URINALYSIS W/REFLEX CULTURE

Message

Culture will reflex when one of the following occurs:

A. Leukocyte esterase is POSITIVE
B. WBC > 5
C. Yeast is PRESENT

Test Code

UA RFX C+S

CPT Codes
81003

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 "

Minimum Volume

See Transport Container for information

Transport Container

"1 URINE CONTAINER Sample Type: Random urine Minimum Volume: 2 mL and 1 URINE STERILE COLLECTION KIT "

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.

"

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.