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Organic Acids By Gas Chromatography / Mass Spectrometry, Urine

OHSU Service Code:
067-6331
CPT Codes:
83919
Lab Section:
Biochemical Genetics
Specimen
Requirements:
2-6 mL aliquot of urine, preferably obtained during acidosis or after overnight fast; deliver within 2 hr on ice or freeze and transport frozen. MUST PROVIDE CLINICAL INDICATION AND COMPLETE LIST OF MEDICATIONS, ANTIBIOTICS, VITAMINS, SPECIFIC DIET OR FORMULA, ETC. If patient has intermittent symptoms, sample should be obtained when patient is symptomatic. For requisition slips.
Pediatric Specimen
Requirements:
3 mL urine
Comments:
Indication: Performed on acutely ill neonates, or any patients with suspected or proven metabolic acidosis. Other indications include severe infections, intermittent coma, Reye syndrome, vomiting, failure to thrive, hypotonia, lethargy, hypoglycemia, athetosis, ataxia, myopathy or peculiar smell; also convulsions or cerebral palsy if combined with any of the above. May also be indicated if a positive test for ketones or ketoacids is obtained during amino acid / metabolic screen.