Urinalysis, Culture if indicated

Test Code

UACIF

Alias/See Also

UA Complete, Culture if indicated

CPT Codes
81001

Preferred Specimen

STERILE URINE (UAO)

URINE Clean Catch or Catheter collected, minimum 2-3 ml Urine
Urine Yellow or Urine Speckled preservative vacutainer filled to tube "fill" line. Stable up to 72 hours.
Urine Grey Micro Culture preservative vacutainer filled to the tube "fill" line. Stable up to 48 hours.

Instructions

First morning collection preferred.

Clean-Catch Urines

Properly identify the patient following Patient Identification procedures.
When a random urine specimen is needed for urinalysis, a non-sterile urine container may be used. If a urine culture is ordered, a sterile container must be used for the specimen. NOTE: If a urine GC/Chlamydia test is ordered, a first-catch urine is collected. See Specimen Collection - Chlamydia/GC Urine #20774.
Provide Instructions to the patient on how to collect a midstream urine specimen.
1. Clean and rinse genital area before collecting specimen (disposable towelettes or equivalent).
2. Instruct the patient to urinate for a few seconds into the toilet.
3. After this small volume has passed, the container is used to catch the next portion “midstream” urine in the STERILE container. Minimum desired volume is 15 ml.
4. When the container is half full, the patient should finish urinating into the toilet.
5. Place the lid on the specimen container and submit to the laboratory.
6. NOTE: Bedpan or Urinal specimens are NOT acceptable.

Straight Catheter – In/Out Catheter Urines

Clean and rinse genital area before collecting specimen (disposable towelettes or equivalent).
Insert catheter and discard the initial 15-30 mls of urine from the mouth of the catheter.
Collect sample of urine into a STERILE container.

Indwelling Catheter Urine

Clean the catheter collection port with a 70% alcohol wipe.
Using sterile technique, puncture the collection port with a needle attached to a syringe. Note: Do not collect urine from the catheter collection bag.

Reference Range

Category	Component	Code	UOM	Reference Range
Macroscopic	UA1
	Color	UCOLR		Yellow
	Appearance	UAPPR		Clear
	Specific Gravity	USPG		1.000-1.035
	pH	UPH	pH	5.0-9.0
	Leukocyte	ULEU		negative
	Nitrite	UNIT		negative
	Protein	UPRO	mg/dL	negative
	Glucose	UGLU	mg/dL	negative
	Ketone	UKET		negative
	Urobilogen	UURO		normal
	Bilirubin	UBIL		negative
	Blood	UBLD		negative
Microscopic	UA2
	WBC	UWBC	#/HPF	0-5/HPF
	RBC	URBC	#/HPF	0-3/HPF
	Epithelial Cells	UEPI	#/HPF	0/HPF
	Crystals	various	#/HPF	None seen
	Casts	various	#/LPF	None seen
	Bacteria	UBAC	#/HPF	None seen
	Yeasts	UYSTR	#/HPF	None seen
Culture-Reflex effective 4/23/19	Reflex if UWBC>10

Performing Laboratory
CRMC Laboratory
CCMC Laboratory
CCI Laboratory
FHSH Laboratory

Reflexed CXURN performed at CRMC Microbiology Laboratory

Additional Information
Urine Vacutainer Collection

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.