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Test Directory

Aldosterone, 24-Hour Urine with Creatinine

Test Summary

Aldosterone is a hormone produced by the adrenal glands. Patients with primary hyperaldosteronism exhibit hypokalemia, hypertension, and low direct renin concentrations.

Aliases

  • N/A

Specimen Collection

Special Instructions

N/A

Preferred Specimen

1.5 mL 24-hour urine collected in a 24-hour urine container

Minimum Volume

0.8 mL

Instructions

Record 24-hour urine volume on test requisition and urine vial. Refrigerate during and after collection.

Patient Preparation

N/A

Storage

Transport tube

Transport Temperature

Room temperature

Specimen Stability

  • Room temperature: 7 days
  • Refrigerated: 28 days
  • Frozen: 21 days

Limitations

N/A

Other Acceptable Specimens

Random urine collected in a no preservative container (reference ranges do not apply to random urine samples) • 24-hour urine collected in a 24-hour urine container with 10 g Boric acid

Unacceptable Specimens

Urine collected with HCl

Order Code

ALDOSU

EPIC (Premier) Code

LAB020

Includes

Creatinine

CPT code 81050 may be added at an additional charge for volume measurement

CPT Code

  • 82088
  • 82570

Billing Code

  • 671330
  • 670533

CPT Statement

Methodology

Hydrolysis • Extraction • Liquid Chromatography/Tandem Mass Spectrometry (LC/MS/MS)

FDA Status

This test was developed and its analytical performance characteristics have been determined by Quest Diagnostics. It has not been cleared or approved by the U.S. Food and Drug Administration. The FDA has determined that such clearance or approval is not necessary. This assay has been validated pursuant to the CLIA regulations and is used for clinical purposes.

Physician Attestation of Informed Consent

N/A

Testing Laboratory

Quest Diagnostics Nichols Institute
33608 Ortega Highway
San Juan Capistrano CA, 92675

Reference Range

Aldosterone, 24-Hour Urine
Random Sodium Diet
Agemcg/24 hours
2-7 years5.7 or less
8-11 years10.2 or less
12-16 years15.6 or less
Adults2.3-21.0
Oral sodium loading test (high salt diet for 3 days): 12 mcg/24 hrs or less*

*Funder JW, Carey RM, Mantero F, et al. The Management of Primary
Aldosteronism: Case Detection, Diagnosis, and Treatment: An Endocrine Society Clinical Practice Guideline. J Clin Endocrinol Metab. 2016; 101:1889-1916

Creatinine, 24-Hour Urine
<3 YearsNot established
3-8 Years0.10-0.80 g/24 h
9-12 Years0.20-1.40 g/24 h
13-17 Years0.40-1.90 g/24 h
>17 Years0.50-2.15 g/24 h

Setup Schedule / Expected Turnaround Time

Sunday, Tuesday; Report available: 4 - 10 days

Specimen Collection

Special Instructions

N/A

Preferred Specimen

1.5 mL 24-hour urine collected in a 24-hour urine container

Minimum Volume

0.8 mL

Instructions

Record 24-hour urine volume on test requisition and urine vial. Refrigerate during and after collection.

Patient Preparation

N/A

Storage

Transport tube

Transport Temperature

Room temperature

Specimen Stability

  • Room temperature: 7 days
  • Refrigerated: 28 days
  • Frozen: 21 days

Limitations

N/A

Other Acceptable Specimens

Random urine collected in a no preservative container (reference ranges do not apply to random urine samples) • 24-hour urine collected in a 24-hour urine container with 10 g Boric acid

Unacceptable Specimens

Urine collected with HCl

Billing

CPT Code

  • 82088
  • 82570

Billing Code

  • 671330
  • 670533

CPT Statement

Result Information

Methodology

Hydrolysis • Extraction • Liquid Chromatography/Tandem Mass Spectrometry (LC/MS/MS)

Testing Laboratory

N/A

Reference Range

Aldosterone, 24-Hour Urine
Random Sodium Diet
Agemcg/24 hours
2-7 years5.7 or less
8-11 years10.2 or less
12-16 years15.6 or less
Adults2.3-21.0
Oral sodium loading test (high salt diet for 3 days): 12 mcg/24 hrs or less*

*Funder JW, Carey RM, Mantero F, et al. The Management of Primary
Aldosteronism: Case Detection, Diagnosis, and Treatment: An Endocrine Society Clinical Practice Guideline. J Clin Endocrinol Metab. 2016; 101:1889-1916

Creatinine, 24-Hour Urine
<3 YearsNot established
3-8 Years0.10-0.80 g/24 h
9-12 Years0.20-1.40 g/24 h
13-17 Years0.40-1.90 g/24 h
>17 Years0.50-2.15 g/24 h

Setup Schedule / Expected Turnaround Time

Sunday, Tuesday; Report available: 4 - 10 days