URINALYSIS WITH MICROSCOPIC EXAM

Message

Cannot accept sample collected in Gray top Boric Acid preservative for Urinalysis

Due to the possibility of cross-contamination, aliquot specimens that have undergone automated microscopy are exempt from secondary add-on testing. If add-on testing is desired, please send an additional aliquot specimen.

Test Code

URUM1

CPT Codes
81001

Includes

Includes Macroscopic Exam: specific gravity; pH; protein; ketones; glucose; bilirubin; blood; nitrites; leukocytes

Includes Microscopic Exam: WBC; RBC; casts; crystals; epithelial cells; bacteria; yeast

Preferred Specimen

1 Yellow round bottom tube is preferred

Minimum Volume

4 mL

Other Acceptable Specimens

Sterile Container

Instructions

Refrigerate if not tested within 2 hours

Transport Temperature

Refrigerate

Specimen Stability

2-8°C up to 1 day

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

The following conditions will result in a rejected specimen:

Specimen contaminated with feces
Specimen contaminated with tissue
Insufficient volume (QNS)
Excessive leakage in transport pouch

Methodology

Wavelength reflectance, refractive index, laminated flow cytometry

Setup Schedule

M, T, W, Th, F, Sa, Sun

Report Available

Within 24 hours of receipt at the performing laboratory. Stat testing is available.

Reference Range

Chemical Analysis (Dip)
Analyte	Range
pH	5-8
Specific Gravity	1.005-1.030
Glucose	Negative
Ketones	Negative
Bilirubin	Negative
Protein	Negative
Blood	Negative
Urobilinogen	Negative
Nitrite	Negative
Leukocyte Esterase	Negative

Microscopic Exam
Cellular Components	Range
RBC	0-2/hpf
WBC	0-5/hpf
Bacteria
Epithelial Cells

Clinical Significance

This test will automatically include a microscopic exam regardless of dip results.

Performed By
Alverno Laboratories

Performing Laboratory
Alverno Central Lab
NUR1 (Urinalysis, Beckman)

Additional Information
Clean Catch Midstream Urine Collection

Last Updated: June 9, 2023

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.