Urinalysis, with reflex to culture and sediment

Message
Performed in the Hematology Laboratory  x5475, 76


Test Code
UARC


CPT Codes
81015

Includes
Chemical UA as well as assessment of urine sediment for RBC, WBC, epithelial cells, casts, crystals, bacteria and other
formed elements.  A culture will be relexed based on the presence of nitrite, positive esterase, and/or positive WBC.


Preferred Specimen
12 mL fresh voided, clean catch urine


Minimum Volume
2 mL


Instructions
Refrigerate if specimen transport to laboratory is delayed.


Transport Container
Plastic, Leakproof Container (screw cap)


Transport Temperature
Room Temperature


Specimen Stability
Room Temperature: 1 hour
Refrigerated:  6 hours


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
QNS,  too old for testing (>6 hours unrefrigerated)


Methodology
Bright light microscopy

Setup Schedule
24/7


Reference Range
Specific Gravity 1.000-1.035
PH 4.8-8.0
Color: yellow or amber
Clarity: Clear
Protein, Glucose, Ketones, Bilirubin, Blood, Nitrite,Leukocyte Esterase: negative
Urobilinogen: 0.2-1.0 E.U./dL
Bacteria: negative
Hyaline Casts:0-3/ LPF
Crystals: negative
RBC:0-5/HPF
WBC:0-5/HPF


Clinical Significance
Assessment of infection and  various disease states of the kidneys/urinary tract . Microscopic examination helps to detect the presence of cells and other formed elements.




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.