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Test Code VMACDU VMA, Urine

Important Note

Initial test for the diagnosis and monitoring of neuroblastoma. Should be ordered concurrently with Homovanillic Acid (HVA), Urine.

Additional Codes

0080421

Methodology

Quantitative High Performance Liquid Chromatography - Tandem Mass Spectrometry

Specimen Type

Urine

Preferred Collection Container

24-hour or random urine. 

Collection Volume

4.0 mL Random urine or send entire 24 hr collection to be aliquoted in lab.

Minimum Collection Volume

1.0 mL Random urine or  send entire 24 hr collection to be aliquoted in lab.

Collection Instructions

Abstain from medications for 72 hours prior to collection.  Refrigerate 24-hour specimens during collection. Transfer 4 mL aliquot from a well-mixed 24-hour or random collection to an ARUP Standard Transport Tube. (Min: 1 mL) Record total volume and collection time interval on transport tube and test request form. 

Transport

Refrigerated

Rejection Criteria

Any sample other than urine

Specimen Storage and Stability

Ambient: Unacceptable; Refrigerated: 1 week; Frozen: 2 weeks

Turn Around Time

2-6 days

Lab Department

Referred Testing

Test Alias

3-Methoxy-4-Hydroxy-Mandelic Acid;3-Methoxy-4-Hydroxymandelic Acid; 4-Hydroxy-3-Methoxymandelic Acid;VMA

CPT Coding

84585
 

EPIC Code

LAB452

Acceptable Collection Container

24-hour or random urine. 

Testing Volume

1.0 mL

Day(s) and Time(s) Performed

Sunday, Tuesday, Wednesday, Thursday, Friday, Saturday

LOINC

Creatinine, Urine - per volume 2161-8; Creatinine, Urine - per 24h 2162-6; Vanillylmandelic Acid - per 24h 3122-9; Vanillylmandelic Acid Interpretation 50948-9; Vanillylmandelic Acid - per volume 9624-8; Vanillylmandelic Acid - ratio to CRT 30571-4; Total Volume 19153-6; Hours Collected 30211-7