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Last Modified:
6/1/2020 7:48:41 AM
Medical Necessity Documentation:
Client Notes:
Patient Preparation:
Specimen Requirements:
Entire specimen
of Dry stone(s) in a
sterile Grey Top
Plastic Container
Collection Instructions:
Order must include the site and/or source of collection
Do not tape the specimen to anything as tape interferes with the analytical procedure
Remove stone from urine if necessary
Do not add fixative to stone
Transport & Storage: Temperature/Stability:
6 months Ambient
Reference Range:
Refer to Interpretive Pathology Report
Critical Ranges:
Test Comments:
Methodology:
Infrared Spectroscopy (Fourier Transform Infrared Spectroscopy), Gravimetric
Clinical Significance:
Stone Analysis is used in determining the etiology of stones. The results are often useful in determining the cause and treatment
Documentation:
Custom Panel:
No
PRODUCTION SCHEDULE
Days Performed:
Monday, Tuesday, Wednesday, Thursday, Friday, Saturday
Sites Performed:
Parkview Regional Medical Center, Quest - Valencia
PHL Test Code:
PS
EPIC Test Code:
LAB2491
Send Out Test Code:
30260
Alternate Test Names:
Stone Analysis; Stone-A-Lyzer
Included Tests:
Gross Exam; Chemical Analysis; Component 1; Component 2; Stone Weight
CPT Coding:
88300, 82365
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