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Published: August 9, 2026Updated: August 15, 2026

This blood test measures amino acids involved in the urea cycle to help diagnose disorders that affect how your body removes ammonia.

Quick summary

{"Measures amino acids (arginine, citrulline, ornithine) in blood","Helps diagnose urea cycle disorders that cause ammonia buildup","Performed using advanced mass spectrometry technology","Requires fasting overnight before blood draw","Results help guide treatment for metabolic disorders"}

Medically reviewed by WellAlly Editorial TeamLast reviewed August 15, 2026Editorial policy

Key facts at a glance

LOINC
100368-0
Short code
AA Urea Cycle Panel
Synonyms
AAUCD SerPl LC/MS/MS
Category
chemistry
Sample
serum
Container
Serum separator tube (SST) or plain red top tube; plasma (EDTA or heparin) acceptable
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
≥ 0 years
Method
lc-ms-ms
CPT
82131
SNOMED
313335009
Specimen volume
1-2 mL serum or plasma minimum
Stability
Room temperature: 24 hours; Refrigerated (2-8°C): 72 hours; Frozen (-20°C or below): 2 weeks to 30 days
Hemolysis max
50
Lipemia max
300
Icterus max
20
TAT
72–168 hours
Order
routine

What is this test?

The Amino Acids Urea Cycle Panel is a blood test that measures the levels of specific amino acids involved in the urea cycle. The urea cycle is a process in your liver that converts harmful ammonia into urea, which is then excreted in urine. This test uses a sophisticated laboratory method called liquid chromatography-tandem mass spectrometry (LC/MS/MS) to accurately measure amino acid levels in your blood.

Why do I need this test?

Your doctor may order this test if you have symptoms of a urea cycle disorder, such as unusual sleepiness, vomiting, confusion, or developmental delays, especially in infants and children. It may also be used to monitor patients already diagnosed with urea cycle disorders or to evaluate family members of affected individuals.

How should I prepare?

You will typically need to fast (not eat or drink anything except water) for 8-12 hours before the blood draw. Your doctor will provide specific instructions. Certain medications may affect test results, so inform your healthcare provider about all medications and supplements you are taking.

What happens during the test?

A healthcare professional will draw a small blood sample from a vein in your arm. The blood will be collected in a tube and sent to a laboratory for analysis using LC/MS/MS technology. The test typically takes a few days to complete as special equipment is required.

Are there any risks?

The risks are minimal and include slight pain or bruising at the injection site, dizziness, or very rarely, infection. These blood draw risks are generally minor and resolve quickly.

Reference range

Reference ranges are specific to each amino acid measured in the panel. Results are interpreted based on age-specific reference intervals for individual amino acids including arginine, citrulline, ornithine, carbamoyl phosphate, and related metabolites.N/A

Specimen: serum

No special preparation required. Fasting is not mandatory but may be requested for certain clinical indications. Collect specimen according to standard venipuncture protocol.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Frequently asked questions

What do abnormal results mean?
Abnormal amino acid levels can indicate specific urea cycle disorders. For example, low citrulline may suggest ornithine transcarbamylase deficiency, while high arginine may indicate argininosuccinic aciduria. Your doctor will interpret your results based on your symptoms and other test findings.
How long does it take to get results?
Results typically take 3-7 days because the test requires specialized laboratory equipment and expertise. Your healthcare provider will contact you with results once they are available.
Do I need to stop taking my medications?
Do not stop taking prescription medications without consulting your doctor. Some medications can affect amino acid levels, and your healthcare team will determine if any adjustments are needed before testing.
Can this test be done on children?
Yes, this test is commonly performed on children, especially infants and young children, as urea cycle disorders often present early in life. The blood draw procedure is the same as for adults, though smaller needles may be used.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 15, 2026. · Read our editorial policy