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Test Code UA Urinalysis Automated without Microscopic, Random, Urine

Methodology

Reflectance Spectrophotometry (SP)

Includes appearance, bilirubin, blood, color, glucose, ketones, leukocytes, nitrite, pH, protein, specific gravity, and urobilinogen. Urine microscopic examination will be automatically performed on all infants <1 year. If test is positive for blood, leukocytes, nitrites, or protein, this test is cancelled and #UA+Micro “Urinalysis Automated with Microscopic, Random, Urine” is ordered and performed. If glucose, bilirubin, or protein result is positive, the following confirmatory tests will be performed at an additional charge:  Clinitest®, ICOTEST®, ACETEST®, 3% ssATM.

Performing Laboratory

Aspen Valley Hospital

Physician Office Specimen Requirements

Specimen must arrive within ≤1 hour of collection.

 

Submit only 1 of the following specimens:

 

Urine, Clean-Catch

5 mL from a first-portion of a voided urine (first part of stream-not midstream) in a plastic urine container. No preservative. If there is a delay in transport of ≥1 hour, send specimen refrigerated.

 

Urine, Random

5 mL from a random urine collection in a plastic urine container. No preservative. If there is a delay in transport of ≥1 hour, send specimen refrigerated.

 

Urine, Suprapubic Aspirate

5 mL of urine from a suprapubic aspirate in a plastic urine container. No preservative. If there is a delay in transport of ≥1 hour, send specimen refrigerated.

Reference Values

Appearance:  clear

Bilirubin:  negative

Blood:  negative

Color:  pale yellow, yellow, dark yellow, red, brown, orange-pyridium

Glucose:  negative (Clinitest® will be performed and reported on children <5 years.)

Ketones:  negative

Leukocytes:  negative

Nitrite:  negative

pH:  5.0-7.0

Protein:  negative
Specific gravity:  <1.030
Urobilinogen:  negative (1.0 EU/dL)

Day(s) Test Set Up

Monday through Sunday

Test Classification and CPT Coding

81003