Amino Acids Quantitative by LC-MS/MS, Plasma
2009389
Ordering Recommendation
 
Mnemonic
AA QNT P
Methodology
Quantitative Liquid Chromatography/Tandem Mass Spectrometry
Performed
Mon-Fri
Reported
2-5 days  
New York DOH Approval Status
This test is New York DOH approved.
Specimen Required
Patient Preparation
Adults: Fasting specimen preferred. Infants and children: Draw specimen prior to feeding or 2-3 hours after a meal.  
Collect
Green (sodium or lithium heparin).  
Specimen Preparation
Separate plasma from cells ASAP or within 2 hours of collection. Avoid transferring buffy coat material. Transfer 0.5 mL plasma to an ARUP Standard Transport Tube and freeze immediately. (Min: 0.25 mL)  
Storage/Transport Temperature
CRITICAL FROZEN. Separate specimens must be submitted when multiple tests are ordered.  
Unacceptable Conditions
Hemolyzed specimens.  
Remarks
Clinical information is needed for appropriate interpretation. Additional required information includes age, gender, diet (e.g., TPN therapy), drug therapy, and family history. Biochemical Genetics Patient History Form is available on the ARUP Web site at http://www.aruplab.com/patienthistory or by contacting ARUP Client Services.  
Stability
After separation from cells: Ambient: Unacceptable; Refrigerated: 24 hours; Frozen: 1 month  
Reference Interval
 
 
Test Number Components Reference Interval
 α-​Aminoadipic acid  
 
0-​30 days 1 month-​11 months 1 year and older
0 -​ 4  µmol/L 0 -​ 3  µmol/L 0 -​ 3  µmol/L
 α-​Amino-​n-​butyric acid  
 
0-​30 days 1 month-​11 months 1 year and older
0 -​ 40  µmol/L 0 -​ 40  µmol/L 0 -​ 30  µmol/L
 Alanine  
 
0-​30 days 1 month-​11 months 1 year and older
130 -​ 560  µmol/L 150 -​ 570  µmol/L 150 -​ 570  µmol/L
 Alloisoleucine  
 
0-​30 days 1 month-​11 months 1 year and older
0 -​ 5 µmol/L 0 -​ 3  µmol/L 0 -​ 3  µmol/L
 Anserine  
 
0-​30 days 1 month-​11 months 1 year and older
0 -​ 2 µmol/L 0 -​ 2 µmol/L 0 -​ 2 µmol/L
 Arginine  
 
0-​30 days 1 month-​11 months 1 year and older
15 -​ 160  µmol/L 20 -​160  µmol/L 40 -​ 160  µmol/L
 Argininosuccinic acid  
 
0-​30 days 1 month-​11 months 1 year and older
0 -​ 2 µmol/L 0 -​ 2 µmol/L 0 -​ 2 µmol/L
 Asparagine  
 
0-​30 days 1 month-​11 months 1 year and older
20 -​ 80 µmol/L 30 -​ 80 µmol/L 30 -​ 80 µmol/L
 Aspartic acid  
 
0-​30 days 1 month-​11 months 1 year and older
5 -​ 50  µmol/L 0 -​ 40  µmol/L 0 -​ 25 µmol/L
 β-​Alanine  
 
0-​30 days 1 month-​11 months 1 year and older
0 -​ 20 µmol/L 0 -​ 20 µmol/L 0 -​ 20 µmol/L
 β-​Aminoisobutyric acid  
 
0-​30 days 1 month-​11 months 1 year and older
0 -​10 µmol/L 0 -​10 µmol/L 0 -​ 5 µmol/L
 Citrulline  
 
0-​30 days 1 month-​11 months 1 year and older
5-​50  µmol/L 5-​50  µmol/L 10-​60 µmol/L
 Cystathionine  
 
0-​30 days 1 month-​11 months 1 year and older
0 -​10 µmol/L 0 -​ 5 µmol/L 0 -​ 5 µmol/L
 Cystine  
 
0-​30 days 1 month-​11 months 1 year and older
5-​50  µmol/L 7-​50 µmol/L 7-​70 µmol/L
 Ethanolamine  
 
0-​30 days 1 month-​11 months 1 year and older
0 -​ 40 µmol/L 0 -​ 20 µmol/L 0 -​ 15 µmol/L
 γ-​Amino-​n-​butyric acid  
 
0-​30 days 1 month-​11 months 1 year and older
0 -​ 2 µmol/L 0 -​ 2 µmol/L 0 -​ 2 µmol/L
 Glutamic acid  
 
0-​30 days 1 month-​11 months 1 year and older
50 -​ 300 µmol/L 25 -​ 200 µmol/L 10 -​ 120 µmol/L
 Glutamine  
 
0-​30 days 1 month-​11 months 1 year and older
285 -​ 950  µmol/L 410 -​ 900  µmol/L 410 -​ 700 µmol/L
 Glycine  
 
0-​30 days 1 month-​11 months 1 year and older
150 -​ 500 µmol/L 120 -​ 450 µmol/L 120 -​ 450 µmol/L
 Histidine  
 
0-​30 days 1 month-​11 months 1 year and older
50 -​ 110 µmol/L 50 -​ 110 µmol/L 50 -​ 110 µmol/L
 Homocitrulline  
 
0-​30 days 1 month-​11 months 1 year and older
0 -​ 5 µmol/L 0 -​ 3 µmol/L 0 -​ 2 µmol/L
 Homocystine  
 
0-​30 days 1 month-​11 months 1 year and older
0 -​ 2 µmol/L 0 -​ 2 µmol/L 0 -​ 2 µmol/L
 Hydroxylysine  
 
