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Vanillymandelic Acid, 24 HR Urine w/o Creatinine

Test Summary

Vanillylmandelic Acid (VMA) is the major urinary project resulting from the metabolic degradation of catecholamine, norepinephrine and epinephrine. Elevated concentrations of VMA are commonly found in cases of catecholamine secreting tumors such as pheochromocytoma, neuroblastoma, and ganglioneuroma. Drugs which can interfere with testing due to physiologic response: clonidine, L-dopa, methocarbamol, monoamine oxidase inhibitors, reserpine, salicylates.

Aliases

  • N/A

Specimen Collection

Special Instructions

N/A

Preferred Specimen

10 mL aliquot from a 24-hour urine preserved with 25 mL 6N HCl, collected in a plastic, 24-hour urine container

Minimum Volume

5 mL

Instructions

Collect 24-hour urine with 25 mL 6N HCL to maintain a pH < or = 3. If no preservative is used, specimen must be stored refrigerated during collection but shipped frozen and pH must be < or = 6

Patient Preparation

N/A

Storage

N/A

Transport Temperature

Preserved urine: Room temperature Unpreserved urine: Frozen

Specimen Stability

Preserved urine:

  • Room temperature: 10 days
  • Refrigerated: 14 days
  • Frozen: 1 year

Unpreserved urine:

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

Limitations

N/A

Other Acceptable Specimens

Aliquot from a 24-hour urine, unpreserved, with a pH ≤6, collected in a plastic, 24-hour urine container

Unacceptable Specimens

Preserved urine received refrigerated with pH >3 • Unpreserved urine received frozen with pH >6

Order Code

24UVMA

EPIC (Premier) Code

LAB411

Includes

N/A

CPT Code

  • 84585
  • 81050

Billing Code

  • 670501
  • 500002

CPT Statement

Methodology

High Performance Liquid Chromatography (HPLC) • Electrochemical Detection

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

<3 Years Not established 3-8 Years ≤2.3 mg/24 h 9-12 Years ≤3.4 mg/24 h 13-17 Years ≤3.9 mg/24 h Adult ≤6.0 mg/24 h

Setup Schedule / Expected Turnaround Time

Sunday-Friday; Report Available: 2 - 6 days

Specimen Collection

Special Instructions

N/A

Preferred Specimen

10 mL aliquot from a 24-hour urine preserved with 25 mL 6N HCl, collected in a plastic, 24-hour urine container

Minimum Volume

5 mL

Instructions

Collect 24-hour urine with 25 mL 6N HCL to maintain a pH < or = 3. If no preservative is used, specimen must be stored refrigerated during collection but shipped frozen and pH must be < or = 6

Patient Preparation

N/A

Storage

N/A

Transport Temperature

Preserved urine: Room temperature Unpreserved urine: Frozen

Specimen Stability

Preserved urine:

  • Room temperature: 10 days
  • Refrigerated: 14 days
  • Frozen: 1 year

Unpreserved urine:

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

Limitations

N/A

Other Acceptable Specimens

Aliquot from a 24-hour urine, unpreserved, with a pH ≤6, collected in a plastic, 24-hour urine container

Unacceptable Specimens

Preserved urine received refrigerated with pH >3 • Unpreserved urine received frozen with pH >6

Billing

CPT Code

  • 84585
  • 81050

Billing Code

  • 670501
  • 500002

CPT Statement

Result Information

Methodology

High Performance Liquid Chromatography (HPLC) • Electrochemical Detection

Testing Laboratory

N/A

Reference Range

<3 Years Not established 3-8 Years ≤2.3 mg/24 h 9-12 Years ≤3.4 mg/24 h 13-17 Years ≤3.9 mg/24 h Adult ≤6.0 mg/24 h

Setup Schedule / Expected Turnaround Time

Sunday-Friday; Report Available: 2 - 6 days