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Intracellular Micronutrient Testing Panel

Section: Laboratory
Effective Date: September 01, 2019
Revised Date: July 31, 2019

Description

Intracellular micronutrient testing (also known as: micronutrient testing, essential metabolic analysis, leukocyte nutrient analysis, functional micronutrient analysis) is a novel lab panel that measures the intracellular level of multiple nutrients. Micronutrients measured by this test include but are not limited to the following:

  • Vitamins- A, B1, B2, B3, B6, B12, C, D, K, E
  • Biotin, Folate, Pantothenate,
  • Minerals- Calcium, Magnesium, Manganese, Zinc, Copper
  • Amino Acids, Asparagine, Glutamine, Serine
  • Fatty acids, Oleic Acid
  • Antioxidants -Alpha Lipoic Acid, Coenzyme Q10, Cysteine, Glutathione, Selenium
  • Carbohydrate Metabolism- Chromium, Fructose Sensitivity, Glucose-Insulin Metabolism
  • Metabolites- Choline, Inositol. Carnitine
  • Total antioxidant function and immune Response Score (offered by SpectrCell Laboratories)

Criteria

Intracellular micronutrient testing panel is considered experimental/investigational, and therefore, non-covered because the safety and/or effectiveness of this service cannot be established by the available published peer-reviewed literature.

Procedure Codes

82136 82180 82306 82310 82379 82495 82525
82607 82652 82725 82746 82978 83735 83785
84207 84252 84255 84425 84446 84590 84591
84597 84630 84999 86353 88348

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