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Specimen Collection Manual and Test Catalog

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5-HYDROXYINDOLEACETIC ACID (5-HIAA), RANDOM URINE WITH CREATININE

Geisinger Epic Procedure Code:  LAB1492    Geisinger Epic ID:  15007

SPECIMEN COLLECTION
Specimen type: 

Random urine


Preferred collection container: 
Specimen required: 

10 mL random urine with 6N HCl, submitted in a plastic, screw-cap container; minimum 5 mL.


Special notes: 

This test needs immediate acidification and can only be collected at Hospital sites.


Patient preparation: 

Patient should avoid food high in indoles (avocado, banana, tomato, plum, walnut, pineapple, and eggplant).



SPECIMEN PROCESSING
Processing instructions: 

After urine collection, add 6N HCl to maintain a pH below 3. Urine without preservative is acceptable if pH is below 6 and the sample is shipped frozen. Record patients age on test request form and urine vial.


Transport temperature: 

Preserved: Refrigerated. Unpreserved: Frozen


Specimen stability: 

Preserved: Room temperature: 7 days. Refrigerated: 30 days. Frozen: 30 days. 
Unpreserved: Frozen: 30 days


Rejection criteria: 

pH >3.0 received unfrozen



TEST DETAILS
Additional information: 

Beta Blockers, Atenolol, Bromocriptine, Bronchodilators, Clonidine, Digoxin, Isoniazid, L-Dopa, Labetelol, Methyldopa, Monoamine Oxidase Inhibitors, Nitroglycerin, Sympathomimetic Amines, Phenobarbital, Phenothiazines, Phentolamine, Reserprine, Salicylates, Tricyclic Antidepressants


CPT code(s):  83497, 82570
Note: The billing party has sole responsibility for CPT coding.  Any questions regarding coding should be directed to the payer being billed.
The CPT codes provided by GML are based on AMA guidelines and are for informational purposes only.

Test includes: 

5-Hydroxyindoleacetate/Creatinine, Random Urine


Methodology: 
Electrochemical detection
High Performance Liquid Chromatography (HPLC)
Synonyms: 

5-HIAA, Carcinoid Screen, Serotonin 5-HIAA random urine, HIAAR, Quest test code 1648


Clinical significance: 

Values above 10 mg/24 hrs occur in carcinoid syndrome. Slight elevations also occur in nontropical sprue and after reserpine administration.


Review Date:  12/20/2024

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