Lab Dept: Urine/Stool
Test Name: STONE ANALYSIS
General Information
Lab Order Codes: SANA
Synonyms: Calculus Analysis; Kidney Stone Analysis; Renal Calculi; Urinary Calculi
CPT Codes: 82365 – Calculus; qualitative analysis
Test Includes: Evaluation of stone composition, quantitative report issued.
Logistics
Test Indications: Useful for managing patients with recurrent renal calculi.
The composition of urinary calculi stones may vary from a simple crystal
to a complex mixture containing several different species of crystals.
The composition of the nidus center may be entirely different from that
of the peripheral layers.
Eighty percent of patients with kidney stones have a history of recurrent
stone formation. Knowledge of stone composition is necessary to guide
therapy of patients with recurrent stone formation.
Lab Testing Sections: Urine/Stool - Sendouts
Referred to: Mayo Medical Laboratories (MML Test: KIDST)
Phone Numbers: MIN Lab: 612-813-6280
STP Lab: 651-220-6550
Test Availability: Daily, 24 hours
Turnaround Time: 4 – 6 days, test set up Monday – Saturday
Special Instructions: If patients are collecting the stone at home, provide them with a stone
collection kit. Contact the laboratory to obtain a collection kit.
Specimen
Specimen Type: Urinary calculi
Container: Urine cup
Draw Volume: Submit entire dried urinary calculi specimen
Processed Volume: Same as Draw Volume
Collection: Hospital Collection: As per physician order
Patient Collection At-Home Instructions:
A kit should be provided for this collection (Supply T550).
Your doctor has recommended you catch your stone by filtering your
urine. Most stones are small enough to pass out of the body on their
own. Each urine collection should be filtered until stone has passed. It’s
also important to filter your urine during your first-morning void,
because the stone may have passed to the bladder or urinary tract
during the night.
1. Use the filter provided to filter the patient’s urine.
2. Check the filter for any particles that may be of stone. The stone may
be very small so check carefully. The stone could look like a grain of
sand or a small piece of gravel.
3. If a stone is found, place it in the clean, dry container provided.
▪ Do not tape stone to container as tape will affect testing.
▪ Do not put any liquid in the container.
▪ Do not send the filter to the laboratory.
4. Write the source, if known, on sticker of container (ie, left kidney,
bladder, right ureter). Your physician may provide this information for
you. Place container in bag provided.
5. Keep stone at room temperature.
6. Return the stone to your doctor’s office, collection site, or wherever
you were instructed to return the specimen.
Special Processing: Lab Staff:
Prepare stone by cleaning any blood or foreign material from the
stone with deionized water. Place stone on a clean filter or paper
towel and let dry at ambient temperature for a minimum of 24 hours,
then place dry stone in a screw-capped plastic container. Send stone
at ambient temperature.
▪ Do not place stone directly in a bag. If specimen is received in a
bag, either transfer stone into a screw-capped, plastic container or
place bag containing stone in a screw-capped, plastic container.
▪ Do not tape the specimen to anything as tape interferes with the
analytical procedure.
▪ Do not send the stone in formalin.
▪ Do not send filter.
▪ If multiple stones are being sent and testing is wanted on each stone,
place each stone in its own container. Testing must be ordered on each
stone, and each test will be charged separately.
Specimen source is required on request form for processing.
Patient Preparation: See Collection
Sample Rejection: Specimens other than renal stones
Interpretive
Reference Range: The presence of a kidney stone is abnormal. A quantitative report will
be provided after analysis.
Critical Values: N/A
Limitations: N/A
Methodology: Infrared Spectrum Analysis
References: Mayo Medical Laboratories (February 2023)
Updates: 2/21/2023: Updated reference lab test code, clarified lab processing
