Negative microalbuminuria test result documented and reviewed (DM)
CPT4 code
Name of the Procedure:
Negative Microalbuminuria Test Result Documented and Reviewed (DM)
Summary
This procedure involves documenting and reviewing the results of a microalbuminuria test that indicates a negative outcome, meaning there is no significant presence of albumin in the urine. This test is important in monitoring kidney health, particularly in patients with diabetes mellitus (DM).
Purpose
Microalbuminuria tests assess kidney function by measuring small amounts of albumin in the urine. A negative result helps to confirm that the kidneys are functioning properly without signs of damage. This is crucial for individuals with diabetes, as they are at higher risk for kidney disease.
Indications
- Monitoring kidney health in diabetic patients.
- Evaluating risk of kidney disease.
- Periodic health check-ups for individuals with diabetes.
Preparation
- No special preparation is usually required.
- Patients may be advised to avoid strenuous exercise 24 hours before the test.
- Hydration: Drink normal amounts of fluids.
Procedure Description
- Sample Collection: The patient provides a urine sample, usually as a spot sample or a 24-hour urine collection.
- Laboratory Analysis: The urine sample is sent to a laboratory where it is analyzed for albumin content.
- Documentation: The results are documented in the patient's medical record.
- Review: A healthcare provider reviews the test results with the patient.
Tools
- Urine collection container
- Laboratory analysis equipment.
Duration
The test itself takes only a few minutes, but results may take a few days to process.
Setting
Outpatient clinic, doctor's office, or laboratory.
Personnel
- Primary care physician or endocrinologist
- Laboratory technician
Risks and Complications
- The procedure is non-invasive with minimal risks.
- Rare cases of mislabeling or improper sample collection.
Benefits
- Early detection and prevention of kidney disease.
- Assurance of good kidney function in diabetic patients.
Recovery
- Immediate resumption of normal activities.
- No post-procedure restrictions.
Alternatives
- Regular kidney function tests like serum creatinine and glomerular filtration rate (GFR).
- Advantages of microalbuminuria test: Non-invasive and sensitive to early kidney changes.
Patient Experience
- Comfortable and straightforward.
- No pain or discomfort.
- Immediate return to daily activities.
Pain management and comfort measures are generally not necessary due to the non-invasive nature of the procedure.