CPT Codes

82043 (Albumin, Urine)
82570 (Creatinine, Other)
81050 (Volume Measurement)

Synonyms

  • Albumin, Timed Urine
  • Albumin, 24 Hr Urine

Test Includes

Urine albumin, Urine creatinine

Performing Laboratory / Facility

Ronald Reagan UCLA Medical Center Clinical Laboratory
UCLA Outreach Clinical Laboratory - Panorama City (BURL)

Performing Section

Chemistry

Availability

Ronald Reagan UCLA Medical Center Clinical Laboratory: Daily, 24 hours
UCLA Outreach Clinical Laboratory - Panorama City (BURL): Monday through Friday 0600 - 0230, Saturday 1200-2030 (excluding holidays)

Turnaround Time

Ronald Reagan UCLA Medical Center Clinical Laboratory: Routine: 4 hours from receipt in the laboratory; STAT: 1 hour from receipt in the laboratory
UCLA Outreach Clinical Laboratory - Panorama City (BURL): Routine: 24 hours; STAT: 4 hours from receipt in the laboratory

Methodology

Albumin: Immunoturbidimetric assay
Creatinine: Enzymatic

Use

Determination of potential progression to diabetic nephropathy

Patient Preparation

No x-ray contrast media for 24 hours prior to collection.

Patient Handout

Lab Requisition Form to document urine collection Start and Stop Times

Limitations

This is a special test for low level urine albumin <300 mg/L.

Additional Information

LOINC CODES
Urine Volume = 3167-4
Collection Duration = 13362-9
Albumin Excretion rate = 58448-2
Albumin, 24 Hr, Urine = 1755-8
Albumin/ Creatinine Ratio = 9318-7

Specimen Type

24 hour, timed urine

Container

24 Hour Urine Container
Sterile Urine Container

Collection Instructions

Patient Instructions for Collecting a 24-Hour Urine
1. The Laboratory prepares a urine specimen collection container for the patient.
CAUTION: It may contain a preservative inside which can be harmful if spilled or swallowed. Do not touch or remove the contents of the container. Keep the container out of the reach of children.
2. Start the 24 -hour urine collection the day before you intend to bring the specimen back to the laboratory. Use the container we have provided because other containers are not suitable.
3. To begin your test, empty your bladder into the toilet when you get up in the morning. Do not save the first morning urine on this day. Remember the time you did this, and write this as the start-time directly onto the
collection container or onto the lab form.
4. For the next 24 hours, each time you urinate, you should collect all your urine in a clean collection cup or commode collection bowl. Then, carefully pour the urine into the 24-hour urine container that has been provided for you. Be sure to include all urine passed during the night.
5. The final urine collection should be the next morning urine; about the same time you started testing the day before. Be sure to save this morning collection and pour it into the 24-hour urine container. Write the time as the
stop-time directly onto the container or lab form.
6. It is important that you stay near the collection container and that you keep the container in the refrigerator or in a cooler on ice during the entire collection period.
7. Return both the specimen container and the Requisition form back to the Laboratory.

Volume

Entire collection

Minimum Volume

5 mL

Storage Temperature

Refrigerate

Stability

7 Days

Special Instructions

Order Albumin/Creatinine Ratio for random urines

Shipping and Handling Instructions

Refrigerate.Transport the specimen promptly to the laboratory. Requisition and container(s) must be labeled with the patient's full name, hospital number, date and time collection started, and date and time collection finished.

Ambulatory Specimen Processing / Transport

Refrigerate.Transport the specimen promptly to the laboratory. Requisition and container(s) must be labeled with the patient's full name, hospital number, date and time collection started, and date and time collection finished.

