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Test Directory

Methylmalonic Acid, Urine with Creatinine

Test Summary

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

Aliases

  • N/A

Specimen Collection

Special Instructions

N/A

Preferred Specimen

1.7 mL urine - no preservative in a sterile screw cap container

Minimum Volume

0.6 mL

Instructions

Do not use preservatives

Patient Preparation

N/A

Storage

N/A

Transport Temperature

Refrigerated (cold packs)

Specimen Stability

  • Room temperature: 4 days
  • Refrigerated: 12 days
  • Frozen -20°: 30 days
  • Frozen -70°: 90 days

Limitations

N/A

Other Acceptable Specimens

In a sterile, screw-cap container (no preservative): 24-hour urine • Random clean-catch urine • Catheterized urine • First void clean-catch

Unacceptable Specimens

Received room temperature • Acidified urine

Order Code

MMAUR

EPIC (Premier) Code

LAB5391

Includes

N/A

CPT Code

  • 82570
  • 83921

Billing Code

  • 670334
  • 670333

CPT Statement

Methodology

Chromatography/Mass Spectrometry

FDA Status

This test was developed and its analytical performance characteristics have been determined by Quest Diagnostics. It has not been cleared or approved by the U.S. Food and Drug Administration. The FDA has determined that such clearance or approval is not necessary. This assay has been validated pursuant to the CLIA regulations and is used for clinical purposes.

Physician Attestation of Informed Consent

N/A

Testing Laboratory

Quest Diagnostics Nichols Institute
33608 Ortega Highway
San Juan Capistrano CA, 92675

Department

Reference Testing

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

Setup Schedule / Expected Turnaround Time

Evening 2 days a week.

Specimen Collection

Special Instructions

N/A

Preferred Specimen

1.7 mL urine - no preservative in a sterile screw cap container

Minimum Volume

0.6 mL

Instructions

Do not use preservatives

Patient Preparation

N/A

Storage

N/A

Transport Temperature

Refrigerated (cold packs)

Specimen Stability

  • Room temperature: 4 days
  • Refrigerated: 12 days
  • Frozen -20°: 30 days
  • Frozen -70°: 90 days

Limitations

N/A

Other Acceptable Specimens

In a sterile, screw-cap container (no preservative): 24-hour urine • Random clean-catch urine • Catheterized urine • First void clean-catch

Unacceptable Specimens

Received room temperature • Acidified urine

Billing

CPT Code

  • 82570
  • 83921

Billing Code

  • 670334
  • 670333

CPT Statement

Result Information

Methodology

Chromatography/Mass Spectrometry

Testing Laboratory

N/A

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

Setup Schedule / Expected Turnaround Time

Evening 2 days a week.