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Test Directory

Carnitine

Test Summary

Serum carnitine analysis is useful in the diagnosis and monitoring of patients with carnitine deficiency (either primary or secondary). Primary carnitine deficiency is an autosomal recessively inherited genetic condition that affects carnitine uptake by cells and tissues through a defect in the plasma membrane carnitine transporter. Secondary carnitine deficiency can be seen in some disease states or in patients on carnitine-poor diets, but is also seen in a number of metabolic disorders. In these disorders, carnitine complexes with the accumulated substrate of the blocked metabolic step, and the resulting acylcarnitine ester is excreted in the urine, leading to a depletion of carnitine in the patient.

Aliases

  • N/A

Specimen Collection

Special Instructions

N/A

Preferred Specimen

1 mL frozen serum

Minimum Volume

0.5 mL frozen serum

Instructions

Separate serum by centrifugation. Avoid hemolysis. Remove serum and place in plastic tube. Freeze immediately after separation.

Patient Preparation

Patient should be in a well-fed state

Storage

N/A

Transport Temperature

Frozen

Specimen Stability

  • Room temperature: 5 hours
  • Refrigerated: 5 days
  • Frozen: 30 days

Limitations

N/A

Other Acceptable Specimens

Plasma collected in: Sodium heparin (green-top) tube

Unacceptable Specimens

Moderate and gross hemolysis • Received room temperature

Order Code

CARNIT

EPIC (Premier) Code

LAB3427

Includes

Carnitine, Total
Carnitine, Free
Carnitine, Esters
Esterified/Free Ratio

CPT Code

  • 82379

Billing Code

  • 670622

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

See Laboratory Report

Setup Schedule / Expected Turnaround Time

Evening 4 days a week.

Specimen Collection

Special Instructions

N/A

Preferred Specimen

1 mL frozen serum

Minimum Volume

0.5 mL frozen serum

Instructions

Separate serum by centrifugation. Avoid hemolysis. Remove serum and place in plastic tube. Freeze immediately after separation.

Patient Preparation

Patient should be in a well-fed state

Storage

N/A

Transport Temperature

Frozen

Specimen Stability

  • Room temperature: 5 hours
  • Refrigerated: 5 days
  • Frozen: 30 days

Limitations

N/A

Other Acceptable Specimens

Plasma collected in: Sodium heparin (green-top) tube

Unacceptable Specimens

Moderate and gross hemolysis • Received room temperature

Billing

CPT Code

  • 82379

Billing Code

  • 670622

CPT Statement

Result Information

Methodology

Chromatography/Mass Spectrometry

Testing Laboratory

N/A

Reference Range

See Laboratory Report

Setup Schedule / Expected Turnaround Time

Evening 4 days a week.