Micronutrients, Antioxidants Panel

Micronutrients, Antioxidants Panel

Test Code

10187
82542, 84590, 82180, 84446
CPT Code is subject to a Medicare Limited Coverage Policy and may require a signed ABN when ordering.
10187
82542, 84590, 82180, 84446
CPT Code is subject to a Medicare Limited Coverage Policy and may require a signed ABN when ordering.
Not offered in Quest Diagnostics Nichols Institute (IFD) – San Juan Capistrano | Quest Nichols Institute -San Juan Capistrano, CA. Please provide SERVICE AREA INFORMATION to find available tests you can order.
In-home collection is not available in your area through Quest Mobile.

Clinical Significance

Micronutrients, Antioxidants Panel

Test Resources

None found for this test
Please visit our Clinical Education Center to stay informed on any future publications, webinars, or other education opportunities.

Test Details

Includes

  • 10178 - Micronutrient, Coenzyme Q10 (CoQ10)
    10179 - Micronutrient, Vitamin A (Retinol)
    10181 - Micronutrient, Vitamin C
    10183 - Micronutrient, Vitamin E (Alpha Tocopherol and Beta Gamma Tocopherol)

Patient Preparation

Overnight fasting required.
Avoid taking Coenzyme Q10 supplements the morning of the test.
Refrain from eating fruits or taking vitamin C supplements 24 hours prior to collection.

Methodology

Chromatography • Liquid Chromatography/Tandem Mass Spectrometry (LC/MS/MS)

Assay Category

Micronutrient, Coenzyme Q10 (CoQ10): This test was developed and its performance characteristics determined by the Cleveland HeartLab, Inc. It has not been cleared or approved by the U.S. FDA. The Cleveland HeartLab, Inc. is regulated under Clinical Laboratory Improvement Amendments (CLIA) as qualified to perform high-complexity testing. This test is used for clinical purposes. It should not be regarded as investigational or for research.

Micronutrient, Vitamin A (Retinol), Vitamin C, and Vitamin E: This test was developed and its analytical performance characteristics have been determined by Quest Diagnostics. It has not been cleared or approved by FDA. This assay has been validated pursuant to the CLIA regulations and is used for clinical purposes.

Reference Range(s)

Coenzyme Q10 (CoQ10)>35 ug/mL

Vitamin A (Retinol)
18-19 years26-72 mcg/dL
>19 years38-98 mcg/dL
Reference range not available for individuals <18 years for this micronutrient test.

Vitamin C
Male ≥18 years0.2-2.1 mg/dL
Female ≥18 years0.3-2.7 mg/dL
Reference range not available for individuals <18 years for this micronutrient test.

Vitamin E
Vitamin E, Alpha Tocopherol≥18 years5.7-19.9 mg/L
Vitamin E, Beta-Gamma Tocopherol≥18 years<4.4 mg/L
Reference range not available for individuals <18 years for this micronutrient test.

LOINC® Codes, Performing Laboratory

10178 - Micronutrient, Coenzyme Q10 (CoQ10)
10179 - Micronutrient, Vitamin A (Retinol)
10181 - Micronutrient, Vitamin C
10183 - Micronutrient, Vitamin E (Alpha Tocopherol and Beta Gamma Tocopherol)
Overnight fasting required.
Avoid taking Coenzyme Q10 supplements the morning of the test.
Refrain from eating fruits or taking vitamin C supplements 24 hours prior to collection.

Methodology

Chromatography • Liquid Chromatography/Tandem Mass Spectrometry (LC/MS/MS)
Micronutrient, Coenzyme Q10 (CoQ10): This test was developed and its performance characteristics determined by the Cleveland HeartLab, Inc. It has not been cleared or approved by the U.S. FDA. The Cleveland HeartLab, Inc. is regulated under Clinical Laboratory Improvement Amendments (CLIA) as qualified to perform high-complexity testing. This test is used for clinical purposes. It should not be regarded as investigational or for research.

Micronutrient, Vitamin A (Retinol), Vitamin C, and Vitamin E: This test was developed and its analytical performance characteristics have been determined by Quest Diagnostics. It has not been cleared or approved by FDA. This assay has been validated pursuant to the CLIA regulations and is used for clinical purposes.

Reference Range(s)

Coenzyme Q10 (CoQ10)>35 ug/mL

Vitamin A (Retinol)
18-19 years26-72 mcg/dL
>19 years38-98 mcg/dL
Reference range not available for individuals <18 years for this micronutrient test.

Vitamin C
Male ≥18 years0.2-2.1 mg/dL
Female ≥18 years0.3-2.7 mg/dL
Reference range not available for individuals <18 years for this micronutrient test.

