Blood Urea Nitrogen

Test Code
BUN


Alias/See Also
Urea Nitrogen


CPT Codes
84520

Preferred Specimen
1.0 mL plasma collected in a PST (LiHeparin tube)


Minimum Volume
0.5 mL


Other Acceptable Specimens
Plasma - EDTA (Lavender Top)

Serum- SST (Red Top  or Tiger Top)
Urine - Sterile Cup, B-D urine foley and BD specimen cup collection kit.  May be random or 24-hr collection.  No preservative needed.


Specimen Stability
Room Temperature: Plasma \Serum 7 days at 15-25°C Urine 2 days at 15-25°C Refrigerated: Plasma \Serum 7 days at 2-8°C Urine 7 days at 2-8°C Frozen: Plasma/Serum 1 year at -20°C Urine 1 months at -20°C


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Grossly Hemolyzed, Lipemic, and Icteric are unacceptable.
Samples not labeled with complete first name, last name, and date of birth.


Methodology
Kinetic

Setup Schedule
Mon-Sun


Report Available
Same day


Reference Range
Serum or Plasma     1 – 336 mg/dL
Urine:      3 – 10,080 mg/ dL
 


Clinical Significance
Urea is the major end product of protein nitrogen metabolism. It is synthesized by the urea cycle in the liver from ammonia which is produced by amino acid deamination. Urea is excreted mostly by the kidneys, but minimal amounts are also excreted in sweat and degraded in the intestines by bacterial action. Determination of blood urea nitrogen is the most widely used screening test for renal function. When used in conjunction with serum creatinine determinations, it can aid in the differential diagnosis of the three types of azotemia: prerenal, renal, and postrenal. Elevations in blood urea nitrogen concentration are seen in inadequate renal perfusion, shock, diminished blood volume (prerenal causes), chronic nephritis, nephrosclerosis, tubular necrosis, glomerular nephritis (renal causes), and urinary tract obstruction (postrenal causes). Transient elevations may also be seen during periods of high protein intake. Unpredictable levels occur with liver diseases.


Performing Laboratory

Frederick Health Laboratory
400 W 7th Street
Frederick, MD  21701




Last Updated: November 28, 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.