As you noted, the results of a urine test can indicate microalbuminuria or macroalbuminuria. Because there are many factors that lead to this determination, there is no single threshold we can state that would indicate macroalbuminuria. The physician would have to document a positive finding for macroalbuminuria in the medical record. Note that the numerator also includes patients who have been screened for nephropathy. To meet this requirement, the patient can have any urine screening test and no specific result is required. You could check to see if patients meet this lower threshold before applying the more stringent criteria of being positive for macroalbuminuria. We will work with experts to determine if we can make changes during the next update cycle.