UA PEDIATRIC

Test Code

UA PEDS

CPT Codes
81001

Includes

"COLOR
CLARITY
SPECIFIC GRAVITY,URINE
PH
TOTAL REDUCING SUBSTANCES
GLUCOSE
KETONES
BILIRUBIN, URINE
PROTEIN
OCCULT BLOOD, URINE
LEUKOCYTE ESTERASE
NITRITE
UROBILINOGEN
URINE MACRO COMMENT
RBC
WBC
EPITHELIAL CELLS
HYALINE CASTS
GRANULAR CASTS
WAXY CASTS
RBC CASTS
WBC CASTS
EPITHELIAL CAST
RENAL EPITHELIAL CELLS
BACTERIA
TRICHOMONAS
YEAST
CALCIUM OXALATE CRYSTALS
TRIPLE PHOSPHATE CRYSTALS
CYSTINE CRYSTALS
URIC ACID CRYSTALS
URINE MICRO COMMENT
"

Minimum Volume

See Transport Container for information

Transport Container

"1 URINE CONTAINER
Sample Type: Random urine
Minimum Volume: 2 mL
"

Reference Range

"Test: COLOR
Male/Female All Ages:
Normal: YELLOW

Test: CLARITY
Male/Female All Ages:
Normal: CLEAR
Positive (Reported as SL CLOUD, CLOUDY, TURBID, OTHER, Cloudy, Sl Cloudy)

Test: SPECIFIC GRAVITY,URINE
See report for normal ranges.

Test: PH
Male/Female All Ages:
Normal Range: 5.0-9.0

Test: TOTAL REDUCING SUBSTANCES
Male/Female Ages >=0 Days - <2 Years:
Normal: NEGATIVE
Positive (Reported as TRACE, 250, 500, 750, 1000, 2000, >=2000, 3000, 5000)
Male/Female Ages >=2 Years:
Normal: NEGATIVE
Positive (Reported as TRACE, 250, 500, 750, 1000, 2000, >=2000, 3000, 5000)

Test: GLUCOSE
Male/Female Ages >=0 Days - <13 Years:
Normal: NEGATIVE
Positive (Reported as 100, 250, 500, >=1000, >=2000, 30, 70, 150, 300, 1000, >1000)
Male/Female Ages >=13 Years:
Normal: NEGATIVE
Positive (Reported as 100, 250, 500, >=1000, >=2000, 30, 70, 150, 300, 1000, >1000)

Test: KETONES
Male/Female Ages >=0 Days - <2 Days:
Normal: NEGATIVE
Positive (Reported as TRACE, 15, 40, >=80, Trace, 40, 80, 10, over 150, 150, >150)
Male/Female Ages >=2 Days:
Normal: NEGATIVE
Positive (Reported as TRACE, 15, 40, >=80, Trace, 40, 80, 10, over 150, 150, >150)

Test: BILIRUBIN, URINE
Male/Female All Ages:
Normal: NEGATIVE
Positive (Reported as SMALL, MODERATE, LARGE, Small, Moderate, Large)

Test: PROTEIN
Female All Ages:
Normal: NEGATIVE
Positive (Reported as TRACE, 30, 100, >=300, >=2000, 30, 100, 300, >600)

Male All Ages:
Normal: NEGATIVE
Positive (Reported as TRACE, 30, 100, >=300, >=2000, Trace, 30, 100, 300, >600)

Test: OCCULT BLOOD, URINE
Male/Female All Ages:
Normal: NEGATIVE
Positive (Reported as TRACE, SMALL, MODERATE, LARGE, Small, Moderate, Large, Trace)

Test: LEUKOCYTE ESTERASE
Male/Female All Ages:
Normal: NEGATIVE
Positive (Reported as TRACE, SMALL, MODERATE, LARGE, Trace, Small, Moderate, Large)

Test: NITRITE
Male/Female All Ages:
Normal: NEGATIVE
Positive (Reported as POSITIVE, Positive)

Test: UROBILINOGEN
Male/Female All Ages:
Normal: <2.0
Positive (Reported as 2.0, 4.0, >=8.0, 8.0, >12.0)

Test: URINE MACRO COMMENT

See report for normal ranges.

Test: RBC
Male/Female All Ages:
Normal Range: 0-2 /HPF

Test: WBC
Male/Female All Ages:
Normal Range: 0-2 /HPF

Test: EPITHELIAL CELLS
Male/Female All Ages:
Normal Range: 0-5 /HPF

Test: HYALINE CASTS
Male/Female All Ages:
Normal Range: 0-0 /LPF

Test: GRANULAR CASTS
Male/Female All Ages:
Normal Range: 0-0 /LPF

Test: WAXY CASTS
Male/Female All Ages:
Normal Range: 0-0 /LPF

Test: RBC CASTS
Male/Female All Ages:
Normal Range: 0-0 /LPF

Test: WBC CASTS
Male/Female All Ages:
Normal Range: 0-0 /LPF

Test: EPITHELIAL CAST
Male/Female All Ages:
Normal Range: 0-0 /LPF

Test: RENAL EPITHELIAL CELLS
Male/Female All Ages:
Normal: NEGATIVE
Positive (Reported as PRESENT)

Test: BACTERIA
Male/Female All Ages:
Normal: ABSENT
Positive (Reported as FEW, MODERATE, MANY)

Test: TRICHOMONAS
Male/Female All Ages:
Normal: ABSENT
Positive (Reported as PRESENT)

Test: YEAST
Male/Female All Ages:
Normal: ABSENT
Positive (Reported as PRESENT)

Test: CALCIUM OXALATE CRYSTALS
Male/Female All Ages:
Normal: ABSENT
Positive (Reported as PRESENT)

Test: TRIPLE PHOSPHATE CRYSTALS
Male/Female All Ages:
Normal: ABSENT
Positive (Reported as PRESENT)

Test: CYSTINE CRYSTALS
Male/Female All Ages:
Normal: ABSENT
Positive (Reported as PRESENT)

Test: URIC ACID CRYSTALS
Male/Female All Ages:
Normal: ABSENT
Positive (Reported as PRESENT)

Test: URINE MICRO COMMENT

See report for normal ranges.

"

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.