FATTY ACID PROFILE, PEROXISOMAL (C22-C26), SERUM Mnemonic MISC Synonym Very Long Chain Fatty Acids (VLCFA) - Refsum Disease - Zellweger Syndrome Includes Concentrations of C22:0, C24:0, C26:0 species, Phytanic acid and Pristanic acid, calculated C24:0/C22:0, C26:0/C22:0 and phytanic acid/pristanic acid ratios Specimen Collection Requirements Patient Preparation Fasting over night (12-14 hours). Patient must not consume alcohol for 24 hours before the specimen is drawn. Collect Serum, plain, red or gold (SST) top tube Handling Spin specimen down within 45 minutes of draw. Include information regarding treatment, family history, and tentative diagnosis. Preferred Volume 0.50 mL Minimum Volume 0.15 mL Transport Frozen Rejection Criteria Plasma Stability Ambient: Unacceptable; Refrigerated: 15 days; Frozen: 92 days Testing Information Performed Mon - Fri Reported 5-7 days Method Gas Chromatography-Mass Spectrometry (GC-MS), Stable Isotope Dilution Analysis Referral Lab Mayo Medical Laboratory (POX) Reference Values Reference Values Interpretation provided. CPT Codes 82726 Last Updated: Thursday, January 5, 2017 03:42:10 AM