Gadolinium, 24 Hour, Urine

Test Code
37317


CPT Codes
83018

Preferred Specimen
10 mL of a 24-hour urine collected in plastic aliquot container with no metal cap or glued insert


Patient Preparation
High concentrations of gadolinium and iodine are known to interfere with most metals tests. If either gadolinium- or iodine-containing contrast media has been administered, a specimen should not be collected for 96 hours.

Minimum Volume
0.3 mL


Other Acceptable Specimens
Plastic aliquot with 6m hydrochloric acid or 6m nitric acid


Instructions
Note: 24-Hour volume is required.
1.) Collect urine for 24 hours.
2.) Refrigerate specimen within 4 hours of completion of 24-hour collection.
3.) See Mayo website for Trace Metals Analysis Specimen Collection and Transport in Special Instructions for complete instructions.

Additional Information: See Mayo website for Urine Preservatives-Collection and Transportation for 24-Hour Urine Specimens in Special Instructions for multiple collections.


Transport Temperature
Refrigerated (cold packs)


Specimen Stability
Room temperature: 28 days
Refrigerated: 28 days
Frozen: 28 days


Methodology
Inductively Coupled Plasma-Mass Spectrometry

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

Setup Schedule
Thursday Morning Report available: Next Day


Reference Range
0-17 years: Not established
≥18 years: 0.0-1.0 mcg/24 h


Clinical Significance
Assessing chronic exposure and monitoring effectiveness of dialysis in a 24-hour urine collection.




The CPT Codes provided in this document are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payor being billed. Any Profile/panel component may be ordered separately. Reflex tests are performed at an additional charge.