Urinalysis w/ Microscopic with reflex to urine culture

Test Code
LAB348 1230100256


Alias/See Also
URINALYSIS WITH MICROSCOPIC
MICROSCOPIC
URINE
UA


CPT Codes
81001

Includes
CLARITY OF URINE
COLOR OF URINE
SPECIFIC GRAVITY OF URINE
PH OF URINE
LEUKOCYTE ESTERASE PRESENCE IN URINE BY TEST STRIP
NITRITE PRESENCE IN URINE
PROTEIN (MG/DL) IN URINE BY TEST STRIP
GLUCOSE (MG/DL) IN URINE
KETONES (MG/DL) IN URINE
UROBILINOGEN (MG/DL) IN URINE
BILIRUBIN, TOTAL PRESENCE IN URINE
HEMOGLOBIN PRESENCE IN URINE
RBC (#/HPF) IN URINE SEDIMENT
WBC (LEUKOCYTE) (#/HPF) IN URINE SEDIMENT
WBC (LEUKOCYTE) CLUMPS (#/HPF) IN URINE SEDIMENT
SQUAMOUS EPITHELIAL CELLS (#/HPF) IN URINE SEDIMENT
RENAL EPITHELIAL CELLS (#/HPF) IN URINE
TRANSITIONAL (EPITHELIAL) CELLS (#/HPF) IN URINE
BACTERIA (#/HPF) IN URINE
MUCUS (#/HPF) IN URINE SEDIMENT
HYALINE CASTS (#/LPF) IN URINE SEDIMENT BY MICROSCOPY
RBC UDM MANUAL
WBC UDM MANUAL
EPI UDM MANUAL
BACT UDM MANUAL
CAST UDM MANUAL
COARSE GRANULAR CASTS (#/LPF) IN URINE
FINE GRANULAR CASTS (#/LPF) IN URINE
WAXY CASTS (#/LPF) IN URINE
BROAD CASTS (#/LPF) IN URINE
RBC CASTS (#/LPF) IN URINE
WBC CASTS (#/LPF) IN URINE
EPITHELIAL CASTS (#/LPF) IN URINE
FATTY CASTS (#/LPF) IN URINE
CALCIUM OXALATE CRYSTALS (#/HPF) IN URINE
TRIPLE PHOSPHATE CRYSTALS (#/HPF) IN URINE
CALCIUM PHOSPHATE CRYSTALS (#/HPF) IN URINE
URIC ACID CRYSTALS (#/HPF) IN URINE
CALCIUM CARBONATE CRYSTALS (#/HPF) IN URINE
LEUCINE CRYSTALS (#/HPF) IN URINE
CYSTINE CRYSTALS (#/HPF) IN URINE
TYROSINE CRYSTALS (#/HPF) IN URINE
BILIRUBIN CRYSTALS PRESENCE IN URINE
OVAL FAT BODIES (GLOBULES) (#/HPF) IN URINE
TRICHOMONAS SP (#/HPF) IN URINE
AMORPHOUS URATE CRYSTALS (#/HPF) IN URINE
AMORPHOUS PHOSPHATE CRYSTALS
YEAST (#/HPF) IN URINE
AMMONIUM BIURATE CRYSTALS
CHOLESTEROL CRYSTALS
STARCH CRYSTALS
SPERMATOZOA (#/HPF) IN URINE SEDIMENT
UNKNOWN CRYSTALS IN URINE
URINE MICROSCOPIC COMMENT


Preferred Specimen
Urine


Instructions
Mid-stream clean catch preferred to minimize contaminants


Transport Container
URINE


Transport Temperature
Refrigerated




Specimen Stability
Can maintain specimen at room temperature up to 1 hour.


Reference Range
Name Result Checking Type Low (N) High (N) Numeric Range (N) or Value
Color, Urine Reference Range     Yellow , Dark yellow 
Clarity, Urine Reference Range     Clear 
Specific Gravity, Urine Reference Range 1.005 1.030 >1.005-<1.030
pH, Urine Reference Range 4.5 8.0 4.5-8.0
Leukocyte Esterase, Urine Reference Range     Negative
Nitrite, Urine Reference Range     Negative
Protein, Urine Reference Range     Negative
Glucose, Urine Reference Range     Negative
Ketones, Urine Reference Range     Negative
Urobilinogen, Urine Reference Range     1.0 , 0.2 
Bilirubin, Urine Reference Range     Negative
Blood, Urine Reference Range     Negative
RBC, Urine Reference Range     None Seen , 1-3 , Rare 
WBC, Urine Reference Range     None Seen , 1-5 , Rare 
Squamous Epithelial, Urine Reference Range     None Seen , 1-5 , Rare 
Bacteria, Urine Reference Range     None Seen , Rare , 0  
Hyaline Casts, Urine Reference Range     None Seen , 1-5 , Rare 
Calcium Oxalate Crystals, Urine Reference Range     None Seen 
Triple Phosphate Crystals, Urine Reference Range     None Seen 
Amorphous Urate Crystals, Urine Reference Range     None Seen 
Amorphous Phosphate Crystsals, Urine Reference Range     None Seen
Yeast, Urine Reference Range     None Seen
WBC Clumps, Urine Reference Range     None Seen 
Renal Epithalial Cells, Urine Reference Range     None Seen , Rare 
Trans Epithelial, Urine Reference Range     None Seen , Rare 
Fine Granular Casts, Urine Reference Range     None Seen 
Coarse Granular Casts, Urine Reference Range     None Seen 
Waxy Casts, Urine Reference Range     None Seen 
Broad Casts, Urine Reference Range     None Seen 
RBC Casts, Urine Reference Range     None Seen 
WBC Casts, Urine Reference Range     None Seen 
Epithelial Casts, Urine Reference Range     None Seen 
Fatty Casts, Urine Reference Range     None Seen 
Calcium Phosphate Crystals, Urine Reference Range     None Seen 
Uric Acid Crystals, Urine Reference Range     None Seen 
Calcium Carbonate Crystals, Urine Reference Range     None Seen 
Leucine Crystals, Urine Reference Range     None Seen 
Cystine Crystals, Urine Reference Range     None Seen 
Tyrosine Crystals, Urine Reference Range     None Seen 
Bilirubin Crystals, Urine Reference Range     None Seen 
Unknown Crystals Reference Range     None Seen 
Oval fat bodies, Urine Reference Range     None Seen 
Trichomonas, Urine Reference Range     None Seen 
Mucus, Urine Reference Range     None Seen
Ammonium Biurate Crys, UA Reference Range     None Seen 
Cholesterol Crys, UA Reference Range     None Seen 
Starch Crystals Reference Range     None Seen 
Spermatozoa, Urine Reference Range     None Seen

Abnormal - Critical
Female 0-13- Spermatazoa - Present


Performing Laboratory
MWH LAB SH LAB LH FSED MAIN LAB HC FSED Main Lab



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.