Resources

MICROALBUMIN, QUANTITATIVE, URINE, 24 HOUR

Test Code
MICA4


CPT Codes
82043 - 82570

Includes

Total volume, microalbumin raw, microalbumin 24 hour, microalbumin excreted, urine creatinine raw, urine creatinine 24 hour, and microalbumin/creatinine ratio 24 hour.



Preferred Specimen
24 Hour Urine Container without preservative

(aliquot or transferurine into a transfer tube and note the total volume)


Minimum Volume

3 mL aliquot



Other Acceptable Specimens
Aliquotted sample submitted in a sterile urine cup will be accepted. Total volume must be provided.


Instructions

Mix the specimen well and measure the 24-Hour volume (RECORD THE TOTAL VOLUME); Pour off 20.0 mL of urine into a separate plastic screw-cap container; Refrigerate if not tested immediately.



Transport Temperature

Refrigerate



Specimen Stability

2-8°C up to 30 days; otherwise freeze at -20ºC or lower



Methodology

Turbidimetric



Setup Schedule
M, T, W, Th, F, Sa, Sun


Clinical Significance

The American Diabetes Association defines increased urine albumin ecretion as follows:

Category 24hr Collection (mg/24hr) Timed Collection (µg/min)
Normal <30 <20
Moderately Increased 30-299 20-199
Clinical Albuminuria >= 300 >= 200

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.



Performed By
Alverno Laboratories

Performing Laboratory
Alverno Central Lab  
NCHB1 (Chemistry, Beckman AU)


Last Updated: April 25, 2023


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.