Ordering Recommendations

Use to evaluate vitamin B12 deficiency in individuals with macrocytic or unexplained anemia, or unexplained neurologic disease. Preferred test is Vitamin B12 with Reflex to Methylmalonic Acid, Serum (Vitamin B12 Status) (0055662).

Collect

Plain red or serum separator tube. Also acceptable: Green (sodium heparin), green (lithium heparin), lavender (EDTA), or pink (K2EDTA).

Specimen Preparation

Centrifuge and remove serum or plasma from cells within 2 hours of collection. Transfer 1.2 mL serum or plasma to an ARUP standard transport tube and refrigerate or freeze immediately. (Min: 0.6 mL)

Storage/Transport Temperature

Frozen.

Stability (from collection to initiation)

After separation from cells: Ambient: Unacceptable; Refrigerated: 1 week; Frozen: 1 month

Unacceptable Conditions

Room temperature specimens. Grossly hemolyzed or lipemic specimens.

Referral Lab

Performed

Sun-Sat

Reported

1-5 days

Methodology

Quantitative Liquid Chromatography-Tandem Mass Spectrometry

Reference Interval

0.00-0.40 µmol/L

Synonyms

  • Cobalamin Deficiency (Methylmalonic Acid, Serum or Plasma (Vitamin B12 Deficiency))
  • Methylmalonate (Methylmalonic Acid, Serum or Plasma (Vitamin B12 Deficiency))
  • MMA (Methylmalonic Acid, Serum or Plasma (Vitamin B12 Deficiency))
  • Vitamin B12 Deficiency (Methylmalonic Acid, Serum or Plasma (Vitamin B12 Deficiency))
  • 0099431
  • Malonic
  • Methylmalonic

CPT Codes

83921

LOINC

  • 13964-2

Interface Order Code (OBR)

MMAC

Interface Result Code (OBX)

MMAC1
Collecting

Ordering Recommendations

Use to evaluate vitamin B12 deficiency in individuals with macrocytic or unexplained anemia, or unexplained neurologic disease. Preferred test is Vitamin B12 with Reflex to Methylmalonic Acid, Serum (Vitamin B12 Status) (0055662).

Collect

Plain red or serum separator tube. Also acceptable: Green (sodium heparin), green (lithium heparin), lavender (EDTA), or pink (K2EDTA).

Specimen Preparation

Centrifuge and remove serum or plasma from cells within 2 hours of collection. Transfer 1.2 mL serum or plasma to an ARUP standard transport tube and refrigerate or freeze immediately. (Min: 0.6 mL)

Storage/Transport Temperature

Frozen.

Stability (from collection to initiation)

After separation from cells: Ambient: Unacceptable; Refrigerated: 1 week; Frozen: 1 month

Unacceptable Conditions

Room temperature specimens. Grossly hemolyzed or lipemic specimens.

Referral Lab

Resulting

Performed

Sun-Sat

Reported

1-5 days

Methodology

Quantitative Liquid Chromatography-Tandem Mass Spectrometry

Reference Interval

0.00-0.40 µmol/L
Additional Information

Synonyms

  • Cobalamin Deficiency (Methylmalonic Acid, Serum or Plasma (Vitamin B12 Deficiency))
  • Methylmalonate (Methylmalonic Acid, Serum or Plasma (Vitamin B12 Deficiency))
  • MMA (Methylmalonic Acid, Serum or Plasma (Vitamin B12 Deficiency))
  • Vitamin B12 Deficiency (Methylmalonic Acid, Serum or Plasma (Vitamin B12 Deficiency))
  • 0099431
  • Malonic
  • Methylmalonic
Coding

CPT Codes

83921
Interface Mapping

LOINC

  • 13964-2

Interface Order Code (OBR)

MMAC

Interface Result Code (OBX)

MMAC1

ARUP Consult®

Disease Topics