Ordering Recommendation

Use for kidney stone risk assessment and monitoring; includes interpretation of data. Panel includes calcium, chloride, citric acid, creatinine, magnesium, oxalate, pH, phosphorous, potassium, sodium, sulfate, and uric acid.

Mnemonic
SUPERSAT
Methodology

Quantitative Spectrophotometry/Quantitative Enzymatic/Quantitative Ion-Selective Electrode

Performed

Mon, Wed, Fri

Reported

1-8 days

New York DOH Approval Status
Specimens from New York clients will be sent out to a New York DOH approved laboratory, if possible.
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 tube and test request form.

Stability

Ambient: Unacceptable; Refrigerated: Unacceptable; Frozen: 2 weeks

Reference Interval
Test Number
Components
Reference Interval
pH,  Urine 5.0-7.5
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

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

0020851 Sodium, Urine
Test Number
Component
Reference Interval
Sodium, Urine 51-286 mmol/d
0020473 Creatinine, Urine - per 24h Refer to report

0081102 Sulfate, Urine 6-30 mmol/d
0020481 Uric Acid, Urine 250-750 mg/d
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

0020477 Magnesium, Urine Effective August 15, 2011

12-199 mg/d
0020478 Phosphorus, Urine
Test Number
Components
Reference Interval
  Phosphorus, Urine - per volume Refer to report
  Phosphorus/Creatinine Ratio, Urine Refer to report

0020849 Potassium, Urine
Test Number
Components
Reference Interval
Potassium, Urine 25-125 mmol/d
  Creatinine, Urine - per 24h Refer to report

0020850 Chloride, Urine
Test Number
Components
Reference Interval
Chloride, Urine 140-250 mmol/d
0020473 Creatinine, Urine - per 24h Refer to report

Creatinine, Urine - per 24h

Test Number
Components
Reference Interval
  pH, Urine 5.0-7.5
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

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

0020851 Sodium, Urine
Test Number
Component
Reference Interval
Sodium, Urine 51-286 mmol/d
0020473 Creatinine, Urine - per 24h Refer to report

0081102 Sulfate, Urine 6-30 mmol/d
0020481 Uric Acid, Urine 250-750 mg/d
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

0020477 Magnesium, Urine Effective August 15, 2011

12-199 mg/d
0020478 Phosphorus, Urine
Test Number
Components
Reference Interval
  Phosphorus, Urine - per volume Refer to report
  Phosphorus/Creatinine Ratio, Urine Refer to report

0020849 Potassium, Urine
Test Number
Components
Reference Interval
Potassium, Urine 25-125 mmol/d
  Creatinine, Urine - per 24h Refer to report

0020850 Chloride, Urine
Test Number
Components
Reference Interval
Chloride, Urine 140-250 mmol/d
0020473 Creatinine, Urine - per 24h Refer to report

  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

The values determined for this specimen are placed on the chart to indicate the approximate risk associated with the particular concentrations.  Increased risk is to the right of center; decreased risk, to the left.  Relative supersaturation calculated for calcium oxalate, calcium hydrogen phosphate (brushite) and uric acid calculi is displayed.  Relative risk increases from the middle to the right side of this chart.

Compliance Statement B: For laboratory developed tests not using a RUO kit, and for FDA approved, cleared or 510(k) exempt assays with alterations. This test was developed and its performance characteristics determined by ARUP Laboratories. The U. S. Food and Drug Administration has not approved or cleared this test; however, FDA clearance or approval is not currently required for clinical use. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions.

Note
Hotline History
N/A
CPT Codes

82340; 82436; 82507; 84560; 83735; 83945; 84105; 84133; 84300; 84392; 83986

Components
Component Test Code* Component Chart Name LOINC
0020201 Sodium, Urine - per volume 2955-3
0020202 Potassium, Urine - per volume 2828-2
0020203 Chloride, Urine - per volume 2078-4
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
0020211 Magnesium, Urine - per volume 19124-7
0020212 Magnesium, Urine per 24h 24447-5
0020213 Phosphorus, Urine - per volume 2778-9
0020214 Phosphorus, Urine - per 24h 2779-7
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
0020601 Sodium, Urine - per 24h 2956-1
0020602 Potassium, Urine - per 24h 2829-0
0020603 Chloride, Urine - per 24h 2079-2
0081103 Sulfate, Urine - per volume 47780-2
0081104 Sulfate, Urine - per 24h 26889-6
0081190 Urine Supersaturation, CAHPO4 42673-4
0081191 Urine Supersaturation, UA CALC 42678-3
0081192 Urine Supersaturation Interpretation 48767-8
0081194 Urine Supersaturation, CAOX
0097110 Total Volume 19153-6
0097111 Hours Collected 30211-7
2008709 pH, Urine 2756-5
2008772 EER Supersaturation Profile, Urine 11526-1
* 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
  • Calculi Risk
  • Calculus Risk
  • choride
  • citric aci
  • creatinine
  • Kidney Stone Profile
  • Kidney Stone Risk Assessment
  • magnesium
  • oxalate
  • phosphorus
  • potassium
  • Stone Risk Profile
  • sulfate
  • uric acid
Supersaturation Profile, Urine