Beta 2 Microglobulin Urine 38994

Test Code
BETA2MICUA


Alias/See Also
BETA2MICUA


CPT Codes
82232

Preferred Specimen
10 mL urine collected in a Quest Diagnostics Beta-2 Microglobulin Transport Tube (available through Client Supply) and
10 mL unpreserved urine collected in a plastic urine container (for creatinine)


Minimum Volume
10 mL


Instructions
Fasting is preferred. Void bladder drink 500 ml water collect urine


Transport Container
URINE


Transport Temperature
R


Specimen Stability
⁠⁠⁠⁠⁠⁠⁠Beta-2 urine
Room temperature: 5 days
Refrigerated: 15 days
Frozen: 30 days

Creatinine urine
Room temperature: 7 days
Refrigerated: 7 days
Frozen: 28 days


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Specimens received in a non-Beta-2 Microglobulin transport tube with a pH <6 • Any volume other than 10 mL urine in the transport tube • Any specimen with pH <6


Methodology

Immunoturbidimetric



Setup Schedule
Set up: Mon-Sat; Report available: 3 days


Reference Range
B2 Microglobulin/Creatinine Ratio ≤132 mcg/g creat

Creatinine, Random Urine
≤6 Months 2-28 mg/dL
7-11 Months 2-31 mg/dL
1-2 Years 2-110 mg/dL
3-8 Years 2-130 mg/dL
9-12 Years 2-160 mg/dL
>12 Years Male 20-320 mg/dL
>12 Years Female 20-275 mg/dL


Clinical Significance
Beta-2 Microglobulin (B2M) is a low molecular weight protein that forms the light chain component of the histocompatibility antigen. It is synthesized by all nucleated cell types. It is an integral part of the class I MHC antigens and is present in all body fluids. B2M is filtered through the glomeruli of the kidney and is then reabsorbed and catabolized by the proximal tubular cells. In normal patients only trace amounts of B2M appear in the urine. Elevated urine B2M is seen in tubulo-interstitial disorders. Increased urine B2M is seen in cadmium exposure, diatrizoate, exercise, fever, nephrectomy, semen. There is evidence that monitoring B2M levels in HIV-infected individuals offers an independent predictor of progression to AIDS, leukemia and lymphoma.


Performing Laboratory
Quest Diagnostics Nichols Institute
14225 Newbrook Drive
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.