© Copyright 2026 American Medical Association. All rights reserved.
The CPT® Code 82365 refers to a laboratory test that utilizes infrared spectroscopy to analyze the composition of renal calculi, commonly known as kidney stones. This procedure is essential for understanding the specific materials that constitute the stones formed in the kidneys. As the kidneys filter blood and produce urine, various chemicals can precipitate, leading to the formation of crystals. These crystals may consist of minerals, cysteine, or a combination of both. The presence of kidney stones can result in significant complications, including obstruction of urine and blood flow within the kidneys, or they may dislodge and travel down the ureters. This movement can stretch, irritate, and damage the walls of the ureters, causing pain and potential further medical issues. To perform the analysis of the calculi, urine is collected in a clean container and subsequently strained through a fine mesh to capture the stones. Once collected, the calculi are transported to a laboratory for further examination. Typically, a qualitative analysis of the stones is conducted first, which is documented separately. Following this, samples from the surface, core, and cross-section of the stones are taken for detailed analysis using infrared spectrometry, as indicated by CPT® Code 82365. Alternatively, the stones may also be analyzed using roentgenogram (X-ray) diffraction, which is documented under CPT® Code 82370, to create a diffractogram. The results of these analyses are then compared against a comprehensive database of known stone composition materials, allowing for an accurate determination of the specific composition of the calculi.
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