0-​30 days 1 month-​11 months 1 year and older
0 -​ 5 µmol/L 0 -​ 5 µmol/L 0 -​ 5 µmol/L
 Hydroxyproline  
 
0-​30 days 1 month-​11 months 1 year and older
0 -​ 100 µmol/L 0 -​ 90 µmol/L 0 -​ 55 µmol/L
 Isoleucine  
 
0-​30 days 1 month-​11 months 1 year and older
20 -​ 130 µmol/L 20 -​ 130 µmol/L 30 -​ 130 µmol/L
 Leucine  
 
0-​30 days 1 month-​11 months 1 year and older
50 -​ 200 µmol/L 50 -​ 200 µmol/L 60 -​ 230 µmol/L
 Lysine  
 
0-​30 days 1 month-​11 months 1 year and older
60 -​ 300 µmol/L 60 -​ 280 µmol/L 80 -​ 250 µmol/L
 Methionine  
 
0-​30 days 1 month-​11 months 1 year and older
10 -​ 60 µmol/L 10 -​ 60 µmol/L 14 -​ 50 µmol/L
 Ornithine  
 
0-​30 days 1 month-​11 months 1 year and older
30 -​ 200 µmol/L 20 -​ 160 µmol/L 20 -​ 135 µmol/L
 Phenylalanine  
 
0-​30 days 1 month-​11 months 1 year and older
30 -​ 100 µmol/L 30 -​ 90 µmol/L 30 -​ 80 µmol/L
 Proline  
 
0-​30 days 1 month-​11 months 1 year and older
100-​400 µmol/L 80-​400 µmol/L 80-​400 µmol/L
 Sarcosine  
 
0-​30 days 1 month-​11 months 1 year and older
0 -​ 5 µmol/L 0 -​ 5 µmol/L 0 -​ 5 µmol/L
 Serine  
 
0-​30 days 1 month-​11 months 1 year and older
90 -​ 300 µmol/L 90 -​ 300 µmol/L 60 -​ 200 µmol/L
 Taurine  
 
0-​30 days 1 month-​11 months 1 year and older
25 -​ 300 µmol/L 25 -​ 220 µmol/L 25 -​150 µmol/L
 Threonine  
 
0-​30 days 1 month-​11 months 1 year and older
50 -​ 400 µmol/L 50 -​ 300 µmol/L 60 -​ 200 µmol/L
 Tryptophan  
 
0-​30 days 1 month-​11 months 1 year and older
15 -​ 90 µmol/L 15 -​ 90 µmol/L 30 -​ 100 µmol/L
 Tyrosine  
 
0-​30 days 1 month-​11 months 1 year and older
30 -​ 140 µmol/L 30 -​ 140 µmol/L 30 -​ 120 µmol/L
 Valine  
 
0-​30 days 1 month-​11 months 1 year and older
80 -​ 300 µmol/L 80 -​ 300 µmol/L 100 -​ 300 µmol/L
Interpretive Data


See Compliance Statement B: www.aruplab.com/CS  
Note
Common indications for amino acid testing include clinical situations such as: 1) acute life-threatening episode, 2) failure to thrive, 3) recurrent vomiting, 4) neurological deterioration, 5) hyperammonemia, 6) lethargy, 7) metabolic acidosis, and 8) testing or following therapy for a specific inborn error of metabolism (PKU, MSUD, tyrosinemia, etc.). Listing of clinical information is particularly important for appropriate interpretation.
CPT Code(s)
82139
Components
Component Test Code*Component Chart Name
0080010Alanine, Plasma
0080025Arginine, Plasma
0080035Aspartic Acid, Plasma
0080083Citrulline, Plasma
0080140Glutamine, Plasma
0080150Glutamic Acid, Plasma
0080155Glycine, Plasma
0080160Histidine, Plasma
0080170Hydroxyproline, Plasma
0080185Isoleucine, Plasma
0080205Leucine, Plasma
0080210Lysine, Plasma
0080225Methionine, Plasma
0080245Ornithine, Plasma
0080265Phenylalanine, Plasma
0080295Proline, Plasma
0080335Serine, Plasma
0080345Taurine, Plasma
0080350Threonine, Plasma
0080356Tyrosine, Plasma
0080370Valine, Plasma
0080715Homocystine, Plasma
0080717Allo-isoleucine, Plasma
0080953Amino Acids, Plasma Interpretation
0099865Cystine, Plasma
2009392Alpha-amino butyric acid, Plasma
2009393Alpha-aminoadipic acid, Plasma
2009394Argininosuccinic Acid, Plasma
2009395Beta-amino isobutyric acid, Plasma
2009396Beta-alanine, Plasma
2009398Ethanolamine, Plasma
2009399Gamma-amino butyric acid, Plasma
2009402Sarcosine, Plasma
2009403Tryptophan, Plasma
2009404Anserine, Plasma
2009405Asparagine, Plasma
2009406Cystathionine, Plasma
2009407Homocitrulline, Plasma
2009408Hydroxylysine, Plasma
* Component test codes cannot be used to order tests. The information provided here is not sufficient for interface builds; for a complete test mix, please click the sidebar link to access the Interface Map.
Aliases
  • Allo-Isoleucine Amino Acids, Maple Syrup Urine Disease Panel, Plasma
  • Argininosuccinic Acid (ASA)
  • Branched Chain Amino Acids
  • Cystine
  • Free Homocystine
  • Glycine
  • Isoleucine
  • Isovaleric Acidemia
  • Leucine
  • Methylmalonic Acidemia (MMA)
  • Mitochondrial Energy Metabolism (Primary Lactic Acidemias)
  • Nonketotic Hyperglycinemia (NKH)
  • Phenylketonuria (PKU)
  • Propionic Acidemia
  • Quantitative Plasma Amino
  • Valine