Test Code Billings Clinic: 3068 Urinalysis, Routine
Performing Laboratory
Billings Clinic Laboratory: Hematology
Useful For
Screening for urinary tract diseases and infections and some nonrenal diseases
Methodology
- Automated Reagent Test Strips/Automated Microscopic
- Includes both routine chemical analysis with reagent test strips and automated microscopic analysis by flow cytometry and fluorescence
Specimen Requirements
- Submit 10 mL of urine from a first-morning specimen.
- Follow directions below for collection.
- Overnight incubation in bladder yields highest bacterial counts.
Males
- Clean glans with soap and water or benzalkonium chloride antiseptic towelette.
- Rinse area with water or wet gauze pads.
- While holding foreskin retracted, begin voiding.
- After several mL have passed, collect specimen without stopping flow of urine into a sterile urine container with tightly-fitting lid.
- Label container with patient’s name (first and last), date and actual time of collection, and type of specimen.
- Maintain sterility and forward promptly. If there is a delay in transport of ≥1 hour, send specimen refrigerated.
Females
- Thoroughly clean urethral area with soap and water or benzalkonium chloride antiseptic towelette.
- Rinse area with water or wet gauze pads.
- While holding labia apart, begin voiding.
- After several mL have passed, collect specimen without stopping flow of urine into a sterile urine container with tightly-fitting lid.
- Label container with patient’s name (first and last), date and actual time of collection, and type of specimen.
- Maintain sterility and forward promptly. If there is a delay in transport of ≥1 hour, send specimen refrigerated.
Specimen Stability
Room Temperature - 2 hour
Refrigerated (Preferred) - 24 hours
Reference Values
Reference values are included with patient’s report.
Day(s) Test Set Up
Daily
Test Classification and CPT Coding
81003 - Urinalysis, automated without microscopy
81001 - Urinalysis, automated with microscopy (if appropriate)
LOINC Code Information
Reporting Name | LOINC Code |
Bilirubin, UA | 50551-1 |
Blood, UA | 57751-0 |
Clarity, UA | 50552-9 |
Color, UA | 50553-7 |
Glucose, UA | 53328-1 |
Ketones, UA | 50557-8 |
Leukocyte Esterase, UA | 60026-2 |
pH, UA | 50560-2 |
Nitrite, UA | 50558-6 |
Protein, UA | 50561-0 |
Specific Gravity, UA | 50562-8 |
Urobilinogen | 19161-9 |
WBC, UA (if appropriate) | 46702-7 |
RBC, UA (if appropriate) | 46419-8 |
Bacteria, UA (if appropriate) | 33218-9 |
Epithelial Cells, UA (if appropriate) | 33219-7 |
Profile/Testing Information
- A microscopic analysis will reflex on urines with positive reagent strip results for white blood cells, nitrite, blood, and protein as well as cloudy urines. The CPT code billed will be 81001 (automated urinalysis with microscopy).
- This test may automatically reflex to other tests.
- An additional fee may be added.
- The ordering physician/provider must indicate if the reflex test is NOT DESIRED.
- Indicate on order if no reflex test is desired.