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94588: Cystatin C With Glomerular Filtration Rate, Estimated (egfr) Print View
Cystatin C PETIA    mg/L 
eGFR     mL/min/1.73m2 

PRIMARY
1 Serum 1 (0.5) mL   Frozen - 12 Month(s)/Refrigerated - 26 Day(s)/Room Temperature - 26 Day(s)  
ALTERNATE
  Plasma Heparinized 1 (0.5) mL   Frozen - 12 Month(s)/Refrigerated - 26 Day(s)/Room Temperature - 26 Day(s)  
  Plasma EDTA 1 (0.5) mL   Room Temperature - 26 Day(s)/Frozen - 12 Month(s)/Refrigerated - 26 Day(s)  

Cystatin C is a non-glycosylated, low molecular weight (13,250 kD) cysteine proteinase inhibitor that is produced by all nucleated cells and found in body fluids, including serum. Since it is formed at a constant rate and freely filtered by the kidneys, its serum concentration is inversely correlated with the glomerular filtration rate (GFR); that is, high values indicate low GFRs while lower values indicate higher GFRs, similar to creatinine. The renal handling of cystatin C differs from creatinine. While both are freely filtered by glomeruli, once it is filtered, cystatin C, unlike creatinine, is reabsorbed and metabolized by the proximal renal tubules. Thus, under normal conditions, cystatin C does not enter the final excreted urine to any significant degree. The serum concentration of cystatin C remains unchanged with infections, inflammatory or neoplastic states, and is not affected by body mass, diet, or drugs. Thus, cystatin C may be a more reliable marker of renal function (GFR) than creatinine. GFR can be estimated (eGFR) from serum cystatin C utilizing an equation which includes the age and gender of the patient. The CKD-EPI cystatin C equation was developed by Inker et al, and demonstrated good correlation with measured iothalamate clearance in patients with all common causes of kidney disease, including kidney transplant recipients. Cystatin C eGFR may have advantages over creatinine eGFR in certain patient groups in whom muscle mass is abnormally high or low (for example quadriplegics, very elderly, or malnourished individuals). Blood levels of cystatin C also equilibrate more quickly than creatinine, and therefore, serum cystatin C may be more accurate that serum creatinine when kidney function is rapidly changing (for example amongst hospitalized individuals).

Collect blood in a red-top (no gel) or SST vacutainer. For red-top
vacutainer, allow blood to clot (10 to 15 minutes) at room
temperature. Separate serum from cells. If sample is collected in
glass collection tube, transfer to plastic container.
Serum samples must be completely coagulated and, after centrifugation,
must not contain any particles or traces of fibrin.
Setup Schedule
Tuesday, Friday

Reported (Analytical Time)
Next day

CPT Code
82610

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
Specimen Stability: Frozen: 10 years
Reject Criteria: Anticoagulants other than EDTA or heparin; whole blood sample not spun or separated; Patients less than 20 years old.
Transport Temperature: Room temperature
Methodology: Particle Enhanced Turbidimetric Immunoassay






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