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
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
Day(s) Test Performed
Monday through Sunday
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.
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.
Test Classification and CPT Coding
81001 - with microscopy
81003 - without microscopy