Test Code URIN Urinalysis
Additional Codes
URINI- urinalysis, culture if indicated
URIN- urinalysis with microscopic if indicated
URINM- urinalysis with microscopic included
URINEC- Culture, Urine will be reflexed if nitrite is positive, leukocyte esterase is positive, WBCs are ≥5 WBC/HPF and/or >1+ bacteria or yeast present. A urine will not reflex to culture if the squamous epithelial count is >11 per HPF.
Performing Laboratory
MaineGeneral Medical Center
Specimen Requirements
Submit 10 mL of urine from a “clean-catch,” random urine collection in a screw-capped, sterile container. Refrigerate specimen within 2 hours of collection, and send specimen refrigerated. Maintain sterility and forward promptly.
Note: Label specimen with patient’s name (first and last), date of birth, date and time of collection, and collector’s initials.
Specimen rejection criteria: Urine samples that are intensely colored with blood or medications which may cause inaccurate chemistry results will have only a microscopic performed. The chemistry dip will be cancelled and a new test reordered by the laboratory.
Day(s) Test Performed
Monday through Sunday
Test Classification and CPT Coding
81001 - with microscopy
81003 - without microscopy
Testing
Includes appearance, bilirubin, glucose, ketones, leukocyte esterase, nitrite, occult blood, pH, specific gravity, total protein, urobilinogen, microscopic examination, if indicated, and culture, if indicated.
Reference Values
Appearance: yellow and clear
Bilirubin: negative
Glucose: negative
-Critical value (automatic call-back): any amount detected (newborns: 0-14 days)
Ketones: negative
-Critical value (automatic call-back): any amount detected (newborns: 0-14 days)
Leukocyte esterase: negative
Nitrite: negative
Occult blood: negative
pH: 4.8-7.5
Specific gravity: 1.003-1.030
Total protein: negative
Urobilinogen: 0.2-1.0
Microscopic examination
Note: The elements known as the "Big Five" will always be reported with a result whenever a microscopic is performed. If none are seen, the negative range will be reported.
Microscopic examination negative ranges:
RBC'S per HPF 0-2
WBC'S per HPF 0-5
Epithelial cells 0-2
Hyaline casts 0-2
Bacteria per HPF none seen