Causes for Rejection

Specimen not refrigerated during collection
Specimen collected with preservative

Reference Range

Albumin, 24 Hour Urine <30.0 mg/24hr
Albumin Excretion Rate Calculation 0-20 mcg/min
Albumin / Creatinine Ratio Timed <30 mcg/mg Creatinine
Test Information

CPT Codes

82043 (Albumin, Urine)
82570 (Creatinine, Other)
81050 (Volume Measurement)

Synonyms

  • Albumin, Timed Urine
  • Albumin, 24 Hr Urine

Test Includes

Urine albumin, Urine creatinine

Performing Laboratory / Facility

Ronald Reagan UCLA Medical Center Clinical Laboratory
UCLA Outreach Clinical Laboratory - Panorama City (BURL)

Performing Section

Chemistry

Availability

Ronald Reagan UCLA Medical Center Clinical Laboratory: Daily, 24 hours
UCLA Outreach Clinical Laboratory - Panorama City (BURL): Monday through Friday 0600 - 0230, Saturday 1200-2030 (excluding holidays)

Turnaround Time

Ronald Reagan UCLA Medical Center Clinical Laboratory: Routine: 4 hours from receipt in the laboratory; STAT: 1 hour from receipt in the laboratory
UCLA Outreach Clinical Laboratory - Panorama City (BURL): Routine: 24 hours; STAT: 4 hours from receipt in the laboratory

Methodology

Albumin: Immunoturbidimetric assay
Creatinine: Enzymatic

Use

Determination of potential progression to diabetic nephropathy

Patient Preparation

No x-ray contrast media for 24 hours prior to collection.

Patient Handout

Lab Requisition Form to document urine collection Start and Stop Times

Limitations

This is a special test for low level urine albumin <300 mg/L.

Additional Information

LOINC CODES
Urine Volume = 3167-4
Collection Duration = 13362-9
Albumin Excretion rate = 58448-2
Albumin, 24 Hr, Urine = 1755-8
Albumin/ Creatinine Ratio = 9318-7
Specimen Collection and Handling

Specimen Type

24 hour, timed urine

Container

24 Hour Urine Container
Sterile Urine Container

Collection Instructions

Patient Instructions for Collecting a 24-Hour Urine
1. The Laboratory prepares a urine specimen collection container for the patient.
CAUTION: It may contain a preservative inside which can be harmful if spilled or swallowed. Do not touch or remove the contents of the container. Keep the container out of the reach of children.
2. Start the 24 -hour urine collection the day before you intend to bring the specimen back to the laboratory. Use the container we have provided because other containers are not suitable.
3. To begin your test, empty your bladder into the toilet when you get up in the morning. Do not save the first morning urine on this day. Remember the time you did this, and write this as the start-time directly onto the
collection container or onto the lab form.
4. For the next 24 hours, each time you urinate, you should collect all your urine in a clean collection cup or commode collection bowl. Then, carefully pour the urine into the 24-hour urine container that has been provided for you. Be sure to include all urine passed during the night.
5. The final urine collection should be the next morning urine; about the same time you started testing the day before. Be sure to save this morning collection and pour it into the 24-hour urine container. Write the time as the
stop-time directly onto the container or lab form.
6. It is important that you stay near the collection container and that you keep the container in the refrigerator or in a cooler on ice during the entire collection period.
7. Return both the specimen container and the Requisition form back to the Laboratory.

Volume

Entire collection

Minimum Volume

5 mL

Storage Temperature

Refrigerate

Stability

7 Days

Special Instructions

Order Albumin/Creatinine Ratio for random urines

Shipping and Handling Instructions

Refrigerate.Transport the specimen promptly to the laboratory. Requisition and container(s) must be labeled with the patient's full name, hospital number, date and time collection started, and date and time collection finished.

Ambulatory Specimen Processing / Transport

Refrigerate.Transport the specimen promptly to the laboratory. Requisition and container(s) must be labeled with the patient's full name, hospital number, date and time collection started, and date and time collection finished.

Causes for Rejection

Specimen not refrigerated during collection
Specimen collected with preservative
Result Interpretation

Reference Range

Albumin, 24 Hour Urine <30.0 mg/24hr
Albumin Excretion Rate Calculation 0-20 mcg/min
Albumin / Creatinine Ratio Timed <30 mcg/mg Creatinine