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Urinalysis Complete
Test CodeLAB348
Alias/See Also
Standard Urinalysis; Routine Urinalysis
CPT Codes
"81003 for Macroscopic (dipstick) urinalysisIf reflex microscopic urinalysis is performed: 81001"
Includes
"Appearance; clarity; color; bilirubin; blood; glucose; ketones; leukocyte esterase; nitrites; pH; protein; specific gravity; urobilinogen. Confirmation of the semiquantitative test glucose will be performed for reducing substances when the age of the patient is less than 2 years old.
Based on the results of the urine chemical (dipstick) analysis, laboratory established decision rules are applied to determine if a microscopic examination is required.
Any of the following criteria reflex to microscopic analysis:
Turbidity of specimen
pH: =8.0
Nitrite: Positive
Blood: Small-large
Protein: =30 mg/dL
At any time, the physician may order the microscopic examination regardless of the results of the dipstick.
For a complete urinalysis (urine chemistry and microscopic) the following tests must be ordered together:
UACO: Urinalysis Chemistry Only
UAMO: Urinalysis Microscopic Only
"
Based on the results of the urine chemical (dipstick) analysis, laboratory established decision rules are applied to determine if a microscopic examination is required.
Any of the following criteria reflex to microscopic analysis:
Turbidity of specimen
pH: =8.0
Nitrite: Positive
Blood: Small-large
Protein: =30 mg/dL
At any time, the physician may order the microscopic examination regardless of the results of the dipstick.
For a complete urinalysis (urine chemistry and microscopic) the following tests must be ordered together:
UACO: Urinalysis Chemistry Only
UAMO: Urinalysis Microscopic Only
"
Instructions
"Clean-catch, midstream urine collection. Refer to Collection and Handling for directions.
Pediatrics: In infants and young children, urine specimens can be obtained by urine bag, bladder catheterization, or bladder aspiration."
Pediatrics: In infants and young children, urine specimens can be obtained by urine bag, bladder catheterization, or bladder aspiration."
Specimen Stability
Refrigerate
Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Insufficient quantity; specimen at room temperature >1 hour; fecal contamination
Methodology
Dipstick, automated with microscopy if indicated.
Setup Schedule
Daily
Report Available
Within 24hrs received
Reference Range
"
Test Name
Normal Range
UNITS
CLARITY
CLEAR
COLOR
YELLOW
SPECIFIC GRAVITY
1.001-1.035
PH
5.0-8.0
PROTEIN
NEGATIVE
mg/dL
GLUCOSE
NEGATIVE
mg/dL
KETONES
NEGATIVE
mg/dL
BILIRUBIN
NEGATIVE
HEMOGLOBIN
NEGATIVE
NITRITES
NEGATIVE
UROBILINOGEN
0-1
E.U./dL
LEUKOCYTES
NEGATIVE
RBCs
0-5
/HPF
WBCs
0-5
/HPF
BACTERIA
NONE SEEN
/HPF
SQUAMOUS EPITHELIAL CELLS
0-5
/HPF
SMALL ROUND CELLS
0
/LPF
HYALINE CASTS
0-3
/LPF
PATHOLOGICAL CASTS
0
/LPF
CRYSTALS
0
/HPF
YEAST LIKE CELLS
0
/HPF
MUCUS
0
SPERM
0
/HPF
REDUCING SUBSTANCES
NEGATIVE
%
"
Test Name
Normal Range
UNITS
CLARITY
CLEAR
COLOR
YELLOW
SPECIFIC GRAVITY
1.001-1.035
PH
5.0-8.0
PROTEIN
NEGATIVE
mg/dL
GLUCOSE
NEGATIVE
mg/dL
KETONES
NEGATIVE
mg/dL
BILIRUBIN
NEGATIVE
HEMOGLOBIN
NEGATIVE
NITRITES
NEGATIVE
UROBILINOGEN
0-1
E.U./dL
LEUKOCYTES
NEGATIVE
RBCs
0-5
/HPF
WBCs
0-5
/HPF
BACTERIA
NONE SEEN
/HPF
SQUAMOUS EPITHELIAL CELLS
0-5
/HPF
SMALL ROUND CELLS
0
/LPF
HYALINE CASTS
0-3
/LPF
PATHOLOGICAL CASTS
0
/LPF
CRYSTALS
0
/HPF
YEAST LIKE CELLS
0
/HPF
MUCUS
0
SPERM
0
/HPF
REDUCING SUBSTANCES
NEGATIVE
%
"
Additional Information
Clean Catch Urine Collection Instructions
