Stone Analysis 30260X & manual Pathology Specimen Diagnosis Request Form

Test Code

30260

Preferred Specimen

Dry stone(s) collected in a sterile screw-cap container

Other Acceptable Specimens

Filtered material, dry stone (gall bladder, urinary bladder, salivary, prostate), submitted in a sterile plastic leak-proof screw-cap container

Instructions

Submit to Surgical Pathology on a manual Pathology Specimen Diagnosis Request form. Include all essential information including the clinical history. A gross description will be generated , then the sample will be sent out for analysis.

Transport Temperature

Room temperature

Specimen Stability

Room temperature: 1 year
Refrigerated: 1 year
Frozen: 1 year

Methodology
Infrared Spectroscopy (Fourier Transform Infrared Spectroscopy) • Stone Weight: Gravimetric

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

Set up: Daily; Report available: 6-8 days

Reference Range

See Laboratory Report

Clinical Significance

Stone analysis is used in determining the etiology of stones. The results are often useful in determining the cause and treatment.

Performing Laboratory
Quest Diagnostics Nichols Institute Valencia
27027 Tourney Road
Valencia, CA 91355-5386

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.