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Intact Fibroblast Growth Factor 23, Serum


Specimen Required


Supplies: Sarstedt Aliquot Tube, 5 mL (T914)

Collection Container/Tube:

Preferred: Serum gel

Acceptable: Red top

Submission Container/Tube: Plastic vial

Specimen Volume: 0.5 mL

Collection Instructions: Centrifuge and aliquot serum into a plastic vial.


Useful For

Diagnosing and monitoring tumor induced osteomalacia

 

Diagnosing X-linked hypophosphatemia or autosomal dominant hypophosphatemic rickets

 

Diagnosing familial tumoral calcinosis with hyperphosphatemia

Method Name

Chemiluminescence-Based Quantitative Sandwich Immunoassay

Reporting Name

Intact Fibroblast Growth Factor 23
Seattle Children's Hospital Note:

SCH Clinical System Name: Miscellaneous Lab Test

Specimen Type

Serum

Specimen Minimum Volume

0.25 mL

Specimen Stability Information

Specimen Type Temperature Time Special Container
Serum Refrigerated (preferred) 14 days
  Frozen  90 days

Reject Due To

Gross hemolysis Reject
Gross lipemia Reject
Gross icterus OK

Reference Values

Pediatric (<18 yrs): ≤52 pg/mL

Adults (≥18 yrs): ≤ 59 pg/mL

Method Description

The intact fibroblast growth factor 23 (FGF23) assay is a 2-site immunoenzymatic assay using 2 anti-human FGF23 mouse monoclonal antibodies. One antibody is coated onto microtiter wells and the other is alkaline phosphatase labeled. The signal generated is proportional to the concentration of intact FGF23 in the serum sample. The amount of intact FGF23 is determined by means of multipoint calibrator curve. Cross-reactivity of the assay with C-terminal FGF23 was evaluated in-house and determined to be no cross-reactivity with C-terminal FGF23 concentrations up to 230,680 pmol/L.(Unpublished Mayo method)

Day(s) Performed

Tuesday, Thursday

Report Available

2 to 8 days

Performing Laboratory

Mayo Clinic Laboratories in Rochester

Test Classification

This test was developed and its performance characteristics determined by Mayo Clinic in a manner consistent with CLIA requirements. It has not been cleared or approved by the US Food and Drug Administration.

CPT Code Information

83520

LOINC Code Information

Test ID Test Order Name Order LOINC Value
IFG23 Intact Fibroblast Growth Factor 23 54390-0

 

Result ID Test Result Name Result LOINC Value
607216 Intact Fibroblast Growth Factor 23 54390-0

Forms

If not ordering electronically, complete, print, and send 1 of the following forms with the specimen:

Renal Diagnostics Test Request (T830)

Oncology Test Request (T729)