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Test Code CUUR Copper, Random Urine

Clinical Indications

Useful in the assessment of overload.

Additional Test Codes

Epic Order Name: COPPER, URINE (aka CUUR)
Sunquest Order Code: CUUR
Epic Px Code: LAB6037

Specimen Collection Type

Random urine

Minimum Collection Volume

1.0 mL

Reference Range

Components

Reference Interval

Copper, Urine

0.3-3.2 µg/dL

Copper Urine - ratio to CRT

10.0-45.0 µg/gCRT

Critical Value

n/a

Interpretation

Individuals with symptomatic Wilson disease usually excrete more than 100 g copper per day. Other conditions associated with elevated urine copper include cholestatic liver disease, proteinuria, some medications, and contaminated specimens.
Although random specimens may contain diagnostic information, 24-hour collection is a more consistent indicator of elevated copper.

Rejection Criteria

Urine collected within 48 hours after administration of a gadolinium (Gd) containing contrast media (may occur with MRI studies). Acid preserved urine.

Specimen Availability for Add-on Testing

2 Days

Specimen Stability

Refrigerated (preferred): 2 weeks
Ambient: 1 week
Frozen: 1 year

Day(s) Performed

Sun-Sat

Performing Lab - Department

TUKHS-BH-Mail Outs

CPT Code

82525

LOINC Code

Copper, Urine – per volume: 5632-5
Creatinine, Urine – per volume: 2161-8
Copper, Urine – ratio to CRT: 13829-7

Test Alias

24-hour urine copper
Copper/Creatinine Ratio, Urine
Cu
CUU
Normalized Urine Copper
Normalized Urine Cu

Additional Information / Notes

N/A