Test Code PIPA Pipecolic Acid, Serum
Reporting Name
Pipecolic Acid, SUseful For
Differentiating between disorders of peroxisomal biogenesis (eg, Zellweger syndrome) and disorders with loss of a single peroxisomal function
Detecting abnormal elevations of pipecolic acid in serum
Testing Algorithm
For more information see Epilepsy: Unexplained Refractory and/or Familial Testing Algorithm
Method Name
Gas Chromatography Mass Spectrometry (GC-MS)
Performing Laboratory
 Mayo Clinic Laboratories in Rochester
 Mayo Clinic Laboratories in Rochester
Specimen Type
SerumNecessary Information
Patient's age is required.
Specimen Required
Patient Preparation:
Fasting 12 hours, required; Infants and small children should have specimen collected before next feeding/meal
Supplies: Sarstedt Aliquot Tube, 5 mL (T914)
Collection Container/Tube:
Preferred: Serum gel
Acceptable: Red top
Submission Container/Tube: Plastic vial
Specimen Volume: 1.5 mL serum
Collection Instructions: Centrifuge and aliquot serum into plastic vial.
Specimen Minimum Volume
Serum: 1 mL
Specimen Stability Information
| Specimen Type | Temperature | Time | 
|---|---|---|
| Serum | Frozen (preferred) | 94 days | 
| Refrigerated | 14 days | 
Reject Due To
| Gross hemolysis | OK | 
| Gross lipemia | OK | 
| Gross icterus | OK | 
Special Instructions
Reference Values
<6 months: ≤6.0 nmol/mL
6 months-<1 year: ≤5.9 nmol/mL
1-17 years: ≤4.3 nmol/mL
≥18 years: ≤7.4 nmol/mL
Day(s) Performed
Tuesday
CPT Code Information
82542
LOINC Code Information
| Test ID | Test Order Name | Order LOINC Value | 
|---|---|---|
| PIPA | Pipecolic Acid, S | 32334-5 | 
| Result ID | Test Result Name | Result LOINC Value | 
|---|---|---|
| 81326 | Pipecolic Acid, S | 32334-5 | 
| 29962 | Interpretation | 59462-2 | 
| 29964 | Reviewed By | 18771-6 | 
 
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