Vitamin E
| Order Code: | SVTE |
| Epic Lab Code: | LAB4257 |
| Order Form: | A-1a Miscellaneous Request or Epic Req |
Commercial Mail-out Laboratory
6240 RCP
356-3527
6240 RCP
356-3527
Specimen:
Serum
Collection Medium:
![]() |
| Red top tube |
Alternate
Collection Media:
Green top tube 4 mL (Na Heparin), Light Green top tube (Lithium Heparin), Pink top tube
Minimum:
Adult Preferred Minimum: 1.0 mL serum
Adult Absolute Minimum: 0.3 mL serum
Absolute Pediatric Minimum: 0.2 mL serum
Delivery Instructions:
Wrap specimen in aluminum foil to protect from light.
Deliver to laboratory immediately after collection.Analytic Time:
4 days upon receipt at reference laboratory
Reference Range:
Alpha-Tocopherol (Vitamin E)
Age Reference Interval
0 - 1 month 1.0 - 3.5 mg/L
2 - 5 months 2.0 - 6.0 mg/L
6 months - 1 year 3.5 - 8.0 mg/L
2 - 12 years 5.5 - 9.0 mg/L
13 + years 5.5 - 18.0 mg/L
Gamma-Tocopherol (Vitamin E) 0 - 6.0 mg/L
Comments:
Sample requires an overnight (12 hr) fast. Patient should not consume alcohol for one day prior to blood draw. Avoid hemolysis. Includes both Alpha-Tocopherol and Gamma-Tocopherol.
Methodology:
High Performance Liquid Chromatography
CPT Code:
84446
