Urinalysis with Culture and Sensitivity if Indicated

Overview

  • EPIC Code:
  • LAB2138
  • Soft Test Code:
  • UACI
Alternate Names
  • UA C&S if WBC>5
  • UA with C&S if Indicated
  • Urinalysis Culture if Indicated
Included Tests

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


Specimen Collection & Preparation

Required Forms & Information

Order must include how the specimen was collection; Voided, Random,  First Morning, CCMSPediatric Bag, Indwelling Catheter, Straight, Mini and In/Out Catheters, Supra Pubic, Cysto Collection


Specimen Overview

If only the Grey Top is recieved (Urinalysis will not be done)

Specimen Requirements:

-AND-

8.0 mL Urine in a Yellow Capped Tube from CCMS Collection Kit 
Minimum Volume:
2.0 mL Urine*

* This volume does not allow for repeat testing

Specimen Information:


Collection Instructions:

First morning CCMS urine is preferred

 

Patient Collection Instructions 

English collection for CCMS

Spanish collection for CCMS

Burmese collection for CCMS

Arabic collection for CCMS

Pediatric Collection Instructions

English collection for U-bag

Spanish collection for U-bag

Burmese collection for U-bag

Arabic collection for U-bag


Transport and Storage:
  • Ambient (18-24°C): 2 Hours

    Only if testing can be completed within 2 hours of collection

  • Refrigerated (2-8°C): 24 Hours
  • Frozen (-20° C or colder): Unacceptable

-AND-

4.0 mL Urine in a Gray Top Tube from CCMS Collection Kit 
Minimum Volume:
Urine Filled to Minimum Line*

* This volume does not allow for repeat testing

Specimen Information:


Collection Instructions:

First morning CCMS urine is preferred

 

Patient Collection Instructions 

English collection for CCMS

Spanish collection for CCMS

Burmese collection for CCMS

Arabic collection for CCMS

Pediatric Collection Instructions

English collection for U-bag

Spanish collection for U-bag

Burmese collection for U-bag

Arabic collection for U-bag


Transport and Storage:
  • Ambient (18-24°C): 48 Hours
  • Refrigerated (2-8°C): 48 Hours

Clinical Interpretation

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)


Microscopic
WBC 0 - 5 / hpf
RBC 0 - 2 / hpf
Bact None Seen
Epithelial cells 0 - 4 / 1pf
Casts 0 - 4 / 1pf
RBC/hpf (No bacteria seen)
0 - 5 WBC/hpf (No bacteria seen)


Test Comments:

Culture and Sensitivity will be performed and charged when these criteria are met: 
Dipstick Testing: 
 Nitrite: > or = to trace
 Leuk. Esterase: > or = to trace

Microscopic Exam: 
Bacteria: > 3+ /hpf
WBC: > 6 /hpf
Yeast present (All males. Females if does not appear to be vaginal contamination)


Methodology:
  • Microscopic Exam if indicated
  • Test Strip

Production Schedule

Sites Performed
  • Parkview Cancer Institute
  • Parkview DeKalb Hospital
  • Parkview Huntington Hospital
  • Parkview Kosciusko Hospital
  • Parkview LaGrange Hospital
  • Parkview Noble Hospital
  • Parkview Randallia Hospital
  • Parkview Regional Medical Center
  • Parkview Southwest
  • Parkview Wabash Hospital
  • Parkview Whitley Hospital
Days Performed
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Departments
  • Urinalysis
Turn Around Time

Same Day/1 to 2 days


Coding & Compliance

CDM

01462907


CPT Coding

81003: If microscopic is reflexed, CPT 81001 will be billed instead of 81003; CPT 87086 will reflex if culture is indicated