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Test Code UIF Urinalysis with Culture If Indicated

EHR Test Codes

  Test Code Test Name
Atlas UIF Urinalysis with Culture If Indicated
Cerner UACS Urinalysis with Culture if Indicated

Specimen Requirements

Preparation of Patient: 

Laboratory recommends a midstream "clean-catch" random urine collection.  See patient instructions female/male.  Follow physician's instructions if they differ from laboratory recommendation.

1. Patient should cleanse urethral area with wipes provided then pass a small amount of urine into the toilet and then stop.

2. At that point, then pass urine into a cup; half full is preferred.

3. If a detergent or gel is used in preparation of the patient, waste the first portion of the urine as these materials interfere with urine testing

 

Container Type: 

Sterile Specimen Cup

 

Specimen Type:

Urine

 

Specimen Volume: 

5 mL Urine minimum 2 mL

 

Specimen Handling/Transport:

Transport refrigerated 2-8°C

 

Specimen Stability/Storage:

1 hour ambient room temperature

24 hours refrigerated 2-8°C

 

Specimen Rejection:

Specimens containing preservatives, detergents or gels

Performing Laboratory

Munson Healthcare Laboratories

Chemistry Department

Priority, Frequency, & Turnaround

Priority:

STAT, ASAP, Non-Emergent

STAT 30 minute from receipt in lab

 

Frequency:

24 hours 7 days a week

 

Turnaround:

0 - 1 days

Methodology

Urinalysis Automated and Culture

Reporting

Reference Range:

RBC: <4/hpf
WBC: <4/hpf

Specific gravity: 1.003-1.035

pH: 5.0-8.0

Leukocyte esterase: negative

Nitrite: negative

Protein, qualitative: negative

Glucose: negative

Ketones: negative

Urobilinogen: <2 mg/dL

Bilirubin: negative

Blood: negative

Color: colorless or yellow

Clarity: clear

 

Critical Decision: 

0 years to 21 years:  Any positive Ketone or Glucose

Note:  Critical values are called to the provider and communicated as critical.  Documentation of the call is recorded in the patient record.

 

 

Reflex Testing:

When any 2 or more of the following results are obtained, a culture will be performed:

    WBC: > 10/hpf

    Nitrite: positive

    Leukocyte esterase: positive

 

 Note: A urine culture will not be performed if 10 or more squamous epithelial cells/hpf are also observed.

Clinical Significance

Urinalysis testing is useful to the clinician in diagnosis of and in following urinary tract or kidney infections, kidney body homeostasis and many metabolic disease processes.

CPT Code(s)

81015 - urinalysis

87086 - culture, if appropriate