6 700107 Hydroxylysine umol/g Cr 30050-9
700140 Amino Acid Profile, Qn, Urine 35087-6 700108 Ornithine umol/g Cr 30049-1
700140 Amino Acid Profile, Qn, Urine 35087-6 700109 Lysine umol/g Cr 30048-3
700140 Amino Acid Profile, Qn, Urine 35087-6 700110 Histidine umol/g Cr 30047-5
700140 Amino Acid Profile, Qn, Urine 35087-6 700111 Arginine umol/g Cr 30062-4
700140 Amino Acid Profile, Qn, Urine 35087-6 700133 Interpretation 49248-8
700140 Amino Acid Profile, Qn, Urine 35087-6 700134 Director Review 72486-4
700140 Amino Acid Profile, Qn, Urine 35087-6 700135 Methodology 49549-9

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