Stone Analysis with Image

Test Code

CPT Codes

Preferred Specimen
Dry stone(s) collected in a sterile screw-cap container

Other Acceptable Specimens
Filtered material, dry stone (gall bladder, urinary bladder, salivary, prostate), submitted in a sterile, plastic leak-proof screw-cap container

Source is required for all submissions.
Dry stone in sterile screw cap container. Stones originating from sources not related to the kidney should be air-dried, then placed in a plastic tube or a urine collection cup. Do not use tape. Minute specimens may be placed in a gelatin capsule.

Note: Primary stone containers will be stored for 21 days only.

Transport Temperature
Room temperature

Specimen Stability
Room temperature: 1 year
Refrigerated: 1 year
Frozen: 1 year

Infrared Spectroscopy (Fourier Transform Infrared Spectroscopy) • Stone Weight: Gravimetric

FDA Status
This test was developed and its analytical performance characteristics have been determined by Quest Diagnostics. It has not been cleared or approved by the U.S. Food and Drug Administration. This assay has been validated pursuant to the CLIA regulations and is used for clinical purposes.

Setup Schedule
Set up: Daily; Report available: 3-4 days

Reference Range
See Laboratory Report

Clinical Significance
Stone analysis is used in determining the etiology of stones. The results are often useful in determining the cause and treatment.

Performing Laboratory
Quest Diagnostics Nichols Institute Valencia
27027 Tourney Road
Valencia, CA 91355-5386

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.