South Bend Medical Foundation - Your Community Laboratory

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Test Name:
Urinalysis, Routine - Greater than 2 years

• SBMF No:
  25075
• Performance Lab Name:
  Hematology
• Test Mnemonic:
  U ROU
• ABN:
  Not required
• CPT Code:
  81001
• LOINC Code:
  57735-3; 50555-2; 57734-6; 50551-1; 57747-8; 48767-8; 5796-8; 5821-4; 13945-1; 11277-1; 50558-6; 60026-2; 19159-3; 50553-7; 20627-6; 50562-8; 50560-2
• Test Includes:
  Macroscopic Exam:
  • Specific gravity
  • pH
  • Protein Screen
  • Glucose Screen
  • Ketones
  • Bilirubin
  • Blood
  • Nitrite
  • Leukocyte Screen
  Microscopic Exam:
  • White Blood Cells (WBC)
  • Red Blood Cells (RBC)
  • Casts
  • Crystals
  • Epithelial cells
  • Bacteria
  • Yeast
• Also Known As:
  UA
• Also See:
  25275 – Urinalysis, Routine – Less than 2 years
• Spec Type:
  Urine
• Spec Container:
  Plastic container with tightly fitting lid
• Pref Vol:
  10.0 mL
• Min Vol:
  2.0 mL
• Fasting:
  No
• Spec Collect:
  Standard procedure for clean-catch urine
  Standard procedure for catheterized urine
• Spec Process:
  Refrigerate if not tested within 2 hours
• Spec Store Transport:
  Refrigerated
• Spec Stability:
  2 hours room temperature (20-30°C)
  12 hours refrigerated (2-8°C)
• Spec Reject:
  NOT refrigerated within 2 hours of collection time
  Refrigerated but NOT tested within 12 hours of collection time
• Spec Remarks:
  State method of specimen collection (clean-catch or catheterized)
• Methodology:
  Automated Reflectance Spectrophotometer and Flow Cytometry
• Use:
  Screen for abnormalities of urine; diagnose and manage renal diseases, urinary tract infection, urinary tract neoplasms, and systemic diseases
• Clinical Significance:
  Indicate urinary tract infection (UTI), trauma to kidneys, and renal diseases
• Reference Range:
  URINALYSIS

  	Collection Type      Color Turbidity Sp Gravity pH Protein Screen Glucose Screen Ketones Bili, Qual Blood Nitrite Leukocyte Scrn	NORMAL ABSENT 1.005-1.030 5.0-8.0 NEG NEG NEG NEG NEG NEG NEG

  Protein Screen
  Interp:	Neg 0	Trace 1-29	1+ 30-99	2+ 100-299	3-4+ =>300	mg/dL
  Glucose Screen
  Interp:	Neg <100	Trace 100-249	1+ 250-499	2+ 500-999	3-4+ =>1000	mg/dL
  Ketones
  Interp:	Neg <5	Trace 5-14	Small 15-39	Moderate 40-79	Large =>80	mg/dL
  Note:	All urine sediments are examined for WBC, RBC, bacteria and other formed elements.

• Day Run:
  Sun-Sat (daily)
• Time Run:
  As received
• Time Reported:
  4 hours
• Test Type:
  URINE