Urinalysis with Microscopy

Test Code
1283


CPT Codes
81001

Includes
Includes color, appearance, specific gravity, pH, protein, glucose, ketones, blood, bilirubin, urobilinogen, nitrites, leukocyte esterase, and microscopic examination of urine sediment  .  
 


Preferred Specimen

Container/Tube:Plastic urine container(s)
Specimen Volume: 12 mL from a random urine collection
Collection Instructions: No preservative.
Note: Two separate specimens are required if culture is also requested. See #423 Culture, Urine 
 




Transport Temperature
Refrigerate <12 hours


Specimen Stability
Room Temp: <2 hours
Refrigerated: <12 hours


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Specimens received at room temp >2 hours from collection.
Specimens received refrigerated >12 hours from collection.


Setup Schedule
Monday through Sunday


Reference Range
Specific gravity: 1.002-1.030
pH: 5-8
Protein: none detected
Bilirubin: negative
Glucose: negative
Ketones: negative
Blood: negative
Urobilinogen: 0.1-1.0 mg/dL
Nitrite: negative
Leukocyte esterase: negative
Color: straw
Appearance: clear or cloudy

Microscopic: 

RBC/hpf: 0-2/hpf
WBC/hpf: 0-5/hpf
Hyaline Casts/lpf: 0-2/lpf
Granular Casts/lpf: 0-2/lpf
Bacteria: None
Yeast: None
Epithelium: 1+
Crystals: None
Amorphous Material: None
Mucous: None to 1+
 


Performed By
CoxHealth



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.