Ordering Recommendation

May use to monitor kidney stone formation. Panel includes calcium, citric acid, creatinine, oxalate, and uric acid. Preferred test is Supersaturation Profile, Urine (2008771) or Calculi Risk Assessment, Urine (2008708).

Mnemonic
KID
Methodology

Quantitative Spectrophotometry/Quantitative Enzymatic

Performed

Mon-Fri

Reported

1-6 days

New York DOH Approval Status
This test is New York DOH approved.
Specimen Required
Patient Preparation
Collect

24-hour urine. Refrigerate during collection.

Specimen Preparation

Thoroughly mix entire collection (24-hour) in one container. Transport four separate 4 mL aliquots of urine using Calculi Risk/Supersaturation Urine Collection Kit (ARUP supply# 46007). Available online through eSupply using ARUP Connect™ or contact Client Services at (800) 522-2787. Do not exceed 4 mL in tubes.
Aliquot according to the following specifications:
1st aliquot (pH 2): Transfer 4 mL urine into a Sulfamic Acid Tube. (Min: 4 mL) Mix well. Freeze immediately.
2nd aliquot (pH 2): Transfer 4 mL urine into a Sulfamic Acid Tube. (Min: 4 mL) Mix well. Freeze immediately.
3rd aliquot (pH 9): Transfer 4 mL urine into a Sodium Carbonate Tube. (Min: 4 mL) Mix well. Freeze immediately.
4th aliquot: Transfer 4 mL urine into an Unpreserved Tube. (Min: 4 mL) Freeze immediately.
If collection kit is unavailable, transport four 4 mL unadjusted aliquots of urine.

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

Ambient: Unacceptable; Refrigerated: Unacceptable Frozen: 2 weeks

Reference Interval
Test Number
Components
Reference Interval
  Calcium, Urine - per volume Calcium-free diet: 5-40 mg/d
Low calcium diet (800 mg/d or less): 50-150 mg/d
Average calcium diet (about 800 mg/d): 100-250 mg/d
High calcium diet (800 mg/d or greater): > 250 mg/d
  Citric Acid, Urine - per 24h 18 years and older: 320-1240 mg/d
0020473 Creatinine, Urine - per 24h
Age
Male
Female
3-8 years 140-700 mg/d 140-700 mg/d
9-12 years 300-1300 mg/d 300-1300 mg/d
13-17 years 500-2300 mg/d 400-1600 mg/d
18-50 years 1000-2500 mg/d 700-1600 mg/d
51-80 years 800-2100 mg/d 500-1400 mg/d
81 years and older 600-2000 mg/d 400-1300 mg/d

  Oxalate, Urine - per 24h Effective May 15, 2017
0-12 years: 7-31 mg/d
Male 13 years and older: 16-49 mg/d
Female 13 years and older: 13-40 mg/d
Uric Acid, Urine 250-750 mg/d

Test Number
Components
Reference Interval
0020472 Calcium, Urine
Test Number
Components
Reference Interval
Calcium free diet: 5-40 mg/d 5-40 mg/d
Low Calcium Diet (800 mg/d or less) 50-150 mg/d
Average Calcium diet (about 800 mg/d) 100-250 mg/d
High Calcium diet (800 mg/d or greater) Effective February 21, 2012

Greater than 250 mg/d
  Creatinine, Urine - per 24h Refer to report
  Calcium/Creatinine Ratio, Urine Refer to report

0020852 Citric Acid, Urine
Test Number
Components
Reference Interval
  Citric Acid, Urine - per 24h Refer to report
  Citric Acid/Creatinine Ratio, Urine Refer to report

0020482 Oxalate, Urine
Test Number
Components
Reference Interval
  Creatinine, Urine - per 24h Refer to report
  Oxalate, Urine - per 24h Refer to report

0020481 Uric Acid, Urine 250-750 mg/d
  Creatinine, Urine - per 24h
Age Male Female
3-8 years 140-700 mg/d 140-700 mg/d
9-12 years 300-1300 mg/d 300-1300 mg/d
13-17 years 500-2300 mg/d 400-1600 mg/d
18-50 years 1000-2500 mg/d 700-1600 mg/d
51-80 years 800-2100 mg/d 500-1400 mg/d
81 years and older 600-2000 mg/d 400-1300 mg/d

Interpretive Data



Compliance Category

FDA

Note
Hotline History
N/A
CPT Codes

82507; 83945; 84560; 82340

Components
Component Test Code* Component Chart Name LOINC
0020205 Calcium, Urine - per volume 17862-4
0020206 Calcium, Urine - per 24h 6874-2
0020207 Creatinine, Urine - per volume 2161-8
0020208 Creatinine, Urine - per 24h 2162-6
0020218 Uric Acid, Urine - per volume 3086-6
0020219 Uric Acid, Urine - per 24h 3087-4
0020242 Citric Acid, Urine - per 24h 6687-8
0020243 Citric Acid, Urine - per volume 2128-7
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
  • Renal Stone Risk Panel
Kidney Stone Risk Panel, Urine