Test Code LAB140 Urea Nitrogen (BUN), Blood
Additional Codes
LAB2400-Pre Dialysis BUN
LAB2401-Post Dialysis BUN
Performing Laboratory
St. Louis Children's Hospital Laboratory - Chemistry
Specimen Requirements
Note: This test is also available as part of LAB17, Comprehensive Metabolic Panel (CMP); LAB15, Basic Metabolic Panel (BMP); and LAB19, Renal Function Panel. See Common Panel Test Combinations to avoid duplicate requests if needed.
Patient Preparation: None
Collection Container/Tube:
Preferred: Mint green-top Lithium Heparin (MNTGRN LiHep) tube
Acceptable: Green samplette/microtainer, plain red-top tube, or Gold SST gel tube
Submission Container/Tube: If specimen is coming from outside facility and collected in a microtainer or plain red-top tube aliquot processed sample into a plastic vial for transport (labeling with specimen type).
Specimen Collection Volume: 1.0 mL (minimum 0.6 mL)
Special Instructions: None
Sample Rejection
Mislabled or unlabeled specimens
Logistics
Test Availability: Monday-Sunday
Cut-off time: None, performed as received
Turnaround Time: Same Day; 2 hours from receipt in performing lab
Reference Values
Reference Interval:
<2 weeks: | 2-24 mg/dL |
2 wks-1 year: | 3-20 mg/dL |
≥ 1 years: | 6-25 mg/dL |
Critical Value: None established
Methodology
Kinetic test (with Urease and Glutamate Dehydrogenase) measured photometrically
Limitations
- In very rare cases gammopathy, in particular type IgM (Waldenstrom's macroglobulinemia) may cause unreliable results.
- Ammonium ions may cause erroneously elevated results.
Additional Information
FOR SLCH CORE LABORATORY USE ONLY
Lab Processing Instructions: Centrifuge to separate. If specimen is collected in microtainer or plain red-top tube aliquot sample into a Roche false-bottom tube for testing (labeling aliquot with specimen type).
Processed Volume: 0.3 mL plasma/serum
Analyte Stability:
Specimen Type | Temperature | Time |
---|---|---|
Whole Blood (unprocessed) | Ambient | 8 hours |
Plasma/Serum (processed) | Refrigerated (preferred) | 5 days |
Ambient | 1 day | |
Frozen | 6 months |
Test Classification and CPT Code
84520
LOINC
BUN: 3094-0
BUN Pre: 11065-0
BUN Post: 11064-3
Last Reviewed
06/2025