Amylase Isoenzymes with Reflex to Macroamylase
Test Code
36187
82150 (x2)
Clinical Significance
Amylase Isoenzymes with Reflex to Macroamylase - Amylase is produced primarily in the pancreas and salivary glands. Isoenzymes may be used to determine the source of an elevated amylase concentration. Macroamylase is a laboratory and not a clinical entity. Amylase can complex with immunoglobulins or other high molecular weight proteins and serum amylase will appear falsely elevated. No clinical symptoms are associated with macroamylasemia.
Test Resources
None found for this test
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Test Details
Amylase, Pancreatic Isoenzyme, Salivary Isoenzymes (calculated)
If Amylase Isoenzymes are >115 U/L, then Macroamylase will be performed at an additional charge (CPT code(s): 82150).
If Amylase Isoenzymes are >115 U/L, then Macroamylase will be performed at an additional charge (CPT code(s): 82150).
Methodology
Enzymatic
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)
| Amylase | 21-101 U/L |
| Pancreatic Isoenzyme | 16-46 U/L |
| Salivary Isoenzymes | 4-61 U/L |
Preferred Specimen(s)
2 mL serum
Minimum Volume
1 mL
Transport Container
Transport tube
Transport Temperature
Refrigerated (cold packs)
Specimen Stability
- Room temperature: Unacceptable
- Refrigerated: 7 days
- Frozen: 21 days
Reject Criteria
Gross hemolysis
Setup Schedule
2 mL serum
1 mL
Transport tube
Refrigerated (cold packs)
Room temperature: Unacceptable
Refrigerated: 7 days
Frozen: 21 days
Refrigerated: 7 days
Frozen: 21 days
Gross hemolysis