Microalbumin, Urine, 24 hours 

Message
Chemistry


Test Code
LAB410


Alias/See Also
Urine Microalbumin 24 hours
Urine Albumin 24 hours


Preferred Specimen
24 hour urine specimen


Minimum Volume
300 uL urine


Instructions
No preservative necessary.
Refrigerate urine during collection.
Submit entire collection to Laboratory with completed order requisition, to include:
Date Urine Collection Started
Date Urine Collection Ends
Time Urine Collection Started
Time Urine Collection Ends

LAB: Properly labeled Timed collection received with Order requisition.
Measure urine volume and record on order requisition.
Mix well, aliquot 5 mL and centrifuge.

Take spun urine aliquot and Order Requisition to Tech for
testing.
Tech will verify HOURS of collection on Order Requisition:
Date Urine Collection Started
Date Urine Collection Ends
Time Urine Collection Started
Time Urine Collection Ends
 
Submit 5 mL random urine in a plastic, leak-proof container. Do not use preservatives. Mix well, if aliquotting. 
 
Vigorous exercise can cause a transient increase in albumin excretion. As a result, patients should refrain from vigorous exercise in the 24 hours prior to the test.
 


Transport Temperature
Room temperature


Specimen Stability
Room temperature: 1 day
Refrigerated: 7 days
Frozen: Not Recommended


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Acid preserved urine


Methodology
Turbidimetric

Setup Schedule
Everyday


Report Available
Within 8 hours


Limitations
Contamination of urine specimens with residual serum or plasma present on the surface of gloves, sample cups, caps, vial stoppers or disposable tips may result in falsely elevated urinary albumin values. Take precautionary measures to prevent contamination.
Urine samples should not be acidified.
Certain drugs and clinical conditions are known to alter urinary albumin concentration in vivo.


Reference Range
Category                             24 Hour Collection (mg/ 24 hours)
Normal:                                <30
Microalbuminuria                   30-300
Clinical Albuminuria:              >300

The ADA recommends that at least two of three specimens collected within a 3-6 month period be abnormal before considering a patient to be within a diagnostic category.
 


Performing Laboratory
Hoag Newport



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.