Kidney Stone (Calculi) Analysis with Image : 1004163

Test Code
MDFCPKSAWI or 1004163

Alias/See Also
Calculus Analysis

CPT Codes

Components and Weight

Dry stone(s) (gall bladder, urinary bladder, salivary, prostate, filtered material) collected in a sterile screw cap container.

Transport Container
The dried stone(s) should be submitted in a sterile screw cap container or collection cup.

Transport Temperature
Room temperature.

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

Infrared Spectroscopy (Fourier Transformed Infra-Red Spectroscopy (FTIR)); Gravimetric

Setup Schedule
Sunday - Saturday

Report Available
2-6 days  (From receipt at performing laboratory)

This test was developed and its analytical performance characteristics have been determined by Quest Diagnostics Nichols Institute Valencia.  It has not been cleared or approved by the US Food and Drug Administration. This assay has been validated pursant to the CLIA regulations and is used for clinical purposes.

Reference Range
See Laboratory Report.
An image of the stone(s) will be provided.

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
med fusion and Quest Diagnostics

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.