URINALYSIS, COMPLETE W/REFLEX TO CULTURE

No Doctor visit is required for this Labtest

URINALYSIS, COMPLETE W/REFLEX TO CULTURE

$ 15.00

Detail Description

Clinical Significance

Urinalysis, Complete, with Reflex to Culture - Dipstick urinalysis is important in accessing the chemical constituents in the urine and the relationship to various disease states. Microscopic examination helps to detect the presence of abnormal urine cells and formed elements. Culture may identify the organism(s) causing infection.

Preferred Specimen(s)
Submit two separate specimens:
1) 10 mL urine submitted in urinalysis transport tube (yellow-top, blue fill line, preservative tube)
2) 4 mL (fill to minimum line printed on tube; unpreserved for cultures) urine in urine culture tube (gray-top)

Alternative Specimen(s)
Refrigerated unpreserved pediatric sample • Yellow/red swirl-topped conical transport tube with preservative

Minimum Volume
Preserved (yellow-top, blue fill line): 1 mL
Urine in urine culture tube (gray-top): Must be filled to minimum line printed on tube
Unpreserved (culture): 0.5 mL

Collection Instructions
Encourage clean catch mid-stream samples to minimize contamination and improve accuracy. If sample is submitted unpreserved, please indicate that specimen is from pediatric patient (patient is less than or equal to 12 years of age). Label the sample appropriately. Unpreserved urine will be accepted from pediatric patients only.

Transport Container
Yellow-top, blue fill line urinalysis transport tube and gray-top urine culture tube

Transport Temperature
Preserved:
Room temperature
Pediatric unpreserved: Refrigerated (cold packs)

Specimen Stability
Preserved urine
Room temperature:
72 hours
Refrigerated: 72 hours
Frozen: Unacceptable
 
Unpreserved urine
Refrigerated:
24 hours - Pediatric specimen
Reject Criteria
Unpreserved specimen (adults)

Includes
Macroscopic and Microscopic Examinations
 
If any of the following Urinalysis results are applicable, then a culture will be performed at an additional charge (CPT code(s): 87088, 87086).
•Presence of Leukocyte esterase alone
•Presence of WBC’s (>5/hpf) alone
•Presence of Yeast
•Presence of Bacteria and the presence of WBC’s (>5/hpf) or Leukocyte esterase
•Presence of Nitrite and the presence of WBC’s (>5/hpf) or Leukocyte esterase

Methodology
Reagent Impregnated Strips/Tablets

Reference Range(s)
Color    Yellow
Appearance    Clear
Specific Gravity    1.001-1.035
pH    5.0-8.0
Glucose    Negative
Bilirubin    Negative
Ketones    Negative
Occult Blood    Negative
Protein    Negative
Nitrite    Negative
Leukocyte Esterase    Negative
WBC    ≤5 /HPF
RBC    ≤2 /HPF
Squamous Epithelial Cells    ≤5 /HPF
Transitional Epithelial    ≤5 /HPF
Renal Epithelial Cells    ≤3 /HPF
Bacteria    None seen
Calcium Oxalate Crystals    None or Few
Triple Phosphate Crystals    None or Few
Uric Acid Crystals    None or Few
Amorphous Sediment    None or Few
Crystals    None seen
Hyaline Casts    None seen
Granular Casts    None seen
Casts    None seen
Yeast    None seen

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