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Test Code UAPR URINALYSIS REFLEX MICROSCOPIC EXAM AND CULTURE

Performing Laboratory

NorDx Laboratories

Useful For

Diagnosing and management of renal diseases, urinary tract infection, urinary tract neoplasms, systemic diseases, and inflammatory or neoplastic diseases adjacent to the urinary tract

If leukocytes or protein are present in clinically significant amounts or if nitrite or occult blood are positive, or if appearance is not normal, the Urine Screen will be replaced by a “Urinalysis with Sediment” at an additional charge. In addition, if leukocytes are present in clinically significant amounts or if nitrites are positive, or if sediment shows > 10-20 WBC/hpf or ≥ 2+ bacteria/hpf, a “Culture, Bacteria, Urine” will automatically be performed at an additional charge. Significant isolates reflex to organism identification and antibiotic susceptibility testing at an additional charge.

In some infected patients, microorganisms and WBCs are present in low concentrations and will not be detected by this test. When this occurs, the test will not reflex to culture.

Method Name

Chemstrip

Refractometry

Culture (If indicated)

Light Microscopy (If indicated)

Reference Values

Specific gravity: 1.010 – 1.030

Leukocyte Esterase: Negative

Nitrite: Negative

pH: 5.0 – 8.0

Protein: Negative

Glucose: Normal

Ketones: Negative

Urobilinogen: Normal

Occult blood: Negative

Days and Times Test Performed

Monday through Sunday

Report Available

1 Day

Available Stat

Profile Information

Individual Test Description

APPEARANCE, URINE
COLOR, URINE
GLUCOSE, URINE, QUALITATIVE
KETONE BODIES, QUALITATIVE, URINE
LEUKOCYTE ESTERASE, URINE
NITRITE, URINE
OCCULT BLOOD, URINE
PH, URINE
PROTEIN, QUALITATIVE, URINE
SPECIFIC GRAVITY, URINE
URINALYSIS MICROSCOPIC
UROBILINOGEN, URINE

Specimen Type

Urine, Random

Preferred Container

Sterile Urine Cup – UAP cannot be performed on a 24hr urine collection or gray top culture sensitivity tube (BD Vacutainer® urine C&S preservative plus plastic tube 4 mL)

Preferred Volume

Urine, Random: 10 mL (Sterile Urine Cup)

Minimum Volume

Urine, Random: 3 mL (Sterile Urine Cup)

Specimen Collection and Handling

Collect freshly voided random urine specimen and send refrigerated.

Click here to view the Urine Aliquoting Guide for Processing

Specimen Stability Information

Specimen Type: Urine, Random

Refrigerated: 24 Hours

Room Temp: 2 Hours

Note: Urine received in BD urine preservative tube is acceptable and stable refrigerated for up to 48 hours for testing for non-timed order.

Add On Capable

Yes

Advance Beneficiary Notice Requirements

No ABN Required

CPT Code Information

CPT Code

CPT Description

CPT Disclaimer

81000 Urinalysis by Dip Stick or Tablet Reagent; Non-Automated, with Microscopy if Indicated – OR
81001 Urinalysis by Dip Stick or Tablet Reagent; Automated, with Microscopy if Indicated – OR
81002 Urinalysis by Dip Stick or Tablet Reagent; Non-Automated, without Microscopy if Indicated – OR
81003 Urinalysis by Dip Stick or Tablet Reagent; Automated, without Microscopy
87077 Culture, Bacterial, Aerobic Isolate, Additional Methods Required for Definitive Identification, Each Isolate if Indicated
87086 Culture, Bacterial, Quantitative Colony Count, Urine
87186 Susceptibility Studies, Microdilution or Agar Dilution (Minimum Inhibitory Concentration [MIC] or Breakpoint), Each Multimicrobial, Per Plate if Indicated

Keywords

URINALYSIS

Performing Laboratory Location

NorDx Laboratories