Last Modified:
8/30/2023 1:23:28 PM
Medical Necessity Documentation:
Client Notes:
Patient Preparation:
Specimen Requirements:
10.0 mL Urine in a Yellow Capped Tube or Plastic Container (No preservatives)
Collection Instructions:
First morning urine preferred
Order must include how the specimen was collection; Voided, Random, First Morning, CCMS, Pediatric Bag, Indwelling Catheter, Straight, Mini and In/Out Catheters, Supra Pubic, Cysto Collection
For CCMS Collection instructions see Addendum D
For CCMS Spanish patient collection instruction sheet see Addendum D
For CCMS Burmese patient collection instruction sheet see Addendum D
For CCMS Arabic patient collection instruction sheet see Addendum D
For Pediatric Bag patient instruction sheet see Addendum D
For Pediatric Bag Spanish patient instruction sheet see Addendum D
For Pediatric Bag Burmese patient instruction sheet see Addendum D
For Pediatric Bag Arabic patient instruction sheet see Addendum D
Minimum Volume:
2.0 mL Urine
Transport & Storage: Temperature/Stability:
24 hours Refrigerated
Reference Range:
Negative
Critical Ranges:
Test Comments:
Methodology:
Test Strip
Clinical Significance:
Documentation:
Custom Panel:
No
PRODUCTION SCHEDULE
Stat Eligible:
Yes
Days Performed:
Sunday, Monday, Tuesday, Wednesday, Thursday, Friday, Saturday
Sites Performed:
Parkview Cancer Institute, Parkview Dekalb Hospital, Parkview Huntington Hospital, Parkview LaGrange Hospital, Parkview Noble Hospital, Parkview Randallia Hospital, Parkview Regional Medical Center, Parkview Southwest , Parkview Wabash Hospital, Parkview Warsaw , Parkview Whitley Hospital
PHL Test Code:
UBLD
EPIC Test Code:
LAB2130
Alternate Test Names:
Blood Urine; Hemoglobin Blood
Included Tests:
CPT Coding:
81003
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