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HelpTest Code POU Phosphorus, 24 Hour, Urine
Reporting Name
Phosphorus, 24 HR, UUseful For
Evaluation of hypo- or hyper-phosphatemic states
Evaluation of patients with nephrolithiasis
Performing Laboratory
Mayo Clinic Laboratories in Rochester
Specimen Type
UrineNecessary Information
24-Hour volume (in milliliters) is required.
Specimen Required
Supplies: Sarstedt 5 mL Aliquot Tube (T914)
Collection Container/Tube: 24-Hour graduated urine container with no metal cap or glued insert
Submission Container/Tube: Plastic, 5 mL tube or a clean, plastic aliquot container with no metal cap or glued insert
Specimen Volume: 4 mL
Collection Instructions:
1. Collect urine for 24 hours.
2. Refrigerate specimen within 4 hours of completion of 24-hour collection.
Additional Information: See Urine Preservatives-Collection and Transportation for 24-Hour Urine Specimens for multiple collections.
Specimen Minimum Volume
1 mL
Specimen Stability Information
| Specimen Type | Temperature | Time | Special Container |
|---|---|---|---|
| Urine | Refrigerated (preferred) | 14 days | |
| Frozen | 30 days | ||
| Ambient | 7 days |
Special Instructions
Reference Values
≥18 years: 226-1,797 mg/24 hours
Reference values have not been established for patients who are less than 18 years of age.
Test Classification
This test has been cleared, approved, or is exempt by the US Food and Drug Administration and is used per manufacturer's instructions. Performance characteristics were verified by Mayo Clinic in a manner consistent with CLIA requirements.CPT Code Information
84105
LOINC Code Information
| Test ID | Test Order Name | Order LOINC Value |
|---|---|---|
| POU | Phosphorus, 24 HR, U | 2779-7 |
| Result ID | Test Result Name | Result LOINC Value |
|---|---|---|
| POUU | Phosphorus, 24 HR, U | 2779-7 |
| TM12 | Collection Duration | 13362-9 |
| VL10 | Urine Volume | 3167-4 |
Clinical Information
Approximately 80% of filtered phosphorus is reabsorbed by renal proximal tubule cells. The regulation of urinary phosphorus excretion is principally dependent on regulation of proximal tubule phosphorus reabsorption. A variety of factors influence renal tubular phosphate reabsorption and consequent urine excretion. Factors that increase urinary phosphorus excretion include high phosphorus diet, parathyroid hormone, extracellular volume expansion, low dietary potassium intake, and proximal tubule defects (eg, Fanconi Syndrome, X-linked hypophosphatemic Rickets, tumor-induced osteomalacia). Factors that decrease, or are associated with decreases in, urinary phosphorus excretion include low dietary phosphorus intake, insulin, high dietary potassium intake, and decreased intestinal absorption of phosphorus (eg, phosphate-binding antacids, vitamin D deficiency, malabsorption states).
A renal leak of phosphate has also been implicated as contributing to kidney stone formation in some patients.
Interpretation
Interpretation of urinary phosphorus excretion is dependent upon the clinical situation, and should be interpreted in conjunction with the serum phosphorus concentration.
Method Description
Inorganic phosphorus reacts with ammonium molydbdate in an acidic solution to form ammonium phosphomolybdate. The ammonium phosphomolybdate is quantified in the ultraviolet range (340 nm).(Package insert: Roche Phosphorus. Roche Diagnostics; V9.0 12/2019)
Reject Due To
| All specimens will be evaluated at Mayo Clinic Laboratories for test suitability. |
Method Name
Molybdic Acid
Forms
If not ordering electronically, complete, print, and send a Renal Diagnostics Test Request (T830) with the specimen.
Secondary ID
610832Day(s) Performed
Monday through Sunday