Cystatin C

CPT: 82610
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Expected Turnaround Time

3 - 5 days


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Specimen Requirements


Specimen

Serum or plasma


Volume

0.5 mL


Minimum Volume

0.2 mL


Container

Red-top tube, gel-barrier tube, or green-top (heparin) tube


Collection

Separate serum or plasma from red blood cells.


Storage Instructions

Room temperature


Stability Requirements

Temperature

Period

Room temperature

14 days

Refrigerated

14 days

Frozen

14 days

Freeze/thaw cycles

Stable x3


Causes for Rejection

Specimen other than serum or heparinized plasma; grossly hemolyzed (>1,000 mg/dL Hgb) samples; excessive turbidity and clots in samples


Test Details


Use

Since it is formed at a constant rate and freely filtered by the healthy kidney, cystatin C is a good marker of renal function. Serum concentrations of cystatin C are almost totally dependent on glomerular filtration rate (GFR).1,2 A reduction in GFR causes a rise in the concentration of cystatin C.


Limitations

Cystatin C has not been shown to be affected by factors such as muscle mass and nutrition, factors which have been demonstrated to affect creatinine values. In addition, a rise in creatinine does not become evident until the GFR has fallen by approximately 50%.


Methodology

Turbidimetric (directly traceable to ERM-DA471/IFCC, the international standard reference material)


Reference Interval

See table.

Age

Range (mg/L)

0 to 1 y

Not established

2 to 50 y

0.60−1.00

51 to 60 y

0.67−1.14

61 to 70 y

0.72−1.16

71 to 80 y

0.78–1.15

>80 y

0.87–1.12


Footnotes

1. Grubb A. Diagnostic value of analysis of cystatin C and protein HC in biological fluids. Clin Nephrol. 1992; 38(Suppl 1):S20-7. 1284235
2. Coll E, Botey A, Alvarez L, et al. Serum cystatin C as a new marker for noninvasive estimation of glomerular filtration rate and as a marker for early renal impairment. Am J Kidney Dis. 2000; 36:29-34.10873868

LOINC® Map

Order Code Order Code Name Order Loinc Result Code Result Code Name UofM Result LOINC
121251 Cystatin C 33863-2 121252 Cystatin C mg/L 33863-2

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