MICROSCOPIC URINALYSIS

Message

Morgantown: Automated testing is primary source, on occasion a manual microscopic review is needed.
Fairmont: Only Manual microscopic review is performed

Test Code

LAB304757

CPT Codes
81015

Includes

RBC, WBC, bacteria, and any additional elements as observed.

Preferred Specimen

Urine, random specimen in a clean plastic collection cup

Minimum Volume

6 mL urine(Adult)

Other Acceptable Specimens

BD 16 X 100mm X 8ml vacutainers conical plastic UA preservative tube, cherry red/yellow stopper: product # 364992 is also acceptable for the Iris system according to studies done by the company. This tube type is stable for 72 hours unrefrigerated at room temperature due to a bacterial inhibiting preservative.

Transport Temperature

Transport Temperature: Refrigerated

Specimen Stability

Ambient: 2 hours Refrigerated: 12-24 hours

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

Contaminated samples or samples kept at room temperature more than 2 hours.

Methodology
Morgantown: Automated testing is primary source, on occasion a manual microscopic review is needed. Fairmont: Only Manual microscopic review is performed

Setup Schedule

Sunday-Saturday

Reference Range

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

Performing Laboratory
West Virginia University Hospital, Inc.
Bluefield Pavilion Campus
Berkeley Medical Center
Barnesville Hospital
Braxton County Memorial
Camden Clark Medical Center
Camden Clark Medical Center
Fairmont Medical Center
Garrett Regional Medical Center
Harrison Community Hospital
Jackson General Hospital
Jefferson Medical Center
Princeton Community Hospital
Potomac Valley Hospital
Reynolds Memorial Hospital
Summersville Regional Medical Center
St. Joseph’s Hospital
United Hospital Center
Uniontown Hospital
Wetzel County Hospital
Wheeling Hospital

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.