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Test Name:
Urinalysis, Routine, with High Volume Culture if Indicated, Catheterized - Greater than 2 years
- SBMF No:
25374 - Performance Lab Name:
Hematology - Test Mnemonic:
U ROU/CHV - ABN:
Not required - CPT Code:
81001
If indicated, add 87086 - LOINC Code:
19159-3; 50553-7; 20627-6; 53326-5; 50560-2; 57735-3; 53328-1; 50557-8; 50551-1; 53292-9; 25145-4; 5821-4; 13945-1; 11277-1; 50558-6; 60026-2 - Test Includes:
Urinalysis, Routine
Culture, Urine, Catheterized, High Volume, if Indicated - Also Known As:
UA with HV Culture if Indicated - Also See:
25075 – Urinalysis, Routine – Greater than 2 years
25174 – Urinalysis, Routine, with High Volume Culture if Indicated, Catheterized – Less than 2 years
25074 – Urinalysis, Routine, with Culture (includes Colony Count) and Susceptibility if Indicated, Clean-Catch – Greater than 2 years - Spec Type:
Urine, Catheterized - Spec Container:
Sterile plastic container for urinalysis - plus - Urine C&S Transport Kit - Pref Vol:
At least 12.0 mL urine for urinalysis - plus - sufficient urine for culture - Fasting:
No - Spec Collect:
Standard procedure for catheterized urine - Spec Process:
Urinalysis Specimen:
– If a portion of urine has been transferred to a urine C&S transport tube for possible culture (see below), the urine for routine urinalysis can be maintained room temperature for up to 2 hours
– If a portion of urine has not been transferred to a urine C&S transport tube, the urine for routine urinalysis and possible culture must be refrigerated within 20 minutes of collection
– Urinalysis only specimens can remain refrigerated for up to 12 hours
Urine Culture Specimen, High Volume (3.0-5.0 mL):
– Immediately after collection, transfer well-mixed urine from bottom of sterile container into gray-top urine transport tube (with preservative)
– Shake tube vigorously
– Urine culture specimens transferred to urine transport tube can remain room temperature for up to 24 hours
– Specimens in “Urine C&S Transport Kit” can also be refrigerated
– Urine culture specimens can be refrigerated for up to 12 hours - Spec Store Transport:
Refrigerated - Spec Stability:
2 hours room temperature (20-30°C)
24 hours refrigerated (2-8°C) - Spec Reject:
Urinalysis Specimen:
– NOT refrigerated within 2 hours of collection
– Refrigerated within 2 hours of collection, but NOT received for testing within 12 hours of collection
Urine Culture Specimen:
– HIGH VOLUME specimens transferred to a “Urine C&S Transport Kit”, but NOT received for testing within 24 hours of collection
– LOW VOLUME specimens collected in a sterile, plastic container, but NOT refrigerated within 20 minutes of collection
– LOW VOLUME specimens collected in a sterile, plastic container and refrigerated within 20 minutes of collection, but NOT received for testing within 12 hours of collection - Spec Remarks:
Note: Culture is indicated and will be performed if bacteria is present or WBC is 6 or greater - Methodology:
Automated Reflectance Spectrophotometer and Flow Cytometry - Use:
Diagnosis and treatment management of urinary tract infection (UTI) - Clinical Significance:
Indicate urinary tract infection (UTI), injury to kidneys due to trauma, or other renal diseases - Reference Range:
Specific gravity: 1.005-1.030
pH: 5-8
Protein: negative
Bilirubin: negative
Glucose: negative
Ketones: negative
Occult Blood: negative
RBCs: 0-2/hpf
WBCs: 0-5/hpf
Bacteria: negative on centrifuged specimen
Casts: 0-4 hyaline casts/lpf
Crystals: Interpreted by physician
Note: Warm, freshly voided urine sediment from normal subjects almost never contains crystals, despite maximal concentration
Male
– RBC: 0-4/ hpf (0-10/µL)
– WBC: 0-5/ hpf (0-25/µL)
– Epithelial Cells: 0-1/ hpf (0-4/µL)
– Casts: 0-4/ lpf (0-1.5/µL)
– Bacteria: Negative = less than 545/ hpf (less than 3000/µL)
Female
– RBC: 0-4/hpf (0-10/µL)
– WBC: 0-5/hpf (0-25/µL)
– Epithelial Cells: 0-7/hpf (0-4/µL)
– Casts: 0-4/lpf (0-1.5/µL)
– Bacteria: Negative = less than 545/hpf (less than 3000/µL) - Day Run:
Sun-Sat (daily) - Time Run:
As received - Time Reported:
4 hours - Test Type:
URINE
