Sign in →

Test Code C5DCU C5-DC Acylcarnitine, Quantitative, Random, Urine

Performing Laboratory

Mayo Clinic Laboratories in Rochester

Reporting Name

C5-DC Acylcarnitine, QN, U

Specimen Type

Urine


Ordering Guidance


This second-tier test is used specifically to evaluate a newborn screening elevation of glutarylcarnitine and must not be ordered with either C4U / C4 Acylcarnitine, Quantitative, Random, Urine or C5OHU / C5-OH Acylcarnitine, Quantitative, Random, Urine.

 

For general screening for metabolic disorders, see OAU / Organic Acids Screen, Random, Urine; ACRN / Acylcarnitines, Quantitative, Plasma; and AAQP / Amino Acids, Quantitative, Plasma.



Necessary Information


Include patient's age, family history, clinical condition (asymptomatic or acute episode), diet, and drug therapy information.

Specimen Required


Patient Preparation: If clinically feasible, discontinue L-carnitine supplementation at least 72 hours before specimen collection.

Supplies: Urine Tubes, 10 mL (T068)

Collection Container/Tube: Clean, plastic urine collection container

Submission Container/Tube: Plastic, 10-mL urine tube

Specimen Volume: 5 mL

Collection Instructions:

1. Collect a random urine specimen.

2. Freeze specimen immediately.


Reject Due To

  All specimens will be evaluated at Mayo Clinic Laboratories for test suitability.

Specimen Stability Information

Specimen Type Temperature Time Special Container
Urine Frozen (preferred) 7 days
  Refrigerated  24 hours

Specimen Minimum Volume

1 mL

Day(s) Performed

Monday, Wednesday, Friday

Specimen Retention Time

1 month

Report Available

2 to 5 days

Reference Values

<1.54 millimoles/mole creatinine

Useful For

Evaluation of patients with an abnormal newborn screen showing elevations of glutarylcarnitine

 

Diagnosis of glutaric aciduria type 1 deficiency

CPT Code Information

82017

LOINC Code Information

Test ID Test Order Name Order LOINC Value
C5DCU C5-DC Acylcarnitine, QN, U 54279-5

 

Result ID Test Result Name Result LOINC Value
88831 C5-DC Acylcarnitine, QN, U 54279-5
28126 C5-DC Interpretation 59462-2
34470 Reviewed By 18771-6

Genetics Test Information

Elevated glutarylcarnitine (C5-DC) in plasma or newborn screening blood spots is due to glutaric aciduria type 1 (GA-1), also known as glutaric acidemia type 1.

 

Urine C5-DC is a biochemical marker of GA-1 that appears to be elevated even in low excretors, who are affected patients with normal levels of glutaric acid in urine.