Test Directory

Test Code
OXT
Test Name
Oxalate, Total Urine
CPT Codes
83945
Expected Turnaround Time
3 - 5 days
Clinical Utility

Useful for monitoring therapy for kidney stones using 24-hour urine collections, identifying increased urinary oxalate as a risk factor for stone formation, and diagnosing primary or secondary hyperoxaluria.

Specimen and Container Info

Specimen Type: 24 Hour Urine

  

Collection Container: 24 Hour Plastic Urine Container

    

Desired Specimen Volume: 4 mL

Collection Instructions
  1. Collect 24-hour urine.
  2. Specimen must be maintained refrigerated during and after collection.
  3. 24-hour volume (in milliliters) is required.
Processing and Submission Instructions
  1. Mix container thoroughly and transfer 4 mL of urine to a clear aliquot tube (screw cap).
  2. Specimen pH should be between 4.5 and 8 and will stay in this range if kept refrigerated. Specimens with pH above 8 indicate bacterial contamination, and testing will be canceled. 
  3. Do not attempt to adjust pH, as it will adversely affect results.
Patient Preparation

For 24 hours before, as well as during the collection process, patient should not take large doses (>2 g orally/24 hours) of vitamin C.

Transport Instructions

Transport to the laboratory refrigerated.

Stability Requirements

Room Temperature

 72 hours

Refrigerated

 14 days

Frozen

14 days

Methodology
Enzymatic
Reference Intervals

 See patient report.

Limitations

Ingestion of ascorbic acid (>2 g/24 hours) may falsely elevate the measured urinary oxalate excretion.

Alternate Names
  • Oxalate, 24 Hour, Urine
Reference Lab
Mayo Clinic Laboratories
Testing Schedule
Routine Monday-Friday