Aldosterone/Plasma Renin Activity Ratio, LC/MS/MS 

Message
For Specimen Integrity during Extreme Weather see the “Lockbox Usage in Extreme Weather” document at the top of this page.


Test Code
ARENIN


Alias/See Also
16845


CPT Codes
82088, 84244

Includes
Aldosterone, LC/MS and Plasma Renin Activity, LC/MS/MS


Preferred Specimen
1.8 mL Frozen Plasma collected in a EDTA (lavender-top) tube


Minimum Volume
0.8 mL


Instructions
Specimen cannot be shared, draw a separate tube for any other plasma testing. Collect a mid-morning blood sample after patient has been upright (sitting, standing, or walking) for a minimum of 2 hours, then have them sit 5-15 minutes prior to collection. Centrifuge lavender top, transfer plasma to a plastic vial and freeze.


Transport Container
Plastic screw-cap vial


Transport Temperature
Frozen


Specimen Stability
Room temperature: 24 hours
Refrigerated: 24 hours
Frozen: 28 days


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Moderate to gross hemolysis; plasma collected in plasma separator tube; received thawed


Methodology
Chromatography/Mass Spectrometry

FDA Status
This test was developed and its analytical performance characteristics have been determined by Quest Diagnostics. It has not been cleared or approved by the U.S. Food and Drug Administration. This assay has been validated pursuant to the CLIA regulations and is used for clinical purposes.

Setup Schedule
Monday - Saturday


Report Available
4 - 6 days


Clinical Significance
The Aldosterone-renin ratio is used to screen for primary aldosteronism.


Performing Laboratory
Quest Diagnostics Nichols Institute
14225 Newbrook Dr
Chantilly, VA 20153



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.