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Test Code METAFR Metanephrines, Fractionated, 24-hour Urine

Important Note

First-line test in suspected pheochromocytoma

If possible, abstain from medications for 72 hours prior to collection
 

Additional Codes

2007996

Specimen Type

Urine

Preferred Collection Container

24 Hr. Urine Container or Random Urine, no preservative required
 

Collection Instructions

For 24 hour collecitons instruct the patient to void at 8:00 AM and discard the specimen. Then collect all urine including the final specimen voided at the end of the 24-hour collection period, i.e., 8:00 AM the next morning. Refrigerate during collection. Screw the lid on securely. Specimens should be transported promptly to the Clinical Laboratory. Container must be labelled with patient's full name, room number, date and time collection started, and date end time collection finished.

Collection Volume

4 mL aliquot of well mixed 24 hour collection or random specimen

Minimum Collection Volume

2.5 mL

Testing Volume

2.5 mL

Rejection Criteria

Specimens preserved with boric acid or acetic acid

Specimen Storage and Stability

Ambient: Unacceptable; Refrigerated: 2 weeks (unpreserved), 1 month (preserved); Frozen: 1 month

Day(s) and Time(s) Performed

Sunday through Saturday

CPT Coding

83835

EPIC Code

LAB7112

Methodology

High Performance Liquid Chromatography-Tandem Mass Spectrometry
 

Acceptable Collection Container

24 Hr. Urine Container or Random Urine, no preservative required
 

Transport

Refrigerated

Turn Around Time

2-6 days

Lab Department

Referred Testing

LOINC

Creatinine, Urine - per volume    2161-8, Creatinine, Urine - per 24h    2162-6, Metanephrines, Urine Interpretation    49283-5, Total Volume    19153-6, Hours Collected    30211-7, Metanephrine, Urine - per volume    21019-5, Normetanephrine, Urine - per volume    21422-1, Metanephrine, Urine - per 24h    19049-6, Metanephrine, Urine - ratio to CRT    35644-4, Normetanephrine, Urine - per 24h    2671-6, Normetanephrine, Urine - ratio to CRT    44342-4