Urinalysis with Reflex to Microscopic : 7909

Message
**This test code does not include reflex to culture**
If reflex to culture is desired, please order "Urinalysis, Complete, with Reflex to Culture" (test code 3020).
If culture is being ordered separately, submit separate specimen (4 mL gray-top tube).


Test Code
UARMIC or 7909


CPT Codes
81003

Includes
A microscopic examination is performed, when appropriate, at an additional charge (CPT code(s): 81015 (non-orderable code URXMIC. IC %SBUARFL).


Instructions
Encourage mid stream samples to minimize contamination and improve accuracy.


Transport Container
Preferred Specimen
10 mL (3 mL minimum) preserved urine collected in a urinalysis transport tube (yellow-top, blue fill line, preservative tube)

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 preservatives


Transport Temperature
Preserved: Room temperature.
Unpreserved: Refrigerated. 


Specimen Stability
Preserved urine: Room temperature: 72 hours; Refrigerated: 72 hours; Frozen: Unacceptable
 
Unpreserved urine: Refrigerated: 24 hours


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Unpreserved specimen (adults)


Methodology
Reagent Impregnated Strips; if reflex, Microscopic Examination

Setup Schedule
Sunday - Saturday


Report Available
1 day


Reference Range
Color                               Yellow


Appearance                 Clear


Specific Gravity                 1.001-1.035


pH                                5.0-8.0


Glucose                     Negative


Bilirubin                  Negative


Ketones                  Negative


Occult Blood                  Negative


Protein                                 Negative


Nitrite                                  Negative


Leukocyte Esterase     Negative


If reflex to Microscopic:


WBC                                  ≤5 /hpf


RBC                                  ≤2 /hpf


Squamous Epithelial Cells   ≤5 /hpf


Transitional Epithelial       ≤5 /hpf


Renal Epithelial Cells       ≤3 /hpf


Bacteria                      None seen


Calcium Oxalate Crystals      None or Few/hpf


Triple Phosphate Crystals     None or Few/hpf


Uric Acid Crystals        None or Few/hpf


Amorphous Sediment        None or Few/hpf


Crystals                                     None seen/hpf


Hyaline Casts                       None seen/lpf


Granular Casts                       None seen/lpf


Casts                                      None seen/lpf


Yeast                                      None seen/hpf



Clinical Significance
Dipstick urinalysis measures chemical constituents of urine. Microscopic examination helps to detect the presence of cells, bacteria, yeast and other formed elements. 


Performing Laboratory
med fusion



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.