Urinalysis

Test Code

1285

CPT Codes
81003

Includes

Includes color, appearance, specific gravity, pH, protein, glucose, ketones, blood, bilirubin, urobilinogen, nitrites, and leukocyte esterase.

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 room temp >2 hours from collection
Specimens received refrigerated >12 hours from collection

Methodology
International Remote Imaging Systems

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

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.