Plasma Carnitine Free/Total and Acylcarnitines Panel




Test Mnemonic

PCAPNL

CPT Codes

  • 82379 - QTY (1)
  • 82017 - QTY (1)

Includes

  • Carnitine Total
  • Carnitine Free (FC)
  • Acylcarnitine (AC)
  • AC/FC Ratio
  • Interpretation
  • Acetylcarnitine, C2
  • Acrylylcarnitine, C3:1
  • Propionylcarnitine, C3
  • Formiminoglutamate, FIGLU
  • Iso-/Butyrylcarnitine, C4
  • Tiglylcarnitine, C5:1
  • Isovaleryl-/2-Methylbutyrylcarn C5
  • 3-OH-iso-/butyrylcarnitine, C4-OH
  • Hexenoylcarnitine, C6:1
  • Hexanoylcarnitine, C6
  • 3-OH-isovalerylcarnitine, C5-OH
  • Benzoylcarnitine
  • Heptanoylcarnitine, C7
  • 3-OH-hexanoylcarnitine, C6-OH
  • Phenylacetylcarnitine
  • Salicylcarnitine
  • Octenoylcarnitine, C8:1
  • Octanoylcarnitine, C8
  • Malonylcarnitine, C3-DC
  • Decadienoylcarnitine, C10:2
  • Decenoylcarnitine, C10:1
  • Decanoylcarnitine, C10
  • Methylmalonyl-/succinylcarn, C4-DC
  • 3-OH-decenoylcarnitine, C10:1-OH
  • Glutarylcarnitine, C5-DC
  • Dodecenoylcarnitine, C12:1
  • Dodecanoylcarnitine, C12
  • 3-Methylglutarylcarnitine, C6-DC
  • 3-OH-dodecenoylcarnitine, C12:1-OH
  • 3-OH-dodecanoylcarnitine, C12-OH
  • Tetradecadienoylcarnitine, C14:2
  • Tetradecenoylcarnitine, C14:1
  • Tetradecanoylcarnitine, C14
  • Octanedioylcarnitine, C8-DC
  • 3-OH-tetradecenoylcarnitine C14:1OH
  • 3-OH-tetradecanoylcarnitine, C14-OH
  • Hexadecenoylcarnitine, C16:1
  • Hexadecanoylcarnitine, C16
  • 3-OH-hexadecenoylcarnitine,C16:1-OH
  • 3-OH-hexadecanoylcarnitine, C16-OH
  • Octadecadienoylcarnitine, C18:2
  • Octadecenoylcarnitine, C18:1
  • Octadecanoylcarnitine, C18
  • Dodecanedioylcarnitine, C12-DC
  • 3-OH-octadecadienoylcarn, C18:2-OH
  • 3-OH-octadecenoylcarnitine C18:1-OH
  • 3-OH-octadecanoylcarnitine, C18-OH
  • Comment (ACRN)

Performing Laboratory

Mayo Clinic Dpt of Lab Med & Pathology


Specimen Requirements

Volume Type Container Collect Temperature Transport Temperature Special Instructions
0.5 mLPlasmaSodium heparin (Green) FrozenMultiple specimen tubes must be collected for this panel. This tube is for test: Carnitine Free and Total, Plasma (CARNFT). Collect specimen just prior to a scheduled meal or feeding. Patient age is required. Centrifuge and aliquot plasma into standard aliquot tube.
0.1 mLPlasmaSodium heparin (Green) FrozenMultiple specimen tubes must be collected for this panel. This tube is for test: Acylcarnitines, Quantitative, Plasma (ACRNPL). Collect specimen just prior to a scheduled meal or feeding. Patient age is required. Centrifuge and aliquot plasma into standard aliquot tube.

Minimum Specimen Requirements

Volume Type Container Collect Temperature Transport Temperature Special Instructions
Variable    The aliquot for Carnitine Free and Total, Plasma (CARNFT) must have a minimum volume of 0.2 mL. The aliquot for Acylcarnitines, Quantitative, Plasma (ACRNPL) must have a minimum of 0.04 mL.

Stability

Environmental Condition Description
Frozen60 days
Refrigerated21 days
Ambient7 days

Days Performed

Mon - Fri

Turnaround Time

3 - 6 days

Methodology

Name Description
Flow Injection Analysis-Tandem Mass Spectrometry (FIA-MS/MS) 

Special Info

This test is New York State approved.

Clinical Info

This test is useful for evaluation of patients with a clinical suspicion of a wide range of conditions including organic acidemias, fatty acid oxidation disorders, and primary carnitine deficiency using plasma specimens. It is also useful for diagnosis of fatty acid oxidation disorders and several organic acidurias using plasma specimens. It is also useful in evaluating treatment during follow-up of patients with fatty acid beta-oxidation disorders and several organic acidurias.