Ordering Recommendation

Evaluate individuals with calcium oxalate renal calculi.

Mnemonic

UOXAL

Methodology

Quantitative Spectrophotometry

Performed

Mon-Fri

Reported

1-4 days

New York DOH Approval Status

This test is New York DOH approved.

Specimen Required

Patient Preparation

Patient should avoid ingestion of vitamin C prior to collection.

Collect

24-hour urine. Refrigerate during collection.

Specimen Preparation

Thoroughly mix entire collection (24-hour) in one container. Do not exceed 4 mL in Tubes.
Preserved: Transfer 4 mL aliquot to an ARUP Transport Tube with Sulfamic Acid (ARUP supply #48098). Available online through eSupply using ARUP Connect or contact ARUP client services at (800) 522-2787. (Min: 1.5 mL) Mix well. Freeze immediately. 
Unpreserved: Transport a 4 mL unadjusted aliquot of urine to an ARUP Standard Transport Tube. (Min: 1.5 mL) Freeze immediately.

Storage/Transport Temperature

CRITICAL FROZEN. Separate specimens must be submitted when multiple tests are ordered

Unacceptable Conditions
Remarks

Record total volume and collection time interval on transport tube and test request form.

Stability

After collection complete: Ambient: Unacceptable; Refrigerated: Unacceptable; Frozen: 1 month

Reference Interval

Test Number
Components
Reference Interval
  Creatinine, Urine - per 24h
Age
Male (mg/d)
Female (mg/d)
3-8 years 140-700 140-700
9-12 years 300-1300 300-1300
13-17 years 500-2300 400-1600
18-50 years 1000-2500 700-1600
51-80 years 800-2100 500-1400
81 years and older 600-2000 400-1300

  Oxalate, Urine - per 24h
Age
Male (mg/d)
Female (mg/d)
0-12 years 7-31 7-31
13 years and older 16-49 13-40

Interpretive Data

Per 24h calculations are provided to aid interpretation for collections with a duration of 24 hours and an average daily urine volume. For specimens with notable deviations in collection time or volume, ratios of analytes to a corresponding urine creatinine concentration may assist in result interpretation.

This test was developed and its performance characteristics determined by ARUP Laboratories. It has not been cleared or approved by the US Food and Drug Administration. This test was performed in a CLIA certified laboratory and is intended for clinical purposes.

Compliance Category

Modified FDA

Note

Vitamin C (ascorbic acid) quickly degrades to oxalate in non-acidified urine. Patients should discontinue use of vitamin C supplements at least 48 hours prior to the start of urine collection and abstain until collection is complete.

Preservation with Sulfamic Acid before transporting is highly recommended.

Hotline History

N/A

CPT Codes

83945

Components

Component Test Code* Component Chart Name LOINC
0020207 Creatinine, Urine - per volume 2161-8
0020208 Creatinine, Urine - per 24h 2162-6
0020255 Oxalate, Urine - per 24h 2701-1
0020484 Oxalate, Urine - per volume 2700-3
0097110 Total Volume 19153-6
0097111 Hours Collected 30211-7
* Component test codes cannot be used to order tests. The information provided here is not sufficient for interface builds; for a complete test mix, please click the sidebar link to access the Interface Map.

Aliases

  • Hyperoxaluria
  • Oxalate
Oxalate, Urine