Geisinger Medical Laboratories/Geisinger Proven Diagnostics Test Catalog

Order Display Name: Geisinger Epic Procedure Code Or ID CPT Code:  

5-HYDROXYINDOLEACETIC ACID W/CREATININE, 24 HR UR

ORDERING INFORMATION:
Geisinger Epic Procedure Code: LAB1491         Geisinger Epic ID: 15006

SPECIMEN COLLECTION
Specimen type:
24-hour urine.
Preferred collection container:
Specimen required:
10 mL aliquot (minimum 5 mL) of 24-hour urine preserved with 25 mL 6N HCl.
Special notes:
Preserve 24-hour urine with 25 mL 6N HCl to maintain a pH below 3 (preferred) or collect without preservative if pH is below 6 and the sample is shipped frozen (acceptable). Keep urine refrigerated during collection, if preservative is not used. Mix well. Estimate total collection volume from 24-hour urine container. Remove required aliquot. Record total volume on both aliquot tube and request slip (if applicable).
Patient preparation:
Patient should avoid food high in indoles: avocado, banana, tomato, plum, walnut, pineapple, and eggplant. Patient should also avoid tobacco, tea, and coffee for 3 days before specimen collection.

SPECIMEN PROCESSING
Transport temperature:
Refrigerated (preferred) or frozen if specimen contains no preservative.
Specimen stability:
Room temperature: 7 days. Refrigerated: 30 days. Frozen: 30 days.

TEST DETAILS
CPT code(s):
82570, 83497
Note: The billing party has sole responsibility for CPT coding.  Any questions regarding coding should be directed to the payer being billed.  The CPT codes provided by GML are based on AMA guidelines and are for informational purposes only.
Test includes:
5-HIAA and creatinine, 24-hour urine
Methodology:
High Performance Liquid Chromatography (HPLC)
Electrochemical detection
Synonyms:
5-hydroxyindoleacetic acid, HIAA24
Quest test code 14840
Clinical significance:
5-HIAA is the end product of serotonin (5-hydroxytryptophan) and tyrptophan metabolism. Patients with carcinoid tumors of the midgut, e.g., ileum, produce high concentrations of 5-HIAA. Patients with carcinoid tumors of the foregut and hindgut may produce little or no 5-HIAA or do so intermittently.

Performing Locations

Quest Diagnostics

Technical Lead: Michael Weaver    
Frequency: Monday - Friday morning    
Performed stat? No
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