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Test Code 0207001 Urinalysis With Reflex to Microsopic

Methodology

Urinalysis by Dip Stick, Automated with Microscopy

Performing Laboratory

Alomere Health Hospital Laboratory

Specimen Requirements

Must arrive in lab so testing can be completed within 8 hours of collection

Specimen Type: Urine, random collection from first morning void
Collection Container/Tube: Sterile, plastic urine collection container.  Vacutainer tubes set for collection.

Specimen Volume: 10 mL

Specimen Minimum Volume: 3 mL in sterile cup.  If using Vacutainer tube set, gray top must be filled to line on label with a minimum of 3 mL in yellow top.

Collection Instructions:

1. No preservative

2. Follow instructions in “Urine Collections” in “Special Instructions.”

 

Reject Due To:

Samples >8 hours old.

Specimen Transport Temperature

Refrigerated

Reference Values

Specific Gravity:  1.010-1.030
pH:  5.5-8.5
Protein:  negative
Glucose:  negative
Ketone:  negative
Bilirubin:  negative
Blood:  negative

Leukocytes:  negative
Nitrate:  negative
Urobilinogen:  <2.0 EU/dL

Reflex Information

 

Reflex for microsopic triggers:

Specific Gravity

≥1.030

Clarity Cloudy, turbid
Glucose >1+ (age 0-2 years any positive glucose)
Protein >Trace
Nitrites Positive
Red blood cell Positive
Leukocyte Esterase Positive

Day(s) Test Set Up

Monday through Sunday

Test Classification and CPT Coding

81001 (with microscopic)

81003 (without microscopic)

Special Instructions