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Urinalysis, Complete with Reflex to Culture : 3020
Test CodeUARCUL or 3020
CPT Codes
81001
Includes
Macroscopic and Microscopic Examinations
If any of the following Urinalysis results are applicable, then a culture will be performed at an additional charge (CPT code(s): 87086 (If reflex: URNC (1000967).
Presence of Leukocyte esterase alone
Presence of WBC’s (>5/hpf) alone
Presence of Yeast
Presence of Bacteria and the presence of WBC’s (>5/hpf) or Leukocyte esterase
Presence of Nitrite and the presence of WBC’s (>5/hpf) or Leukocyte esterase
(Refer to test code URNC (1000967) for possible additional CPT codes depending on organism(s) identified.)
If any of the following Urinalysis results are applicable, then a culture will be performed at an additional charge (CPT code(s): 87086 (If reflex: URNC (1000967).
Presence of Leukocyte esterase alone
Presence of WBC’s (>5/hpf) alone
Presence of Yeast
Presence of Bacteria and the presence of WBC’s (>5/hpf) or Leukocyte esterase
Presence of Nitrite and the presence of WBC’s (>5/hpf) or Leukocyte esterase
(Refer to test code URNC (1000967) for possible additional CPT codes depending on organism(s) identified.)
Instructions
Encourage clean catch midstream samples to minimize contamination and improve accuracy. Label the sample appropriately
Transport Container
Preferred Specimens
Submit two separate specimens:
1) 10 mL urine submitted in urinalysis transport tube (yellow-top, blue fill line, preservative tube)
2) 4 mL (fill to minimum line printed on tube; unpreserved for cultures) urine in urine culture tube (gray-top)
Acceptable Specimens
3 mL (1 mL minimum) unpreserved urine cup OR
10 mL (3 mL minimum) urine collected in yellow/red swirl-topped conical transport tube with preservative
Submit two separate specimens:
1) 10 mL urine submitted in urinalysis transport tube (yellow-top, blue fill line, preservative tube)
2) 4 mL (fill to minimum line printed on tube; unpreserved for cultures) urine in urine culture tube (gray-top)
Acceptable Specimens
3 mL (1 mL minimum) unpreserved urine cup OR
10 mL (3 mL minimum) urine collected in yellow/red swirl-topped conical transport tube with preservative
Transport Temperature
Preserved: Room temperature.
Unpeserved: Refrigerated
Unpeserved: Refrigerated
Specimen Stability
Preserved urine: Room temperature: 72 hours; Refrigerated: 72 hours; Frozen: Unacceptable
Unpreserved urine: Refrigerated: 24 hours
Unpreserved urine: Refrigerated: 24 hours
Methodology
Reagent Impregnated Strips and Microscopic Examination; Culture if reflex.
Setup Schedule
Sunday - Saturday
Report Available
1 day; If reflex, culture: 1-2 days
Reference Range
Macroscopic:
Color Yellow (dark yellow, pale yellow, straw yellow)
Appearance Clear
pH 5.0 - 8.0
Specific Gravity 1.001 - 1.035
Glucose Negative
Bilirubin Negative
Ketones Negative
Occult Blood Negative
Protein Negative
Nitrite Negative
Leukocyte Esterase Negative
IMicroscopic:
WBC ≤5 /hpf
RBC ≤2 /hpf
SEP (Squamous Epithelial) ≤5 /hpf
TEP (Transitional Epithelial ≤5 /hpf
REP (Renal Epithelial) ≤3 /hpf
BACT None seen/hpf
YEAST None seen/hpf
Trichomonas None seen/hpf
Casts (Hyaline or Other) None see/lpf
CaOX, Triple Phos., Uric Acid None seen or Few/hpf
Other crystals None seen/hpf
If reflex Culture -see report
Clinical Significance
Dipstick urinalysis is important in accessing the chemical constituents in the urine and the relationship to various disease states. Microscopic examination helps to detect the presence of abnormal urine cells and formed elements. Culture may identify the organism(s) causing infection.
Performing Laboratory
med fusion
