Test Code LAB5120 Microalbumin (Timed) - 24 Hour
Performing Laboratory
Asante Rogue Regional Medical Center
Specimen Minimum Volume
1.0 mL from a timed collection
Billing Code
3010374
Methodology
Turbidimetric
Specimen Requirements
24 hour urine, 24 Hour Urine Container with no preservatives
Container MUST be labeled with: Office Location, Patient’s First and Last Name and Date of Birth
24 Hour Urine Collection Instructions
Instruct patient: To label container with Date and time collection started, Date and time collection finished.
Void and DISCARD the first-morning specimen and to record exact time of voiding.
Patient should collect all subsequent voided urine for remainder of day and night.
Collect first-morning specimen on day 2 at same time as noted on day 1. Collection is complete.
Keep urine refrigerated during entire collection. Screw lid on securely.
Day(s) Test Set Up
Monday through Sunday
Test Classification and CPT Coding
82043 - Albumin; urine, microalbumin, quantitative
Additional Information
Measures small amounts of albumin that may be present in the urine. Used for early detection and monitoring of Diabetic Nephropathy. Diabetes is now the most common cause of end stage renal disease (ESRD). About 20%-30% of patients with Type I and Type II diabetes develop evidence of nephropathy. If left untreated, a significant number of these patients will progress to ESRD. Early intervention has the greatest impact on improving the course of diabetic nephropathy. Type II diabetics should be screened for microalbuminuria at the time of diagnosis and annually thereafter. Microalbuminuria rarely occurs with Type I diabetics of short duration. Microalbumin screening with Type I diabetics should be performed annually beginning after 5 years of disease onset.
Specimen Transport Temperature and Stability
Refrigerate: 2°- 8° C
Transport promptly to laboratory
Assay should be performed within 2 hours of completion
Performing Department
Chemistry
Reasons for Rejection
Lacking collection date
Lacking collection beginning and ending times
Lack of Two Patient Identifiers:
1-Patient's First & Last name
2-Patient's Date of Birth