Uric Acid (on ice-Elitek)
Label Mnemonic: | URICICE |
Epic code: | LAB870 |
Downtime form: | Doctor/Provider Orders - Pathology Core and Specialty Care Nursery |
Chemistry
6240 RCP
356-3527
6240 RCP
356-3527
Specimen(s):
Plasma
Collection Medium:
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Plasma Separator Tube 4.5 mL |
Alternate
Collection Media:
Call laboratory for additional acceptable specimen collection containers.
Minimum:
3 mL whole blood in PRECHILLED light green top tube or one PRECHILLED
Microtainer® for pediatric patients.
Delivery Instructions:

Testing Schedule:
24 hrs/day, 7 days a week, including holidays.
Turn Around
Time:
1 hour (upon receipt in laboratory)
Reference Range:
Age Male Female 0 to <15 days 2.7 – 12.6 mg/dL 2.7 – 12.6 mg/dL 15 days to <1 year 1.5 – 6.2 mg/dL 1.5 – 6.2 mg/dL 1 to <12 years 1.7 – 4.7 mg/dL 1.7 – 4.7 mg/dL 12 to <19 years 2.5 – 7.5 mg/dL 2.5 – 5.7 mg/dL Adults >= 19 years 3.4 – 7.0 mg/dL 2.4 – 5.7 mg/dL
Pediatric reference intervals updated on 6/15/2021
Colantonio DA, Kyriakopoulou L, Chan MK, Daly CH, Brinc D, Venner AA, Pasic MD, Armbruster D, Adeli K. Closing the gaps in pediatric laboratory reference intervals: a CALIPER database of 40 biochemical markers in a healthy and multiethnic population of children. Clin Chem. 2012 May;58(5):854-68. doi: 10.1373/clinchem.2011.177741. Epub 2012 Feb 27. PMID: 22371482.
Higgins V, Chan MK, Nieuwesteeg M, Hoffman BR, Bromberg IL, Gornall D, Randell E, Adeli K. Transference of CALIPER pediatric reference intervals to biochemical assays on the Roche cobas 6000 and the Roche Modular P. Clin Biochem. 2016 Jan;49(1-2):139-49. doi: 10.1016/j.clinbiochem.2015.08.018. Epub 2015 Aug 19. Erratum in: Clin Biochem. 2016 Oct;49(15):1210. PMID: 26297116.
Comments:
This test is specifically for patients who are taking the drug
rasburicase (Elitek). Collection in pre-chilled tubes and rapid
transport limits breakdown of uric acid by the uricase enzyme in the
blood tube.
Test
Limitations:
If directions for specimen collection (pre-chilled tube and deliver on ice) are not followed, a false low uric acid will result. Criterion: Recovery within plus or minus 10% of initial values Plasma Icterus: No significant interference up to an I index of 40 (approximate conjugated and unconjugated bilirubin concentration 40 mg/dL or 684 umol/l). Hemolysis: No significant interference up to an H index of 1000 (approximate hemoglobin concentration: 1000 mg/dL or 621 umol/l). Lipemia (Intralipid): No significant interference up to an L index of 1500. There is poor correlation between turbidity and triglycerides concentration. Ascorbic acid less than 3 mg/dL does not interfere. Of the drugs tested in vitro, o-methyldopa, desferoxamine and calcium dobesilate(e.g. Dexium) cause interference at therapeutic concentrations (uric acid level artificially low). Uricase reacts specifically with uric acid. Other purine derivatives can inhibit the uric acid reaction. Reference: Glick MR, Ryder KW, Jackson SA. Graphical Comparisons of Interferences in Clinical Chemistry Instrumentation. Clin Chem 1986;32:470-474.
Methodology:
Enzymatic Colorimetric
CPT Code:
84550
See also:
Uric Acid, Plasma
Uric Acid, Plasma
See Additional Information:
Chemistry Pediatric Reference Ranges
Specimens Requiring Immediate Delivery
Chemistry Pediatric Reference Ranges
Specimens Requiring Immediate Delivery