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Test Code ZG023 Oxalate, 24 Hour, Urine

Additional Codes

Mayo Test ID
OXU

Reporting Name

Oxalate, 24 Hr, U

Useful For

Monitoring therapy for kidney stones

 

Identifying increased urinary oxalate as a risk factor for stone formation

 

Diagnosis of primary or secondary hyperoxaluria

Performing Laboratory

Mayo Clinic Laboratories in Rochester

Specimen Type

Urine


Necessary Information


24-Hour volume is required.



Specimen Required


Patient Preparation: Avoid taking large doses (>2 g orally/24 hours) of vitamin C during specimen collection.

Supplies:

-Diazolidinyl Urea (Germall) 5.0 mL (T822)

-Aliquot Tube, 5 mL (T465)

Container/Tube: Plastic tube or a clean, plastic aliquot container with no metal cap or glued insert

Specimen Volume: 4 mL

Collection Instructions:

1. Add 5 mL of diazolidinyl urea (Germall) as a preservative at start of collection or refrigerate specimen during and after collection.

2. Collect urine for 24 hours.

3. Specimen pH should be between 4.5 and 8 and will stay in this range if kept refrigerated. Specimens with pH >8 may indicate bacterial contamination, and testing will be cancelled. Do not attempt to adjust pH as it will adversely affect results.

Additional Information: See Urine Preservatives-Collection and Transportation for 24-Hour Urine Specimens in Special Instructions for multiple collections.


Specimen Minimum Volume

1 mL

Specimen Stability Information

Specimen Type Temperature Time Special Container
Urine Refrigerated (preferred) 14 days
  Frozen  14 days

Reference Values

0.11-0.46 mmol/24 hours

9.7-40.5 mg/24 hours

The reference value is for a 24-hour collection. Specimens collected for other than a 24-hour time period are reported in unit of mmol/L for which reference values are not established.

Reference values have not been established for patients who are less than 16 years of age.

Day(s) and Time(s) Performed

Monday through Saturday

Test Classification

This test has been modified from the manufacturer's instructions. Its performance characteristics were determined by Mayo Clinic in a manner consistent with CLIA requirements. This test has not been cleared or approved by the U.S. Food and Drug Administration.

CPT Code Information

83945

LOINC Code Information

Test ID Test Order Name Order LOINC Value
OXU Oxalate, 24 Hr, U 14862-7

 

Result ID Test Result Name Result LOINC Value
OCATE Oxalate, 24 Hr, U (mmol/24 hr) 14862-7
OXU1 Oxalate, 24 Hr, U (mg/24 hr) 2701-1
TM17 Collection Duration 13362-9
VL15 Urine Volume 3167-4

Testing Algorithm

See Hyperoxaluria Diagnostic Algorithm in Special Instructions.

Method Name

Enzymatic

Urine Preservative Collection Options

Note: The addition of preservative must occur at the start of collection or application of temperature controls must occur during and after collection.

Ambient

No

Refrigerate

OK

Frozen

OK

50% Acetic Acid

No

Boric Acid

No

Diazolidinyl Urea

Preferred

6M Hydrochloric Acid

No

6M Nitric Acid

No

Sodium Carbonate

No

Thymol

OK

Toluene

No

Forms

If not ordering electronically, complete, print, and send a Renal Diagnostics Test Request (T830) with the specimen.