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)