Vitamin E
Vitamin E, Alpha Tocopherol≥18 years5.7-19.9 mg/L
Vitamin E, Beta-Gamma Tocopherol≥18 years<4.4 mg/L
Reference range not available for individuals <18 years for this micronutrient test.

Preferred Specimen(s)

3 mL serum - protected from light

Minimum Volume

1.5 mL

Collection Instructions

Patients should be 18 years of age or greater.

Gently invert specimen 5 times (DO NOT SHAKE!), allow to clot for 30-60 minutes at room temperature, centrifuge 10 minutes.

Separate serum into 3 amber plastic transport tubes:
1 mL (0.5 mL min) for Vitamin A and E, protect from light, ship frozen (can be refrigerated).
1 mL (0.5 mL min) for Vitamin C, freeze immediately, protect from light, ship frozen.
1 mL (0.5 mL min) for CoQ10, protect from light, ship refrigerated. Do not ship on dry ice.

Coenzyme Q10 must NOT be shipped on dry ice.

Vitamin C must be shipped on dry ice. Additionally, for remote collection sites, or those with no access to ultra-low freezers or dry ice, it is recommended to schedule patient visits/draws after 12:00 p.m. local time and store the samples at -10° C to -30° C freezers (stable for 8 hours) until picked up by courier. Couriers should then transfer samples to -70° C storage (on dry ice) while enroute to the performing site location.

Transport Container

Ship in amber tube or wrap specimen tubes in aluminum foil to protect from light

Transport Temperature

⁠⁠⁠⁠⁠⁠⁠Vitamins A and E, Coenzyme Q10: Refrigerated (cold packs)
Vitamin C: Frozen -70° C

Specimen Stability

  • Coenzyme Q10 (CoQ10)
    Room temperature: Unacceptable
    Refrigerated: 14 days
    Frozen: 6 weeks

    Vitamin A and Vitamin E
    Room temperature: 24 hours
    Refrigerated: 7 days
    Frozen: 28 days

    Vitamin C
    Room temperature: Unacceptable
    Refrigerated: Unacceptable
    Frozen -20° C: 8 hours
    Frozen -70° C: 35 days

Reject Criteria

Hemolysis • Lipemia • Received room temperature • Not protected from light • Vitamin C received refrigerated

Setup Schedule

3 mL serum - protected from light
1.5 mL
Patients should be 18 years of age or greater.

Gently invert specimen 5 times (DO NOT SHAKE!), allow to clot for 30-60 minutes at room temperature, centrifuge 10 minutes.

Separate serum into 3 amber plastic transport tubes:
1 mL (0.5 mL min) for Vitamin A and E, protect from light, ship frozen (can be refrigerated).
1 mL (0.5 mL min) for Vitamin C, freeze immediately, protect from light, ship frozen.
1 mL (0.5 mL min) for CoQ10, protect from light, ship refrigerated. Do not ship on dry ice.

Coenzyme Q10 must NOT be shipped on dry ice.

Vitamin C must be shipped on dry ice. Additionally, for remote collection sites, or those with no access to ultra-low freezers or dry ice, it is recommended to schedule patient visits/draws after 12:00 p.m. local time and store the samples at -10° C to -30° C freezers (stable for 8 hours) until picked up by courier. Couriers should then transfer samples to -70° C storage (on dry ice) while enroute to the performing site location.
Ship in amber tube or wrap specimen tubes in aluminum foil to protect from light
⁠⁠⁠⁠⁠⁠⁠Vitamins A and E, Coenzyme Q10: Refrigerated (cold packs)
Vitamin C: Frozen -70° C
Coenzyme Q10 (CoQ10)
Room temperature: Unacceptable
Refrigerated: 14 days
Frozen: 6 weeks

Vitamin A and Vitamin E
Room temperature: 24 hours
Refrigerated: 7 days
Frozen: 28 days

Vitamin C
Room temperature: Unacceptable
Refrigerated: Unacceptable
Frozen -20° C: 8 hours
Frozen -70° C: 35 days
Hemolysis • Lipemia • Received room temperature • Not protected from light • Vitamin C received refrigerated
Not offered in Quest Diagnostics Nichols Institute (IFD) – San Juan Capistrano | Quest Nichols Institute -San Juan Capistrano, CA. Please provide SERVICE AREA INFORMATION to find available tests you can order.
In-home collection is not available in your area through Quest Mobile.
Test Details

Clinical Significance

Test Resources

Reference ranges are provided as general guidance only. To interpret test results use the reference range in the laboratory report.

The CPT codes provided are based on AMA guidance and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payer being billed.

This material contains content from LOINC® (http://loinc.org). The LOINC Table, LOINC Table Core are copyright © 1995-2019, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee and is available at no cost under the license at http://loinc.org/license.

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