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Test Code LAB348 Urinalysis with Microscopic

Performing Laboratory

Asante Rogue Regional Medical Center / Asante Three Rivers Medical Center/Asante Ashland Community Hospital / Asante White City Laboratory

 

Specimen Minimum Volume

Greater than 12 mL volume is preferred but less will be accepted if necessary with volume note.

A fresh first morning clean voided specimen is preferred; however, a specimen can be collected at any time.

Random clean catch or cath specimens are acceptable. 

Billing Code

2051316

Methodology

RRMC and TRMC: Automated testing using the iRICELL 2000 system.

 

Macroscopic testing is performed using test strips which are read by a dual wavelength reflectance system, specific gravity is determined by measuring the refractive index.  Color is measured by transmitted light and clarity is measured by scattered light.

 

Microscopic testing is performed using an automated particle imaging system with manual review when indicated. 

 

AACH: Automated by dipstick reader and manual microscopic.

Specimen Requirements

Urine: clean catch, 12 mL (cc).  A smaller volume can compromise results.

Sterile Collection Cup

A mid-stream clean catch or cath specimen is preferred.

 

NOTE:  Grossly bloody, pyridium, and other substances may interfere with routine urinalysis.

 

Performing Department

Urinalysis

Day(s) Test Set Up

Monday through Sunday

ASAP - 2 hours after receipt of specimen in lab

STAT - 1 hour after receipt of specimen in lab

See “Additional Information.”  If reflex testing is required, test results will be delayed.

Test Classification and CPT Coding

81001  - Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, with microscopy

 

CDM 3070002

Additional Information

Screens for kidney and urinary tract diseases as well as some systemic and metabolic disorders of the body.

Specimen Transport Temperature and Stability

Specimen is stable 24 hours when refrigerated at  2-8° C.

 

Reasons for Rejection

Quantity not sufficient (QNS)

Specimen at room temp over 2 hours

Lacking Two Patient Identifiers:

         1-Patient's First & Last name 

         2-Patient's Date of Birth

Specimen at room temperature over 2 hours.

Specimen refrigerated over 24 hours (less than 6 hour preferred)

Inadequate labeling

Improper collection, "dirty catch" urine sample are not appropriate for testing.