Microalbumin, Urine Profile

Test Code
MICALB

CPT Codes
82043

Includes
Random specimen includes Urine Microalbumin, Urine Creatinine, and Albumin/Creatinine Volume. Timed specimens include: Hours Collected, Urine Microalbumin, Urine Creatinine, Albumin/Creatinine Ratio, Microalbumin/Total Volume Ratio

Preferred Specimen

Random or timed urine specimen



Minimum Volume
1 mL

Instructions

Collect random specimen or timed specimen per orders.  For timed specimen, record start and stop time of collection or number of hours.  To transfer specimen from large container to smaller container for transport, measure volume first and record on smaller specimen container, along with time.  Timed specimens are typically collected for 24 hours, but can be collected in other increments, for example, 4 hours or 12 hours.



Transport Container

24-hour urine bottle or sterile urine cup



Transport Temperature
Refrigeration

Specimen Stability
3 days

Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Quantity Not Sufficient

Methodology
Turbidimetric

Setup Schedule

Monday - Sunday, 8:00 am - 3:00 pm upon receipt



Report Available
Upon completion of analysis

Reference Range

Urine Volume: 800 - 1800 mL/24 Hours
Albumin/Creatinine Ratio: < 25 ug/mg
Microalbumin/Total Volume Ratio: < 20 ug/min



Clinical Significance

Microalbuminuria is the term given to the condition of increased excretion of albumin in urine.  High urinary microalbumin is an early marker for renal disease.  Measurement of microalbumin levels in urine are used to predict the development of diabetic nephropathy, as this protein tends to appear ahead of other serum proteins in urine during the course of renal glomerular damage.  Measurement of microalbumin is therefore considered a standard for the detection of diabetic complications.





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.