CYSTINURIA PROFILE QUANTITATIVE 24 HOUR

General Information

HLAB/HOL Code: CYSPU
UPHSM LIS Test #: 029704
Schedule:
Testing Time: 3-5 Days
Testing Lab: Mayo

Specimen Info
Only 1 specimen type required, unless otherwise specified

Volume: 5.0 mL
Temperature: Refrigerate
Tube Type: 24 hour urine
Collection Info:
Collection Instructions:
1. Collect before intravenous pyelogram.
2. Collect urine for 24 hours.
3. Add 20 mL of toluene as preservative at start of collection. If toluene is not available, refrigerate during collection.
4. Mix well before taking 5-mL aliquot.
24-HOUR VOLUME IS REQUIRED FOR PROCESSING.

Methods

Liquid Chromatography-Tandem Mass Spectrometry (LC-MS/MS)

Clinical Utilities

Diagnosis of cystinuria. Cystinuria is an inborn error of metabolism resulting from poor absorption and reabsorption of the amino acid cystine in the intestines and kidneys. This leads to an accumulation of poorly soluble cystine in the urine and results in the production of kidney stones (urolithiasis). Symptoms may include acute episodes of abdominal or lower back pain, presence of blood in the urine (hematuria), and recurrent episodes of kidney stones may result in frequent urinary tract infections, which may ultimately result in renal insufficiency. The combined incidence of cystinuria has been estimated to be 1 in 7000.

CPT Codes

82136

* The CPT codes provided 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 payer being billed.

Reference Range

See Report

Component Info

Name: CYSTINE
Method: IEC
CPT Code: 82136
Ref Range: Age: 3-15 years >or= 16 yearsCystine: 11-53 umol/24hrs 28-115 umol/24hrs
Comp Units: UMOL/24HR
Name: LYSINE
Method: IEC
CPT Code: 82136
Ref Range: Age: 3-15 years >or= 16 yearsLysine: 19-140 umol/24hrs 32-290 umol/24hrs
Comp Units: UMOL/24HR
Name: ORNITHINE
Method: IEC
CPT Code: 82136
Ref Range: Age: 3-15 years >or= 16 yearsOrnithine: 3-16 umol/24hrs 5-70 umol/24hrs
Comp Units: UMOL/24HR
Name: ARGININE
Method: IEC
CPT Code: 82136
Ref Range: Age: 3-15 years >or= 16 yearsArginine: 10-25 umol/24hrs 13-64 umol/24hrs
Comp Units: UMOL/24HR
Name: COLLECTION DURATION
Method:
CPT Code:
Ref Range:
Comp Units: Hours
Name: URINE VOLUME
Method:
CPT Code:
Ref Range:
Comp Units: L