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, random specimen in a clean plastic sterile collection cup
Ruby only- Transfer urine into a non-additive yellow top BD vacuatianer tube, if available. A BD UA preservative Tiger top tube may also be used but is not preferred. Submit both the cup and BD tube for testing.

Minimum Volume

6 mL urine(Adult)

Instructions

Criteria for Reflex to Culture are:
>10 WBCs

Transport Temperature

Transport Temperature: Refrigerated

Specimen Stability

Ambient: 2 hours
Refrigerated: 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	<6-10/hpf
Appearance	Clear	WBC	<6-10/hpf
Specific Gravity	1.005-1.030
pH	5.0-8.0
Protein	Negative	Bacteria	< few
Ketone	Negative	Squamous epithelial cells	<few
Bilirubin	Negative	Hyaline Casts	< Moderate
Blood	Negative
Leukocytes	Negative	RBC, WBC	None
Glucose	Negative	Waxy, Broad, Granular, Cellular, Fatty, Squamous	None
Urobilinogen	Negative	Mucous	<Light
Nitrite	Negative

Miscellaneous Urinalysis Values
Crystals (Oxalate, Triple phosphate, uric acid, other crystals, (Cystine, Leucine, Tyrosine)	Absent
Amorphous crystals	<Light
Oval fat bodies, Renal epithelial cells, Transitional epithelial cells	<Rare
Trichomonas, Sperm, Yeast	Absent

Clinical Significance

Note: Cultures will only be performed when any of the following criteria are met:
• WBC URINE Present (>10.0 hpf)
• If pediatric, neutropenic renal transplant <30 days, Urologic procedure, or pregnant are indicated in the order, then a culture will reflex automatically.

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.