A B C D E F G H I J K L M N O P Q R S T U V W X Y Z #

URINALYSIS MACROSCOPIC WITH REFLEX TO MICROSCOPIC URINALYSIS (CULTURE NOT PERFORMED)

Test Code
LAB304756


CPT Codes
81003

Includes
Color, Character, Specific Gravity, pH, Protein, Nitrite, Glucose, Leukocyte, Ketones, Blood, Urobilinogen, and Bilirubin. This test will reflex to  a microscopic analysis if indicated. Reflex criteria includes Clarity other than clear, or positive protein, blood, nitrite, or leukocytes.

Microscopic analysis will be reflected in the following instances:
  • Characteristic other than clear
  • Positive Protein
  • Positive Blood
  • Positive Nitrite
  • Positive Leukocyte


Preferred Specimen
Urine, random specimen in a clean plastic sterile collection cup 
Pediatric: 3mL urine

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)


Transport Temperature
Refrigerated


Specimen Stability
Ambient: 2 hours  
Refrigerated: 24 hours
 


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Contaminated sample or a sample that has been at room temperature more than 2 hours. 


Methodology
Iris

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


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.