N-Methylhistamine, Random, Urine

N-Methylhistamine, Random, Urine

Test Code

39604
82542, 82570
39604
82542, 82570
This test is not available in all locations. Please provide SERVICE AREA INFORMATION to confirm Test Code for the lab that services your account or to find available tests you can order.
In-home collection is not available in your area through Quest Mobile.

Clinical Significance

N-Methylhistamine, Random, Urine - Screening for and monitoring of mastocytosis and disorders of systemic mast-cell activation, such as anaphylaxis and other forms of severe systemic allergic reactions using random urine specimens.

Monitoring therapeutic progress in conditions that are associated with secondary, localized, low-grade persistent, mast-cell proliferation and activation such as interstitial cystitis.

Test Resources

None found for this test
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Test Details

Includes

  • Creatinine

Patient Preparation

Patient must not be taking monoamine oxidase inhibitors (MAOIs) or aminoguanidine as these medications increase N-methylhistamine (NMH) levels.

Methodology

Liquid Chromatography/Tandem Mass Spectrometry (LC/MS/MS) • Enzymatic Colorimetric Assay

Reference Range(s)

N-Methylhistamine, Random, Urine

0-5 years 120-510 mcg/g Cr
6-16 years 70-330 mcg/g Cr
>16 years 30-200 mcg/g Cr
   
Creatinine, Random, Urine See Laboratory Report

LOINC® Codes, Performing Laboratory

Creatinine
Patient must not be taking monoamine oxidase inhibitors (MAOIs) or aminoguanidine as these medications increase N-methylhistamine (NMH) levels.

Methodology

Liquid Chromatography/Tandem Mass Spectrometry (LC/MS/MS) • Enzymatic Colorimetric Assay

Reference Range(s)

N-Methylhistamine, Random, Urine
0-5 years 120-510 mcg/g Cr
6-16 years 70-330 mcg/g Cr
>16 years 30-200 mcg/g Cr
   
Creatinine, Random, Urine See Laboratory Report

Preferred Specimen(s)

5 mL urine collected in a sterile, screw-cap container with no preservative

Minimum Volume

3 mL

Collection Instructions

1. Collect a random urine specimen within a few hours of symptom onset.
2. No preservative

Advisory Information: Patients with chronic mast cell activation often have chronically elevated N-methylhistamine (NMH) levels and will sometimes have intermittent NMH elevations. In these cases, a 24-hour urine collection is preferred. See 39559-N-Methylhistamine, 24 Hour, Urine.

Transport Container

Plastic urine container

Transport Temperature

Frozen

Specimen Stability

  • Room temperature: 14 days
  • Refrigerated: 28 days
  • Frozen: 28 days

Setup Schedule

5 mL urine collected in a sterile, screw-cap container with no preservative
3 mL
1. Collect a random urine specimen within a few hours of symptom onset.
2. No preservative

Advisory Information: Patients with chronic mast cell activation often have chronically elevated N-methylhistamine (NMH) levels and will sometimes have intermittent NMH elevations. In these cases, a 24-hour urine collection is preferred. See 39559-N-Methylhistamine, 24 Hour, Urine.
Plastic urine container
Frozen
Room temperature: 14 days
Refrigerated: 28 days
Frozen: 28 days
This test is not available in all locations. Please provide ACCOUNT INFORMATION NEEDED to confirm Test Code for the lab that services your account or 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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