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5510: StoneRisk® Diagnostic Profile Print View
Total Urine Volume CALC  > 2.00  L/day 
pH Urine S  5.5 - 7   
Calcium Urine ICP-OES  < 250  mg/day 
Oxalate Urine IC  < 45  mg/day 
Uric Acid Urine S  < 700  mg/day 
Citrate Urine S  > 320  mg/day 
Sodium Urine ICP-OES  < 200  mEq/day 
Sulfate Urine IC  < 30  mmol/day 
Phosphorus Urine S  < 1100  mg/day 
Magnesium Urine ICP-OES  > 60  mg/day 
Ammonium Urine S  14 - 62  mEq/day 
Potassium Urine ICP-OES  19 - 135  mEq/day 
Creatinine Urine S  Male: 800 - 2000
Female: 600 - 1800 
mg/day 
Calcium Oxalate CALC  < 2.00   
Brushite CALC  < 2.00   
Sodium Urate CALC  < 2.00   
Struvite CALC  < 75.00   
Uric Acid CALC  < 2.00   
The Patient has: CALC     
Supersaturation Index with Respect to: CALC     
Suspected Problem is: CALC     
Comments CALC     

PRIMARY
1 Quest 24hr Urn Plain Kit 60 (30) mL   Refrigerated - 10 Day(s)/Room Temperature - 10 Day(s)  
2 Quest 24hr Urn Acid Kit 50 (30) mL   Refrigerated - 10 Day(s)/Room Temperature - 10 Day(s)  
ALTERNATE

StoneRisk Diagnostic Profile is for stone formers with a positive urine culture indicating urinary tract infection (UTI), also for recurrent stone formers or when attending physician deems it medically necessary for the patient to have comprehensive metabolic evaluation.

Use only Quest 24-hour Urine Collection Kits specific for renal stone
formation diagnosis. Follow instructions in the kit.
1) Upon completion of 24-hour collection in the large orange
collection container, tighten the cap on the container and mix
contents in the container vigorously for one minute.
A good mix will ensure accurate test results.
2) Carefully fill the two plastic white vials with urine collected in
the large orange container. The two white vials must be filled within
two to four hours of completion of 24-hour collection. Fill and cap
vials one at a time. Cap both vials tightly, write patient's name on
each vial and place in zip-lock bags provided (do not remove absorbent
sheets).
3) Complete the patient information section.
4) Place specimen in mailback box and mail to the laboratory.
DO NOT MAIL LARGE ORANGE COLLECTION CONTAINER.
For High Urine Output
Patient with a high urine output (greater than 3.8L) will require more
than one large container. Collect urine in the first container until
it is 3/4 full and then begin filling the second container to complete
the 24-hour collection. Carefully follow steps 1-4 for each jug and
mark one as box 1 of 2 the other box 2 of 2.

Note:
Urine must only be collected and stored in the large orange collection
container.
Do not remove sponge from the orange collection container.
Do not remove wool from white container.
Do not collect the first urination at the beginning of 24-hour
collection.
During collection process store large orange container in a cool
location.
Setup Schedule
Monday-Saturday

Reported (Analytical Time)
Next day

CPT Codes
82140,82340,82507,82570,83735,83945,83986,84105,84133,84300,84392,84560

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.

Notes
Note: Reference ranges are the reduced risk ranges for the panel.






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