UroRisk® Diagnostic Profile : 15565

Test Code
URODPQ or 15565


Alias/See Also
Stone Analysis, Kidney, Kidney Stone Risk


CPT Codes
82340, 82507, 82570, 83735, 83945, 83986, 84105, 84133, 84300, 84392, 84560

Includes
pH, Calcium, Oxalate, Uric Acid, Citrate, Sodium, Sulfate, Phosphorus, Magnesium, Potassium, Creatinine, Calcium Oxalate, Brushite, Sodium Urate, Uric Acid


Instructions
Collection Instructions
Use only Quest 24-hour Urine Collection Kits specific for renal stone formation diagnosis. Follow instructions in the kit. 

1) Upon completion of 24-hour collection in the large orange collection container, tighten the cap on the container and mix contents in the container vigorously for one minute. A good mix will ensure accurate test results.
2) Carefully fill the two plastic white vials with urine collected in the large orange container. The two white vials must be filled within two to four hours of completion of 24-hour collection. Fill and cap vials one at a time. Cap both vials tightly, write patients name on each vial and place in zip-lock bags provided (do not remove absorbent sheets).
3) Complete the patient information section. (Patient's weight is no longer needed.)
4) Place specimen in box provided in kit and send via courier pickup to med fusion.  DO NOT MAIL.  Do not send large orange collection container.

For high urine output: Patient with a high urine output (>3.8L) will require more than one large container. Collect urine in the first container until it is 3/4 full and then begin filling the second container to complete the 24-hour collection. Carefully follow steps 1-4 for each jug and mark one as box 1 of 2 the other box 2 of 2.
  
Note: Urine must only be collected and stored in the large orange collection container.
Do not remove sponge from the orange collection container.
Do not remove wool from the white container.
Do not collect the first urination at the beginning of 24-hour collection.
During collection process store large orange container in a cool location.


Transport Container
Preferred Specimen

Using Renal stone specific 24-hour urine collection kit:
60 mL 24-hour urine collected in a Quest 24hr urine plain kit 
and
50 mL 24-hour urine collected in a Quest 24hr urine acid kit

Minimum Volume
30 mL plain urine
30 mL acid urine


Transport Temperature
Room temperature.


Specimen Stability
Room temperature: 10 days; Refrigerated: 10 days; Frozen: Unacceptable


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
24-hour collection containers received;  Large Orange Container received


Methodology
Inductively Coupled Plasma-Optical Emission Spectrophotometry, Ion Chromatography, Spectrophotometry (SP), Calculation

Setup Schedule
Monday - Saturday


Report Available
3-5 days (From receipt at performing laboratory)


Reference Range
See Laboratory Report


Clinical Significance
UroRisk® Diagnostic profile is recommended for initial and recurrent stone formers (excluding patients with Struvite stones) and for monitoring patient progress and compliance to therapy.


Performing Laboratory
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.