Understanding Your Laboratory Test: What It Is, Why It Is Ordered, and What the Results Mean
A blood test that measures different types of acylcarnitines to help detect inherited metabolic disorders affecting how the body processes fats for energy.
{"Measures specific molecules (acylcarnitines) in your blood","Helps diagnose fatty acid oxidation disorders and organic acidemias","Commonly used for newborn screening follow-up or when symptoms suggest a metabolic problem","Requires a small blood sample drawn from a vein","Results help doctors identify rare but treatable genetic metabolic conditions"}
Key facts at a glance
- LOINC
- 50164-3
- Short code
- ACYLP
- Synonyms
- Acylcarnitine pattern Spec-Imp
- Category
- chemistry
- Sample
- serum
- Container
- Serum separator tube (SST) or dried blood spot (DBS) card
- Units
- N/A
- Fasting
- false
- Population
- adult
- Sex
- all
- Age range
- ≥ 0 years
- Method
- Tandem Mass Spectrometry (MS/MS)
- CPT
- 82017
- SNOMED
- 122465009
- Specimen volume
- 0.5 mL serum minimum; 3-4 blood spots for DBS
- Stability
- Serum: 7 days at 2-8°C, 30 days at -20°C. DBS: 7 days at room temperature, 30 days refrigerated. Avoid repeated freeze-thaw cycles.
- Hemolysis max
- 50
- Lipemia max
- 100
- Icterus max
- 20
- TAT
- 48–96 hours
- Order
- routine
This test is a laboratory analysis performed on a sample of your blood, urine, or other body fluid. It helps your healthcare provider evaluate how well your body is functioning and look for signs of illness, infection, or other medical conditions.
The acylcarnitine pattern test is a specialized blood test that measures the levels of different acylcarnitine molecules in your blood. Acylcarnitines are substances produced when your body breaks down fatty acids for energy. This test helps doctors see if there is an abnormal pattern that might indicate an inherited metabolic disorder.
Your provider may order this test as part of a routine checkup, to help find the cause of symptoms you are experiencing, to monitor an ongoing health condition, or to check how well a treatment you are receiving is working over time.
This test is typically ordered for one of two reasons: (1) as a follow-up to abnormal newborn screening results, or (2) when a person - especially a child - shows symptoms of a metabolic disorder such as recurrent vomiting, low blood sugar, muscle weakness, developmental delays, or unexplained metabolic crises. It helps identify conditions where the body cannot properly convert fats into energy.
The test is performed by collecting a small sample, usually from a vein in your arm with a thin needle, or sometimes from a urine specimen. The collection takes only a few minutes, and the sample is then sent to a laboratory for analysis by trained staff.
A healthcare professional will draw a small sample of blood from a vein in your arm. The blood is collected into a special tube and sent to a laboratory for analysis. The test measures various acylcarnitine species, which can indicate specific types of metabolic disorders. No special preparation (like fasting) is usually required, but follow your doctor's instructions.
Your results are compared with established reference ranges used by the laboratory. Values within the normal range generally suggest typical body function, while values that are higher or lower than expected may point to a condition that needs further evaluation, monitoring, or follow-up testing.
The results show the levels of different acylcarnitines. An abnormal pattern - where certain acylcarnitines are too high or too low - can suggest specific metabolic disorders. Your doctor will interpret the results based on your symptoms, medical history, and other tests. If an abnormality is found, genetic counseling and additional testing may be recommended.
Reference range
Normal acylcarnitine pattern. No abnormal elevations detected. Specific acylcarnitine species are evaluated against age-appropriate reference ranges. Interpretation considers the overall pattern rather than individual values.N/A
No special preparation required. Test can be performed on both fasting and non-fasting patients. For newborn screening, specimen should be collected prior to any metabolic treatment interventions.
Clinical interpretation
How abnormal results are interpreted and what conditions they suggest.
◆Associated findings1
Frequently asked questions
Is fasting required before the test?
Does the test hurt?
How long does it take to get results?
What happens if my results are abnormal?
Is this test only for children?
Sources
- 1
- 2
Click any link to access the full source. PubMed Central (PMC) links provide free full-text access.
This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.
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 10, 2026. · Read our editorial policy