Resources

Microalbumin, Random, Urine

Test Code
Microalbumin Urine, Random/RUMA - NCMC


CPT Codes
82043

Preferred Specimen
10 mL urine in clean, plastic urine container


Minimum Volume
0.5 mL


Instructions
Collect a random urine specimen
 


Specimen Stability
Specimen Type Temperature Time
Urine Refrigerated 5 days


Methodology
Nephelometry

Setup Schedule
Monday through Sunday; Continuously


Report Available
Daily


Limitations
Because of variability in urinary albumin excretion, two of three specimens collected within a 3- to 6-month period should be abnormal before considering a patient to have crossed one of these diagnostic thresholds. Exercise within 24 h, infection, fever, congestive heart failure, marked hyperglycemia, and marked hypertension may elevate urinary albumin excretion over baseline values.


Reference Range
Microalbumin: <20 mg/L
Microalbumin normalized to creatinine: <29 mg/g creat


Clinical Significance
Microalbuminuria is characterized by urinary albumin excretion above normal levels in the absence of clinically detectable nephropathy.  Mildly increased excretion of albumin has been recognized to be a predictor of impending development of clinical renal disease in patients with hypertension or diabetes mellitus.


Performing Laboratory
North Colorado Medical Center Laboratory



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.