Amino Acid Analysis

Overview

  • EPIC Code:
  • LAB2633
  • Soft Test Code:
  • AAA
  • Send Out Test Code:
  • 767
Alternate Names
  • Amino Acid Analysis, LC/MS, Plasma
Included Tests

1-Methylhistidine; 3-Methylhistidine; Alanine; Alpha-Amino Adipic Acid; Alpha-Amino Butyric Acid; Arginine; Asparagine; Aspartic Acid; Beta-Alanine; Beta-Amino Isobutyric Acid; Citrulline; Cystathionine; Ethanolamine; Gamma-Amino Butyric Acid; Glutamic Acid; Glutamine; Glycine; Histidine; Homocystine; Hydroxyproline; Isoleucine; Leucine; Lysine; Methionine; Ornithine; Phenylalanine; Proline; Sarcosine; Serine; Taurine; Threonine; Tryptophan; Tyrosine; Valine


Clinical Significance

Amino acids serve many functions including as building blocks for proteins, neurotransmitters, precursors to hormones, and enzyme co-factors. More than 70 disorders of amino acid metabolism have been described. The clinical manifestations of these disorders are diverse.


Specimen Collection & Preparation

Patient Preparation

Overnight Fasting Required (or at least 4 hours after last meal).

Non fasting samples only acceptable for pediatric patients


Specimen Requirements

2.0 mL Plasma from a Green Top Tube - Na Heparin in a Plastic Vial


Alternate Specimen

2.0 mL Plasma from a Lavender Top Tube - EDTA in a Plastic Vial 
or 
2.0 mL Plasma from a Green Top Tube - Li Heparin in a Plastic Vial


TransportAndStorage

7 days Refrigerated
30 days Frozen


Collection Instructions

Plasma should be separated from cells as soon as possible after collection or within 30 minutes of draw

Freeze plasma immediately after separating at below -20° C. 

Patient age is required for correct reference range.


Minimum Volume

0.25 mL Plasma


Neonatal Volumne

Clinical Interpretation

Reference Range:

Refer to Interpretive Results


Methodology:
  • Liquid Chromatography / Mass Spectrometry (LC/MS)

Clinical Significance

Amino acids serve many functions including as building blocks for proteins, neurotransmitters, precursors to hormones, and enzyme co-factors. More than 70 disorders of amino acid metabolism have been described. The clinical manifestations of these disorders are diverse.


Documentation

Medical Justification: Elevated blood levels of and/or increased excretion of amino acids are seen in association with inborn errors of metabolism and renal tubular disorders. Screening for qualitative patterns of amino acid excretion may be helpful in diagnosis


Production Schedule

Sites Performed
  • Quest - Chantilly to San Juan Capistrano
Days Performed
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Departments
  • Sendouts - Clinical
Turn Around Time

4 to 7 days


Coding & Compliance

CPT Coding

82139