Test Overview of Urine Amino Acid Panel
Measurement of amino acids and derivatives in the urine can help evaluate
nutritional status, the presence of inborn errors of metabolism,
urea cycle defects,
digestive and GI status, detoxification status, and neurological indicators.
Test Indications of Urine Amino Acid Panel
- Supplementary test for evaluating Autism Spectrum Disorder (ASD),
Pervasive Developmental Disorder (PDD), Asperger's Syndrome,
Attention-Deficit Hyperactivity Disorder (ADD, ADHD), learning disability,
depression, anxiety, seizure disorders, sleep and mood disorders.
- Supplementary test for evaluating environmental heavy metal toxicity.
- Evaluation of urea-cycle defects (inborn errors of metabolism).
- Evaluation of nutritional defects including maldigestion, malabsorption,
imbalanced protein intake.
- Evaluation of renal tubular defects leading to loss of amino acids.
- Headaches.
- Chronic fatigue and Fibromyalgia.
- Chronic illness and cancer.
Sample Collection for Urine Amino Acid Panel
- Your doctor will provide you with the sample collection kit that
includes sample container, gel-pack, and shipping materials.
- Avoid amino acid supplements and unusually large protein meals for 24
hours before collecting urine.
- Place gel-pack in the freezer the night before sample collection.
- Collect at least 15 mL of FIRST MORNING URINE, before eating or drinking
(or use special pediatric collection bag overnight if patient is not
potty trained).
- Refrigerate sample (do not freeze) until ready to send to lab.
- The sample must be sent via overnight FedEx directly to the lab
on a Monday through Thursday using the prepaid mailer provided.
- Detailed instructions are in the sample collection kit.
Your doctor or lab may have different instructions that supersede the above.
CPT CODES for Urine Amino Acid Panel
| CPT-Code | Description | Comments |
| 82139 | Amino Acids, 6 or more | |
| 82140 | Ammonia | |
Labs Performing Urine Amino Acid Panel Test
| Name of Lab | Lab Code | Estimated Cost | Processing Time | Comments |
Costs cited are subject to change and may be reduced by insurance or cash discounts and increased by sample collection fees.
Theory of Urine Amino Acid Panel
Depressed levels of all or many amino acids in the urine suggests low protein
intake, digestion (low HCl or proteases), or absorption, or dysbiosis.
Elevated levels of all or many amino acids in the urine suggests high protein
intake, renal tubular defect (genetic defect or toxicity).
Alanine
- Nonessential
- Elevated level suggests urea cycle defect.
L-alpha-amino-N-butyric Acid
Alpha-Aminoadipic Acid
- GI marker
- B vitamin marker
Ammonia
- GI marker
- Neurological marker
- Elevated level suggests urea cycle defect.
Anserine
Arginine
- Essential or conditionally indispensable
- Elevated level suggests urea cycle defect.
Asparagine
- Nonessential
- Urea cycle metabolite
Aspartic Acid
- Nonessential
- Detoxification marker
- Urea cycle metabolite
Beta-Alanine
- GI marker
- B vitamin marker
- Neurological marker
L-beta-aminoisobutyric Acid
- GI marker
- B vitamin marker
Carnosine
Citrulline
- Magnesium marker
- Elevated level suggests urea cycle defect.
Creatinine
- Used to normalize calculations of concentration.
Cystathionine
- B vitamin marker
- Neurological marker
Cysteine
- Essential or conditionally indispensable
- B vitamin marker
- Detoxification marker
Cystine
Ethanolamine
- GI marker
- Magnesium marker
Gamma-Aminobutyric Acid
Glutamic Acid
- Nonessential
- Excitatory neurotransmitter - associated with chronic fatigue,
fibromyalgia, seizures, attention deficit, and brain cancer.
- Found in monosodium glutamate (MSG) and aspartame (NutraSweet, Equal).
Glutamine
- Nonessential
- Detoxification marker
- Neurological marker
- Elevated level suggests urea cycle defect.
Glycine
- Nonessential
- Detoxification marker
Histidine
- Essential or conditionally indispensable
Homocysteine
L-hydroxyproline
Isoleucine
- Essential or conditionally indispensable
Leucine
- Essential or conditionally indispensable
Lysine
- Essential or conditionally indispensable
Methionine
- Essential or conditionally indispensable
- Detoxification marker
Methionine Sulfoxide
1-methylhistidine
3-Methylhistidine
Ornithine
- Elevated level suggests urea cycle defect.
Phenylalanine
- Essential or conditionally indispensable
- Neurological marker
Phosphoethanolamine
Phosphoserine
Proline
Sarcosine
Serine
- Nonessential
- Magnesium marker
- B vitamin marker
Taurine
- Essential or conditionally indispensable
- GI marker
- Magnesium marker
- Detoxification marker
- Neurological marker
Threonine
- Essential or conditionally indispensable
- GI marker
Tryptophan
- Essential or conditionally indispensable
- GI marker
- Neurological marker
Tyrosine
Nonessential
- Neurological marker
Urea
- Depressed level suggests urea cycle defect.
Valine
- Essential or conditionally indispensable
References regarding Urine Amino Acid Panel
[GP2008]  Great Plains Laboratory, William Shaw, Lori Knowles, Kurt Woeller.
Physician Practitioner Training (Autism) Lecture Notes and Documentation.
Tempe, AZ (8/23/2008 – 8/24/2008).
FULL TEXT
Unless specifically noted above, references used in the construction of this web
page include the following:
[FMU]
Lecture notes from Functional Medicine University.
[SCNM]
Lecture notes from Southwest College of Naturopathic Medicine.
[UT]
Lecture notes from the University of Tennessee graduate programs in
Chemistry, Microbiology, and Biochemistry.