MICROALBUMIN / CREATININE RATIO, RANDOM URINE

Test Code
RMACR


CPT Codes
82043, 82570

Includes
microalbumin random, creatinine random, microalbumin/creatinine ratio


Preferred Specimen
Yellow round bottom tube

 


Patient Preparation
None

Minimum Volume
1 mL (3 mL optimal)


Other Acceptable Specimens
Sterile Container

 


Transport Container
URINE Container


Transport Temperature
Room temperature


Specimen Stability
2-8°C up to 3 days


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Quantity not sufficient (QNS)


Methodology
Turbidimetric

Setup Schedule
DAILY, as received


Report Available
STAT: <60 minutes
Routine: <4 hours


Reference Range
The American Diabetes Association defines increased urine albumin excretion as follows:
 
Category Spot Collection (mg/g creatinine)
Normal  <30
Moderately Increased 30-299
Clinical Albuminuria >=300

Because of variability in urinary albumin excretion, ADA recommendations specify that 2-3 specimens, collected within a 3-6 month period, should exhibit abnormality prior to diagnostic consideration.


Clinical Significance
The Microalbumin:Creatinine Ratio test is used to help screen for conditions such as high blood pressure or diabetes which can cause kidney damage. Because creatinine usually is filtered out of the body in the urine at a constant rate, the Microalbumin:Creatinine Ratio can provide more accurate results than a measure of Microalbumin by itself.


Performing Laboratory
Mount Sinai Hospital



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.