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Test Code LAB90980 Outreach Urinalysis with Reflex Culture

Reporting Title

Outreach Urinalysis with Reflex Culture with an Additional Charge

Methodology

Biochemical Dipstick and Automated Flow-Microscopy

Useful in diagnosis of renal or urinary tract diseases and to detect metabolic or systemic diseases.

Performing Laboratory

OhioHealth Laboratory Services-RMH, GMC ,DH, DMH, MGH, GMH,  HMH, WECC, PMC, GCMH and OBL Core Laboratories

Specimen Requirements

Send both the urinalysis specimen and a urine culture specimen for this test

Urinalysis specimen

Minimum of 10 mL of urine from a random urine collection in a screw-capped, sterile, plastic urine container or a 10 mL BD yellow-top round bottom urine tube. No preservative. Specimens should be received within 2 hours of collection. Samples are acceptable up to 12 hours if refrigerated at 2-8 Maintain sterility and forward promptly whenever possible.

Yellow with speckled red top urine collection tubes are stable for 72 hours.

Culture specimen:

 Urine submitted in a BD Collection Kit (preserved grey top) is acceptable for testing up to 72 hours


Note:  Follow instructions in “Urine Collection” in “Special Instructions.”

Specimen Transport Temperature

Refrigerate/Ambient NO/Frozen NO

Reference Values

Color:  Colorless-Yellow

Clarity:  Clear

Specific gravity:  1.005-1.025

pH:  5.0-7.0

Proteins:  Negative

Glucose:  Negative

Ketones:  Negative

Bilirubin:  Negative

Urobilinogen:  <2.0 mg/dL

Blood:  Negative

Nitrite:  Negative

Leukocyte Esterase:  Negative

WBCs:  0-5/HPF

RBCs:  0-3/HPF

Casts

Hyaline:  0-2/LPF

Granular:  0/LPF

Waxy:  0/LPF

Squamous Epithelial: 0-4/HPF

Mucus: None Seen, Rare/LPF

Bacteria:  none

Day(s) Test Set Up

Monday through Sunday; Continuously

Test Classification and CPT Coding

81001

 

Special Instructions

Testing Algorithm

A culture will be automatically ordered when:

The  WBC is  > 5.0/HPF and/or the Leukocyte Esterase is Moderate or above.