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1710: Vma (vanillylmandelic Acid), Random Urine Print View
Vanillylmandelic Acid, Rand U     mg/g creat 
Creatinine, Random Urine     mg/dL 

PRIMARY
1 Urine HCL Additive 10 (5) mL   Room Temperature - 10 Day(s)/Refrigerated - 14 Day(s)/Frozen - 12 Month(s)  
ALTERNATE

Vanillylmandelic Acid (VMA) is the major urinary product resulting from the metabolic degradation of the catecholamines, norepinephrine and epinephrine. Elevated concentrations of VMA are commonly found in cases of catecholamine secreting tumors such as pheochromocytoma, neuroblastoma, and ganglinioneuroma.

10 mL urine: pH adjusted to <3.0 using 6N HCl.
Urine without preservative is acceptable if pH is below 6 and the
sample is shipped frozen.

Patient Preparation
It is preferable for the patient to be off medications for three days
prior to collection. However, common antihypertensives (diuretics,
ACE inhibitors, calcium channel blockers, alpha and beta blockers)
cause minimal or no interference. Patient should avoid alcohol,
coffee, tea, tobacco (including use of nicotine patch), bananas,
citrus fruits and strenuous exercise prior to collection.
Setup Schedule
Monday-Friday

Reported (Analytical Time)
3 days

CPT Codes
84585,82570

The CPT codes provided are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payer being billed.

Notes
Reject Criteria: pH >3.0 and received unfrozen Transport Temperature: Preserved urine: Room temperature Unpreserved urine: Frozen Methodology: High Performance Liquid Chromatography, Electrochemical Detection






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