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Order Code ASUCR Arsenic/Creatinine, Ratio, with Reflex, Random, Urine


Specimen Required


Patient Preparation:

1. For the 48-hour period prior to start of collection, patient should not eat seafood.

2. High concentrations of gadolinium and iodine are known to interfere with most metal tests. If either gadolinium- or iodine-containing contrast media has been administered, a specimen should not be collected for 96 hours.

Supplies: Urine Tubes, 10 mL (T068)

Collection Container/Tube: Clean, plastic urine container with no metal cap or glued insert

Submission Container/Tube: Plastic, 10-mL urine tube or clean, plastic aliquot container with no metal cap or glued insert

Specimen Volume: 6 mL

Collection Instructions:

1. Collect urine a random urine specimen.

2. See Metals Analysis Specimen Collection and Transport for complete instructions.


Useful For

Preferred screening test for detection of arsenic exposure using random urine specimens

Profile Information

Test ID Reporting Name Available Separately Always Performed
ASCU Arsenic/Creatinine Ratio, U No Yes
CRETR Creatinine, Random, U No Yes

Reflex Tests

Test ID Reporting Name Available Separately Always Performed
SPAS Arsenic Speciation, Random, U Yes No

Testing Algorithm

If total arsenic concentration is 10 mcg/L or greater, then speciation will be performed at an additional charge.

Method Name

ASCU: Triple-Quadrupole Inductively Coupled Plasma Mass Spectrometry (ICP-MS/MS)

CRETR: Enzymatic Colorimetric Assay

Reporting Name

Arsenic/Creat w/Reflex, Random,U

Specimen Type

Urine

Specimen Minimum Volume

3 mL

Specimen Stability Information

Specimen Type Temperature Time
Urine Refrigerated (preferred) 28 days
  Frozen  28 days
  Ambient  72 hours

Reject Due To

  All specimens will be evaluated at Mayo Clinic Laboratories for test suitability.

Reference Values

ARSENIC/CREATININE:

0-17 years: Not established

≥18 years: <24 mcg/g creatinine

 

CREATININE:

≥18 years: 16-326 mg/dL

Reference values have not been established for patients who are younger than 18 years of age.

Method Description

The metal of interest is analyzed by triple-quadrupole inductively coupled plasma mass spectrometry. (Unpublished Mayo method)

 

Creatinine:

The enzymatic method is based on the determination of sarcosine from creatinine with the aid of creatininase, creatinase, and sarcosine oxidase. The liberated hydrogen peroxide is measured via a modified Trinder reaction using a colorimetric indicator. Optimization of the buffer system and the colorimetric indicator enables the creatinine concentration to be quantified both precisely and specifically. (Package insert: Creatinine plus ver 2. Roche Diagnostics; V15.0, 03/2019)

Performing Laboratory

Mayo Clinic Laboratories in Rochester

CPT Code Information

82175

82570

LOINC Code Information

Test ID Test Order Name Order LOINC Value
ASUCR Arsenic/Creat w/Reflex, Random,U 13463-5

 

Result ID Test Result Name Result LOINC Value
CRETR Creatinine, Random, U 2161-8
608900 Arsenic/Creatinine Ratio, U 13463-5
608901 Total Arsenic Concentration 5586-3

Day(s) Performed

Monday through Friday