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Test Directory

Porphyrins, Fractionated, Quantitative, Random Urine

Test Summary

Porphyria is a group of distinct disorders, characterized by the abnormal accumulation of porphyrins or porphyrin precursors. Porphyrin fractionation of urine is useful in diagnosing porphyrin cutanea tarda, hereditary coproporphyria, and variegate porphyria.

Aliases

  • N/A

Specimen Collection

Special Instructions

N/A

Preferred Specimen

2 mL random urine in 5 grams sodium carbonate (Na2CO3) container - protected from light

Minimum Volume

1.5 mL

Instructions

Random urine collected with 5 grams of sodium carbonate, refrigerated, and protected from light during collection is preferred. Collection with no preservative is acceptable, if properly refrigerated and light protected.

Patient Preparation

N/A

Storage

Transport Temperature

Refrigerated (cold packs) - ok to thaw

Specimen Stability

  • Room temperature: Unacceptable
  • Refrigerated: 7 days
  • Frozen: 30 days

Limitations

N/A

Other Acceptable Specimens

Unpreserved random urine submitted in a plastic leak-proof container (light protected) • Unpreserved catheterized or first void clean catch or random clean catch urine (light protected)

Unacceptable Specimens

Received room temperature • Samples not protected from light • Samples with a pH <4.0

Order Code

PORPFR

EPIC (Premier) Code

LAB329

Includes

Coproporphyrin I, Coproporphyrin III, Heptacarboxyporphyrin, Hexacarboxyporphyrin, Pentacarboxyporphyrin, Uroporphyrin I, Uroporphyrin III, Total Porphyrins

CPT Code

  • 84120

Billing Code

  • 670429

CPT Statement

Methodology

High Performance Liquid Chromatography (HPLC)

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 FDA. 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

Uroporphyrin I 3.6-21.1 mcg/g creat
Uroporphyrin III ≤5.6 mcg/g creat
Heptacarboxyporphyrin ≤3.4 mcg/g creat
Hexacarboxyporphyrin ≤6.3 mcg/g creat
Pentacarboxyporphyrin ≤4.1 mcg/g creat
Coproporphyrin I 6.5-33.2 mcg/g creat
Coproporphyrin III 4.8-88.6 mcg/g creat
Total Porphyrins 27.0-153.6 mcg/g creat

Setup Schedule / Expected Turnaround Time

Sunday, Tuesday - Friday; Report available: 5 - 7 days

Specimen Collection

Special Instructions

N/A

Preferred Specimen

2 mL random urine in 5 grams sodium carbonate (Na2CO3) container - protected from light

Minimum Volume

1.5 mL

Instructions

Random urine collected with 5 grams of sodium carbonate, refrigerated, and protected from light during collection is preferred. Collection with no preservative is acceptable, if properly refrigerated and light protected.

Patient Preparation

N/A

Storage

Transport Temperature

Refrigerated (cold packs) - ok to thaw

Specimen Stability

  • Room temperature: Unacceptable
  • Refrigerated: 7 days
  • Frozen: 30 days

Limitations

N/A

Other Acceptable Specimens

Unpreserved random urine submitted in a plastic leak-proof container (light protected) • Unpreserved catheterized or first void clean catch or random clean catch urine (light protected)

Unacceptable Specimens

Received room temperature • Samples not protected from light • Samples with a pH <4.0

Billing

CPT Code

  • 84120

Billing Code

  • 670429

CPT Statement

Result Information

Methodology

High Performance Liquid Chromatography (HPLC)

Testing Laboratory

N/A

Reference Range

Uroporphyrin I 3.6-21.1 mcg/g creat
Uroporphyrin III ≤5.6 mcg/g creat
Heptacarboxyporphyrin ≤3.4 mcg/g creat
Hexacarboxyporphyrin ≤6.3 mcg/g creat
Pentacarboxyporphyrin ≤4.1 mcg/g creat
Coproporphyrin I 6.5-33.2 mcg/g creat
Coproporphyrin III 4.8-88.6 mcg/g creat
Total Porphyrins 27.0-153.6 mcg/g creat

Setup Schedule / Expected Turnaround Time

Sunday, Tuesday - Friday; Report available: 5 - 7 days