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Test ID NBLD0125 Kidney Stone Analysis

Important Note

DO NOT ADD FORMALIN!

Useful For

Managing patients with recurrent renal calculi

Specimen Type

Stone


Shipping Instructions


1. Transport specimen per Kidney Stone Packaging Instructions in Special Instructions.

2. Specimen must be sent clean and dry.



Necessary Information


Specimen source is required.



Specimen Required


Supplies: Stone Analysis Collection Kit (T550)

Sources: Bladder, kidney, prostatic, renal, or urinary

Specimen Volume: Entire dried calculi specimen

Collection Instructions:

1. Prepare specimen per Patient Collection Instructions for Kidney Stones in Special Instructions.

2. Do not place stone directly in a bag. If specimen is received in a bag, either transfer stone into a screw-capped, plastic container or place bag containing stone in a screw-capped, plastic container.


Specimen Minimum Volume

Entire stone

Reject Due To

Hemolysis

NA

Lipemia

NA

Icterus

NA

Other

Source other than renal (kidney, bladder, ureter, urethra, or prostate)

 

Specimen Stability Information

Specimen Type Temperature Time
Stone Ambient (preferred)
  Frozen  365 days
  Refrigerated  365 days

Day(s) and Time(s) Performed

Monday through Friday; 8 a.m.-8 p.m.

Saturday; 8 a.m.-3 p.m. Continuously

Analytic Time

2 days

Method Name

Infrared Spectrum Analysis

Performing Laboratory

Mayo Clinic Laboratories in Rochester

CPT Code Information

82365

Reporting Name

Kidney Stone Analysis

Reference Values

The presence of a kidney stone is abnormal. A quantitative report will be provided after analysis.

Test Classification

This test was developed and its performance characteristics 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.

Forms

If not ordering electronically, complete, print, and send a General Request (T239) with the specimen.

Sanford Laboratories - Fargo Additional Information:

SANFORD INTERFACE BUILD INFORMATION

Result Code Result Code Description
7819 Stone Analysis
17019 Source:
17021 1st Constituent:
17022 2nd Constituent:
17023 3rd Constituent:
17024 Nidus, Major
17025 Nidus, Minor
17026 Shell, Major
17027 Shell, Minor
17028 Comment