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Test Code LAB69 Folate

Performing Laboratory

Asante Rogue Regional Medical Center

Specimen Minimum Volume

0.5 mL

Billing Code

2070167

Methodology

Chemiluminescence (CLIA)

Specimen Requirements

 

Yellow (Gold) top tube (SST)  (Preferred)

Plain Red top tube

Patient should be fasting if possible

Protecting specimen from light is not required but is best practice. Indoor fluorescent lighting has been shown to have little effect on folate for up to one week.

Day(s) Test Set Up

Monday through Sunday

Test Classification and CPT Coding

82746  -  Folic acid; serum

Additional Information

The term “folate” refers to all derivatives of folic acid.  Approximately 20% of the folate absorbed daily is derived from dietary sources; the remainder is synthesized by intestinal microorganisms.  Folate deficiency is most commonly due to insufficient dietary intake and is most commonly encountered in pregnancy or in alcoholics.  Other causes of low serum folate concentration may be excessive utilization, as seen in liver disease, hemolytic disorders and malignancies.  In men, folate deficiency is characteristically associated with macrocytosis and megaloblastic anemia. 

Reasons for Rejection

Hemolysis

Not centrifuged and refrigerated within 2 hours of collection

Quantity not sufficient (QNS)

Lack of Two Patient Identifiers:

         1-Patient’s First & Last name 

         2-Patient’s Date of Birth

Performing Department

Chemistry

Specimen Transport Temperature and Stability

Centrifuge and refrigerate within 2 hours of collection

Spun SST or aliquoted red top is stable 48 hours at 2° to 8° C

Freeze serum if testing is delayed