URINALYSIS WITH CULTURE REFLEX

Test Code

LAB1230154

CPT Codes
81001

Includes

Color, Character, SpecificGravity, pH, Protein, Nitrite, Glucose, Leukocyte, Ketones, Blood, Urobilinogen, Bilirubin, microscopic analysis and Culture (ifindicated based on urinalysis).

Preferred Specimen

Urine in a sterile leak-proof container

Minimum Volume

6 mL urine(Adult)

Instructions

Criteria for Reflex to Culture are:
Positive Nitrite
Positive Leukocyte Esterase
>10 WBCs
Neutropenic or Pediatric Patient

Transport Temperature

Transport Temperature: Refrigerated

Specimen Stability

Ambient: 2 hours
Refrigerated: 12-24 hour

Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)

Contaminated sample or a sample that has been at room temperature more than 2 hours. Specimens with contaminated outer container or specimens that have been at room temperature longer than two hours will be rejected for culture. Urine Drug Screen Cups are not sterile and therefore are not acceptable for culture. Only one specimen per twenty-four hours will be accepted. Urine from Foley bags or 24 hour urines will not be accepted.

Methodology
Morgantown: Iris
Fairmont: AUTION ELEVEN^TM AE-4022
Culture (if indicated)

Setup Schedule

Sunday-Saturday

Reference Range

Normal Macroscopic Values		Normal Microscopic Values
Color	Normal (e.g. yellow)	RBC	<6/hpf
Appearance	Clear	WBC
Specific Gravity	1.005-1.030	Men	<4/hpf
pH	5.0-8.0	Women	<11/lpf
Protein	Negative	Bacteria	Occasional or less/hpf
Ketone	Negative	Squamous epithelial cells	Occasional or less/lpf
Bilirubin	Negative	Hyaline Casts	<4/hpf
Blood	Negative	Other Casts
Leukocytes	Negative	RBC, WBC	0
Glucose	Negative	Waxy, Broad, Granular, Cellular, Fatty, Squamous	0
Urobilinogen	Negative	Mucous	Light
Nitrite	Negative

Miscellaneous Urinalysis Values
Crystals (Calcium phosphate/carbonate/oxalate, Triple phosphate, uric acid	Few or less
Amorphous crystals	Light
Oval fat bodies, Fat, Budding yeast, Hyphae yeast, Renal epithelial cells, Transitional epithelial cells	Occasional or less
Trichomonas, Renal caudate, Sperm, Cystine/Leucine/Tyrosine crystals	None

Clinical Significance

Note: Cultures will only be performed when any of the following criteria are met:
• NITRITE Positive
• LEUKOCYTE ESETERASE Positive
• WBC URINE Present (>10.0 hpf)
• If the patient is pediatric, neutropenic or a nephrology patient, please see test code LAB304950 URINE CULTURE PEDIATRIC/NEUTROPENIC/NEPHROLOGY)

Performing Laboratory
West Virginia University Hospital, Inc.

The CPT Codes provided in this document are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payor being billed. Any Profile/panel component may be ordered separately. Reflex tests are performed at an additional charge.