Skip to content

Alpha-Gamma-Amanitin, Urine — Mass Concentration

Published: August 9, 2026Updated: August 16, 2026

A urine test that measures alpha-gamma-amanitin, a poisonous mushroom toxin, to help evaluate suspected amatoxin poisoning.

Quick summary

["A detectable urine level can support the diagnosis of poisonous mushroom exposure."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
74104-1
Short code
Alpha+gamma-amanitin Ur IA-mCnc
Synonyms
Alpha+gamma-amanitin Ur IA-mCnc
Category
liver
Sample
urine
Container
Sterile urine container
Units
N/A
Ref low
44
Ref high
147
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
ia
CPT
84075
SNOMED
27550007
Specimen volume
10 mL
Stability
Room temperature: 2h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
0
Lipemia max
0
Icterus max
0
TAT
4–24 hours
Order
routine

What is this test?

This test measures the amount of alpha-gamma-amanitin in urine. Alpha-gamma-amanitin is a toxin found in certain poisonous mushrooms, including some Amanita species.

Why might I need this test?

It may be ordered when someone has eaten wild mushrooms and has symptoms suggesting amatoxin poisoning, such as severe nausea, vomiting, abdominal pain, or changes in liver function. The result can help clinicians confirm suspected exposure.

How is the test performed?

A urine specimen is collected and analyzed in a laboratory using a validated chemical method. The laboratory reports the toxin concentration in the urine.

How do I prepare for the test?

Follow the laboratory's instructions for urine collection and timing. If mushroom poisoning is suspected, seek emergency medical care immediately rather than waiting for this test; treatment and poisoning-center consultation should not be delayed.

Reference range

Adult: 44-147 U/LN/A

Specimen: urine

No special preparation required. Avoid fatty meals before the test if possible.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Detecting alpha-gamma-amanitin in urine supports exposure to amatoxin-containing mushrooms. A positive result may help explain severe gastrointestinal symptoms and the risk of liver injury, even if symptoms begin after a delay. A negative result does not completely exclude poisoning because toxin levels can fall over time or fall below the test's detection limit.

Short name

Alpha-Gamma-Amanitin, Urine

Frequently asked questions

Does a positive result mean I ate a poisonous mushroom?
It indicates that the toxin was detected in your urine and is consistent with exposure to an amatoxin-containing mushroom. It does not identify the specific mushroom or establish how much was consumed.
Can this test rule out mushroom poisoning?
No. A negative result cannot completely exclude poisoning, especially if testing is delayed or symptoms started after the toxin level in urine declined.
What should I do if I suspect mushroom poisoning?
Seek emergency medical care and contact a poison-control center immediately. Do not wait for laboratory confirmation, and do not induce vomiting unless a medical professional specifically instructs you to do so.
  1. 1
  2. 2
  3. 3

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.

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 16, 2026. · Read our editorial policy