The University of Iowa (UIHC)
Department of Pathology
LABORATORY SERVICES HANDBOOK


Methylmalonic Acid, Quantitative
Order Code: MMAUR
Order Form: A-1a Miscellaneous Request or IPR Req
  Commercial "Mail-out" Laboratory
6240 RCP
356-3527
Specimen
Urine More information
Collection Medium:
Urine - 24 hour/timed plastic urine container
Minimum:
5 mL requested
Adult minimum (0.5 mL) and Peds minimum (0.5 mL) of urine from random 
or 24 hour collection in a plastic container, refrigerate during 
collection.
Delivery Instructions:
Submit specimen to laboratory as soon as possible after
collection period is completed.
Analytic Time:
2 working days (upon receipt)
Reference Range:
Components                    Reference Interval
Methylmalonic Acid, Urine    0.0-3.6 mmol/mol CRT

Creatinine (24-hour)        Male                        Female
                    3-8 yrs:  140-700  mg/d     3-8 yrs:  140-700  mg/d
                    9-12 yrs: 300-1300 mg/d     9-12 yrs: 300-1300 mg/d
                   13-17 yrs: 500-2300 mg/d    13-17 yrs: 400-1600 mg/d
                   18-50 yrs: 1000-2500mg/d    18-50 yrs: 700-1600 mg/d
                   51-80 yrs: 800-2100 mg/d    51-80 yrs: 500-1400 mg/d
                   81 yrs+:   600-2000 mg/d    81 yrs+:   400-1300 mg/d
Comments:
Elevated urinary methylmalonic acid is an early and sensitive
indicator of vitamin B12 (cobalamin) deficiency.

The most important aspect of specimen preservation is adequate
refrigeration during collection, storage and transport.
Methodology:
High Performance Liquid Chromatography/Tandem Mass Spectrometry
CPT Code:
83921
 
See Additional Information:
Urine Tests Requiring Preservatives, Refrigeration or Special Containers

Alphabetic main page

Updated: 06/05/2007

Note: The information contained in this handbook is for use by personnel of University of Iowa Health Care. No other use is implied or intended.