Test Directory

Test Code
ACYLB
Test Name
Acylcarnitine, Quantitative
CPT Codes
82017
Included Tests
  • C18
  • C18:1
  • C4-Hydroxy
  • C6
  • C5-Dicarboxylic
  • C18:2-Hydroxy
  • C8
  • C16
  • C4
  • C10:2
  • C16:1
  • C2
  • C10:1
  • C5
  • C12
  • C14:2
  • C18:2
  • C10
  • C14:1
  • C18-Hydroxy
  • C14-Hydroxy
  • C16:1-Hydroxy
  • C16-Hydroxy
  • C5:1
  • C3-Dicarboxylic
  • C18:1-Hydroxy
  • C14
  • C3
  • C4-Dicarboxylic
  • C5-Hydroxy
Expected Turnaround Time
3 - 7 days
Clinical Utility

Used in the diagnosis and monitoring of inherited disorders of fatty acid oxidation and organic acidurias. May be used as a follow-up test to some abnormal newborn screen results.

Specimen and Container Info

Specimen Type: Plasma

Collection Container: Green Top (Sodium Heparin)

Desired Specimen Volume: 0.5 mL

Collection Instructions
  1. Collect a green top (sodium heparin) tube via venipuncture.
Processing and Submission Instructions
  1. Separate plasma from cells.
  2. Transfer 0.5 mL of plasma to a LabCorp PP transpak frozen purple tube.
  3. Freeze immediately. To avoid delays in turnaround time when requesting multiple tests on frozen specimens, please submit separate frozen samples for each test requested.
Transport Instructions

Transport to the laboratory frozen. 

Stability Requirements

Frozen

2.7 years

Freeze/Thaw Cycles

Stable x3

Causes for Rejection
  • Specimen thawed or not frozen
  • Gross hemolysis
  • Specimen type other than frozen plasma
Methodology
Flow injection/tandem mass spectrometry
Reference Intervals

 See patient report.

Limitations

False negative results can occur with acylcarnitine profiling, especially when the patient is carnitine deficient, is affected with a milder variant of a disorder, or when clinical condition or dietary supplementation causes secondary changes to the profile. Results of acylcarnitine profiling should be interpreted in the context of clinical presentation as well as other laboratory tests, which may include urine organic acid analysis and molecular testing.

Reference Lab
Labcorp Of America Holdings
Testing Schedule
Routine, 3 times per week