Test Overview
Test Methodology

HPLC/Electrochemistry

Test Usage

CSF 5-Methyltetrahydrofolate is useful for determining a deficiency of folate in the central nervous system. CSF 5-Methyltetrahydrofolate may also be used for assessment of Variants of Uncertain Significance (VUS) identified during genetic testing (e.g. Next Generation Sequencing or Capillary Sequencing Testing). 5-Methyltetrahydrofolate (5-MTHF) is the predominant form of folate in cerebrospinal fluid (CSF). Low CSF 5-MTHF levels are associated with inborn errors of metabolism affecting folate metabolism , dietary deficiency of folate, cerebral folate syndromes and Kearns-Sayre syndrome. Symptoms may include, anemia, developmental delay, seizures, depression and dementia.

Test Details
Analytic Time

10 - 14 days

Soft Order Code
5METH
MiChart Code
5-Methyltetrahydrofolate (CSF)
Synonyms
    Laboratory
    Sendout
    Reference Laboratory
    Medical Neurogenetics (MNG) Labcorp #620008
    Section
    Special Testing
    Specimen Requirements
    Collection

    Collect samples into 5 numbered 2.0 mL microcentrifuge tubes (or similar): Tube 1: 0.5 mL, Tube 2: 1.0 mL, Tube 3: 1.0 mL, Tube 4: 1.0 mL, Tube 5: 1.0 mL OR collect entire sample into a single sterile tube, which is considered a pooled CSF sample. Freeze.

    Special Handling

    As of 6/13/25 MNG is considered part of Labcorp. All samples are to be shipped to Labcorp Dublin now.

    Normal Volume
    4.5 mL CSF
    Storage Temperature
    Strict frozen
    Additional Information

    Test sent to MNG Laboratories.

    Billing
    CPT Code
    82542
    Fee Code
    AA309
    NY State Approved
    No