Collagen Cross-Linked N-Telopeptide (NTx), Urine

Test Code
36167


CPT Codes
82523, 82570

Includes
Creatinine


Preferred Specimen
2 mL unpreserved urine collected from second morning void


Minimum Volume
1 mL


Other Acceptable Specimens
Unpreserved random urine • Unpreserved catheterized urine • Unpreserved first void clean catch urine


Instructions
Do not use preservatives. Acidified specimen is not acceptable.

Second morning void urine: Discard the first morning void. Collect the second morning void. Mix well.


Transport Temperature
Refrigerated (cold packs)


Specimen Stability
Room temperature: 72 hours
Refrigerated: 5 days
Frozen: 30 days


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Acidified specimen • Preserved specimen


Methodology
Chemiluminescence (CL)

Setup Schedule
Set up: Mon, Wed, Fri; Report available: 3-6 days


Clinical Significance
NTx is useful to assess bone resorption in patients with metabolic bone disease. The test is also useful in monitoring therapy to slow or halt osteoporotic bone loss. A decline of 30% or more of NTx over a six-month period suggests effective therapy.




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.