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Test Code LAB93 Homocysteine, Plasma or Serum

Additional Codes

45940

Reporting Title

Homocysteine - Blood

Methodology

Roche Diagnostics

Useful as a risk factor in assessment of cardiovascular disease. Also elevated in homocystinuria, a rare genetic disorder.

Performing Laboratory

OhioHealth Laboratory Services-RMH Core Laboratory

Specimen Requirements

Submit only 1 of the following specimens:

 

Preferred:

Serum

Draw blood in a gold-top gel tube(s). Spin down immediately and send 1 mL of serum refrigerated.

.
Note:

1. A speckled-top serum gel tube(s) or plain red-top is also acceptable.  

2. Synthesis of homocysteine by red cells continues after blood is drawn.

3. Drug therapy with S-adenosylmethionine may cause falsely elevated results.

4. These drugs have shown to interfere with some homocysteine assays:  carbamazepine, phenytoin, 6-azauridine, anthopterin, methotrexate, nitrous oxide, and other anticonvulsants.

5. Heterophile antibodies may interfere with this assay.

6. Indicate serum on request form.

7. Label specimen appropriately (serum).

 

Alternate:

Plasma

Draw blood in a mint green-top (heparin) gel tube(s) or a lavender-top (EDTA) tube(s). Spin down immediately and send 1 mL of heparinized or EDTA plasma refrigerated.

Note:

1. Synthesis of homocysteine by red cells continues after blood is drawn.

2. Drug therapy with S-adenosylmethionine may cause falsely elevated results.

3. These drugs have shown to interfere with some homocysteine assays:  carbamazepine, phenytoin, 6-azauridine, anthopterin, methotrexate, nitrous oxide, and other anticonvulsants.

4. Heterophile antibodies may interfere with this assay.

5. Indicate plasma on request form.

6. Label specimen appropriately (plasma).

Specimen Stability Information

Specimen Type Temperature Time
Serum or plasma Refrigerated 4 weeks
  Ambient  4 days
  Frozen  10 months

 

Specimen Transport Temperature

Refrigerate/Frozen OK/Ambient NO

Reference Values

0-60 years:  5-15 micromol/L

>60 years:  5-20 micromol/L

Day(s) Test Set Up

Monday through Saturday; Continuously

Test Classification and CPT Coding

83090