24 Hour Urine Chloride

Test Code
TUCL - NCMC


CPT Codes
82436

Preferred Specimen
Entire specimen or 10 mL well mixed aliquot from 24 hour Urine Jug Specimen.


Minimum Volume
0.5 mL


Instructions
  • Collect urine for 24 hours.
  • Refrigerate specimen during collection.
  • Starting and ending times of collection are required for processing.
  • Total Volume is required for processing.

24 Hour Urine Collection Instructions - English / Spanish



Specimen Stability
Temperature Time
Refrigerated 5 days


Methodology
Ion-Selective Electrode (ISE) Indirect

Setup Schedule
Monday through Sunday; Continuously


Report Available
Same day


Reference Range
MALE:
0 - 1 month: 2 - 10 mmol/24 hours
1 month - 6 years: 15 - 40 mmol/24 hours
6 - 11 years: 36 - 110 mmol/24hours
11 - 15 years: 64 - 176 mmol/24 hours
15 - 61 years: 110 - 250 mmol/24 hours
61 - 150 years: 95 - 195 mmol/24 hours

FEMALE:
0 - 1 month: 2 - 10 mmol/24 hours
1 month - 6 years: 15 - 40 mmol/24 hours
6 - 11 years: 18 - 74 mmol/24hours
11 - 15 years: 36 - 173 mmol/24 hours
15 - 61 years: 110 - 250 mmol/24 hours
61 - 150 years: 95 - 195 mmol/24 hours


Clinical Significance
Physiological significance: Electrolytes are involved in most major metabolic functions in the body. Sodium, potassium and chloride are amongst the most important physiological ions and the most often assayed electrolytes. They are supplied primarily through the diet, absorbed in the gastrointestinal tract, and excreted via the kidneys. Sodium is the major extracellular cation and functions to maintain fluid distribution and osmotic pressure. Some causes of decreased levels of sodium include prolonged vomiting or diarrhea, diminished reabsorption in the kidney and excessive fluid retention. Common causes of increased sodium include excessive fluid loss, high salt intake and increased kidney reabsorption. Potassium is the major intracellular cation and is critical to neural and muscle cell activity. Some causes of decreased potassium levels include reduced intake of dietary potassium or excessive loss of potassium from the body due to diarrhea, prolonged vomiting or increased renal excretion. Increased potassium levels may be caused by dehydration or shock, severe burns, diabetic ketoacidosis, and retention of potassium by the kidney. Chloride is the major extracellular anion and serves to regulate the balance of extracellular fluid distribution. Similarly to the other ions, common causes of decreased chloride include reduced dietary intake, prolonged vomiting and reduced renal reabsorption as well as some forms of acidosis and alkalosis. Increased chloride values are found in dehydration, kidney failure, some forms of acidosis, high dietary or parenteral chloride intake, and salicylate poisoning


Performing Laboratory
North Colorado Medical Center Laboratory



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.