Parkview Health Laboratory: Test Directory

Medical Necessity Documentation:

Patient Preparation:

Specimen Requirements: 8.0 mL Urine in a Yellow Capped Tube from CCMS Collection Kit

or Sterile Gray Capped Plastic Containers (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:

Ambient if testing can be completed within 2 hours of collection
24 hours Refrigerated
Do Not Freeze

Reference Range:

Color: Yellow/Straw
Clarity: Clear
Specific Gravity: 1.005 - 1.030
pH: 5.0 - 8.0
Protein: Negative
Glucose: Negative
Ketones: Negative
Blood Hemoglobin: Negative
Bilirubin: Negative
Urobilinogen: 0.0 - 0.2 mg/dl
Leukocyte Esterase: Negative
Nitrite: Negative
Microscopic: 0 - 2 RBC/hpf (No bacteria seen)
Microscopic: 0 - 5 WBC/hpf (No bacteria seen)

Critical Ranges:

Test Comments:

Microscopic examination of urine sediment will be performed and charged when indicated based on dipstick findings.

Methodology: Test Strip and Microscopic exam if indicated

Clinical Significance:

Documentation:

Custom Panel: No

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: UA

EPIC Test Code: LAB347

Alternate Test Names: UA

Included Tests: Bilirubin; Blood Hemoglobin; Clarity; Color; Glucose; Ketones; Leukocyte Esterase; Microscopic Findings; Nitrite; pH; Protein; Specific Gravity; Urobilinogen

CPT Coding: 81003 - If microscopic is reflexed, CPT 81001 is billed instead of 81003

Parkview Laboratory: Test Directory

Urinalysis

PRODUCTION SCHEDULE