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Citric Acid (Citrate), 24-Hour Urine

CPT: 82507
Updated on 12/9/2019
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Synonyms

  • Citrate Excretion, Urine
  • Citrate, Urine

Special Instructions

Record entire 24-hour total volume on the request form. pH must be 1 to 3 or the sample frozen without the addition of acid.


Expected Turnaround Time

2 - 5 days



Related Documents


Specimen Requirements


Specimen

Urine (24-hour), acidified or frozen


Volume

10 mL aliquot


Minimum Volume

2.5 mL aliquot (Note: This volume does not allow for repeat testing.)


Container

Plastic LabCorp 24-hour urine container with 30 mL 6N HCl preservative (LabCorp N° 21584)


Collection

Collect 24-hour urine with 30 mL 6N HCl. Caution: Strong acid. Mix well. Instruct the patient to void at 8 AM and discard the specimen. Then collect all urine including the final specimen voided at the end of the 24-hour collection period (ie, 8 AM the next morning). Screw the lid on securely. Container must be labeled with patient's full name and date and time collection started and finished. Keep container refrigerated during collection. Preservative is not necessary during collection but should be added to urine collection within 24 hours. Final pH must be 1 to 3. Measure and record on the request form 24-hour total volume and send 25 mL aliquot to the laboratory. Alternatively, the sample may be frozen without added acid.


Storage Instructions

Refrigerate at 2°C to 8°C after collection.


Stability Requirements

Temperature

Period

Room temperature

14 days

Refrigerated

14 days

Frozen

14 days

Freeze/thaw cycles

Stable x3


Causes for Rejection

Acetic or boric acid used as a preservative


Test Details


Use

The mean urinary citrate excretion rate in patients with idiopathic calcium urolithiasis has been found to be significantly lower than that of control groups. Hypocitraturia is common in patients with urolithiasis resulting from renal tubular acidosis and in patients with enteric hyperoxaluria. Citrate excretion is low in renal insufficiency.


Methodology

Spectrophotometry (kinetic at 340 nm)


Reference Interval

320−1240 mg/24 hours


LOINC® Map

Order Code Order Code Name Order Loinc Result Code Result Code Name UofM Result LOINC
016865 Citric Acid (Citrate), Urine 016866 Citric Acid, Urine mg/L 21203-5
016865 Citric Acid (Citrate), Urine 016867 Citric Acid, U, 24hr mg/24 hr 6687-8

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