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HelpTest Code OPTU Orthostatic Protein, Timed Collection, Urine
Profile Information
| Test ID | Reporting Name | Available Separately | Always Performed |
|---|---|---|---|
| DOPTU | Daytime Orthostatic Protein, U | No | Yes |
| NOPTU | Nighttime Orthostatic Protein, U | No | Yes |
Performing Laboratory
Mayo Clinic Laboratories in Rochester
Specimen Type
UrineOrdering Guidance
This collection process requires 2 separate urine collections within a 24-hour period.
Collect specimen per instructions in Orthostatic Protein Measurement 24-Hour Urine: Collection Site Instructions (T546) in Special Instructions.
Necessary Information
This collection process requires 2 separate urine collections within a 24-hour period.
-Submit start and end times for collection and 16-hour volume (required).
-Submit start and end times for collection and 8-hour volume (required).
Specimen Required
Specimens should be collected before fluorescein is given or not collected until at least 24 hour later.
Supplies: 2 Sarstedt 5 mL Aliquot Tube (T914)
Daytime Collection
Container/Tube: Plastic, 5-mL tube
Specimen Volume: 4 mL
Collection Instructions:
1. Collect a 16-hour (daytime) urine specimen.
2. No preservative.
3. Invert well before taking 4-mL aliquot.
4. Do not over fill aliquot tube 4 mL at most.
5. Collect specimen per instructions in Orthostatic Protein Measurement 24-Hour Urine: Collection Site Instructions (T546) in Special Instructions.
Nighttime (Supine) Collection
Container/Tube: Plastic, 5-mL tube
Specimen Volume: 4 mL
Collection Instructions:
1. Collect an 8-hour (nighttime) urine specimen.
2. No preservative.
3. Invert well before taking 4-mL aliquot at most.
Specimen Minimum Volume
1 mL from 16-hour (daytime) urine collection/1 mL from 8-hour (nighttime) urine collection
Specimen Stability Information
| Specimen Type | Temperature | Time |
|---|---|---|
| Urine | Refrigerated (preferred) | 14 days |
| Frozen | 30 days | |
| Ambient | 24 hours |
Reference Values
Nighttime (supine) collection: <68 mg/8 hours
Reference values have not been established for patients <18 years of age.
Daytime collection: <197 mg/16 hours
Reference values have not been established for patients <18 years of age
CPT Code Information
84156 x 2
Clinical Information
Orthostatic proteinuria refers to the development of increased proteinuria that develops only when the person is upright and resolves when recumbent or supine. This condition is usually seen in children, adolescents, or young adults, and accounts for the majority of cases of proteinuria in childhood.
Orthostatic proteinuria usually does not indicate significant underlying renal pathology, and is usually not associated with other urine abnormalities such as hypoalbuminemia, hematuria, red blood cell casts, fatty casts, etc. Orthostatic proteinuria typically resolves over time.
This test characterizes this condition by obtaining 2 urine collections within a 24-hour time frame, one collection obtained while the person is recumbent or supine, the other when upright.
Reject Due To
| All specimens will be evaluated at Mayo Clinic Laboratories for test suitability. |
Method Name
Turbidimetry
Forms
1. Orthostatic Protein Measurement 24-Hour Urine: Patient Collection Instructions in Special Instructions
2. If not ordering electronically, complete, print, and send a Renal Diagnostics Test Request (T830) with the specimen.
Day(s) Performed
Monday through Sunday