URINALYSIS

Message

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

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

Test Code

UA1

CPT Codes
81003

Includes

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

Reflex microscopic exam of WBC; RBC; casts; crystals; epithelial cells; bacteria; yeast will only be performed if any of the following results are obtained:

Glucose = >500 mg/dL
Protein = Positive
Blood = Positive
Nitrite = Positive
Leukocyte Esterase = Positive

Preferred Specimen

1 Yellow round bottom tube

Minimum Volume

4 mL urine

Other Acceptable Specimens

or Sterile Container

Instructions

Refrigerate if not tested within 2 hours

Specimen Stability

2-8°C up to 1 day

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

Contaminated with feces or tissue, insufficient volume, excessive leakage in transport pouch, or non-preserved sample at room temperature.

Methodology

Wavelength reflectance and 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.

Clinical Significance

Microscopic exam will be performed only if dip is positive for blood, leukocyte esterase, nitrite, protein, or glucose >500 mg/dL. See Additional Information below for patient collection instructions.

Performed By
Alverno Laboratories

Performing Laboratory
Alverno Central Lab
NUR1 (Urinalysis, Beckman)

Additional Information
Clean Catch Midstream Urine Specimen

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.