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Test Code PDBUN Bun Pre & Post Hemodialysis, PDBUN

Useful For

Measurement of the ratio of calcium clearance to creatinine clearance (fractional excretion of calcium) has been used primarily for distinguishing familial benign hypercalcemia from other causes of increased serum calcium in adult patients.  Generally, benign hypercalcemia is characterized by a decreased urine calcium excretion, resulting in a decreased clearance ratio.

Synonyms/Keywords

Post Bun, Post Dialysis, Urea Nitrogen, PDBUN

Specimen Requirements

 

Fasting Required Specimen Type Preferred Container/Tube Acceptable Container/Tube Specimen Volume Specimen Minimum Volume
(allows for 1 repeat)
No Plasma/Serum Lithium-heparin plasma separator (PST), Serum Separator (SST) Lithium or Sodium-heparin Green Top (GTT), Red Top Tube (RTT) 1 mL 0.5 mL

 

Collection/Processing Instructions

Pre-dialysis specimen should be collected prior for use in calculations

 

Samples collected in a RTT or GTT must be removed from cells within one hour for storage or transport. Samples collected in gel barrier tubes must be removed from the primary tube prior to transporting to Marshfield. Do not send the primary collection tube.

Specimen Stability Information

Specimen Type Temperature Time
Plasma/Serum Ambient 5 days
Refrigerated 7 days
Frozen  3 months

Rejection Criteria

Specimens collected in ammonium heparinate or oxalate

Test Components

Pre-dialysis urea nitrogen, Post-dialysis urea nitrogen, height, weight, calculated total body water, urea reduction, delivered KT/V, and protein catabolic rate

Reference Range Information

Performing Location Reference Range
Marshfield 6-24 mg/dL

Marshfield Labs Performing Department

Marshfield Labs Chemistry

Performing Information

Performing Location Day(s) Test Performed Analytical Time Methodology/Instrumentation
Marshfield Monday through Sunday Less than 2 hours Urease GLDH Rate Assay/ Beckman AU

CPT Codes

CPT Modifier
(if needed)
Quantity Description Comments
84520   1 PreBUN  
84520   1 PostBUN  

Outreach CPT Codes

CPT Modifier
(if needed)
Quantity Description Comments
84520   1 PreBUN  
84520   1 PostBUN  

Ordering Applications

Ordering Application Description
Cerner Careset: BUN Pre & Post Hemodialysis, PDBUN
4media BUN Pre & Post Hemodialysis, PDBUN