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Urinalysis, Complete With Microscopic Examination With Reflex to Urine Culture, Routine

Test Number 377036
Test number copied
CPT 81001. If reflex testing is performed, concomitant CPT codes/charges will apply.

Test Details

Methodology

Reagent strip with light microscopy

Result Turnaround Time

2 - 5 days

Turnaround time is defined as the usual number of days from the date of pickup of a specimen for testing to when the result is released to the ordering provider. In some cases, additional time should be allowed for additional confirmatory or additional reflex tests. Testing schedules may vary.

Related Documents

Test Includes

Reflex to routine urine culture (equivalent to test 008847). Specimen will reflex to a routine urine culture if any one of the following criteria is present:

1. Positive nitrite on reagent strip

2. Positive leukocyte esterase on reagent strip

3. >5 WBC/hpf on urinalysis microscopic examination

4. ≥Moderate bacteria on urinalysis microscopic examination

Use

Detect abnormalities of urine; diagnose and manage renal diseases, urinary tract infection, urinary tract neoplasms, systemic diseases, and inflammatory or neoplastic diseases adjacent to the urinary tract.

Limitations

Insufficient volume may limit the extent of procedures performed. Metabolites of Pyridium® may interfere with the dipstick reactions by producing color interference. High vitamin C intake may cause an underestimate of glucosuria, or a false-negative nitrite test. Survival of WBCs is decreased by low osmolality, alkalinity, and lack of refrigeration.

Specimen Requirements

Specimen

Urine (random)

Volume

Urinalysis: 3-9 mL (Vacutainer® red/yellow urine transport tube) (preferred) or 2 mL or greater (non-preserved urine); Culture: to fill line on Vacutainer® gray-top culture transport tube

Container

Vacutainer® red/yellow urine transport tube (preferred) or urine bottle/urine transport tube (non-preserved) and Vacutainer® gray-top urine culture transport tube with preservative or sterile cup for both assays

Collection Instructions

A voided specimen is usually suitable. If the specimen is likely to be contaminated, a clean-catch midstream specimen is desirable.

Storage Instructions

Vacutainer® red/yellow urine transport tube: room temperature for up to 72 hours

Urine bottle/urine transport tube (non-preserved): room temperature up to 2 hours and refrigerated up to 48 hours

Vacutainer® gray-top urine culture transport tube: maintain at room temperature

Causes for Rejection

Urinalysis ONLY: quantity not sufficient for analysis; improper labeling; tubes with boric acid or tartaric acid (e.g., BD gray-top C&S tube); Labcorp red-top C&S tube; Boricon, Bortiex, or Boricult yellow-top C&S tubes, urine transport tube with Triclosan; specimen received in Vacutainer® red/yellow urine transport tube more than 72 hours old; specimen received in urine cup stored at room temperature greater than 2 hours old; specimen received in urine cup refrigerated more than 48 hours old; frozen specimens; Vacutainer® red/yellow urine transport tube less than 3 mL or greater than 9 mL

Culture ONLY: quantity not sufficient for analysis; improper labeling; specimen received in urine cup stored at room temperature greater than 2 hours old; specimen received in urine cup refrigerated more than 48 hours old, frozen specimens

LOINC® Map

Order Code Order Code Name Order Loinc Result Code Result Code Name UofM Result LOINC
377036 UA/M w/rflx Culture, Routine 58077-9 013060 Specific Gravity 5811-5
377036 UA/M w/rflx Culture, Routine 58077-9 013078 pH 5803-2
377036 UA/M w/rflx Culture, Routine 58077-9 013045 Urine-Color 5778-6
377036 UA/M w/rflx Culture, Routine 58077-9 013052 Appearance 5767-9
377036 UA/M w/rflx Culture, Routine 58077-9 013185 WBC Esterase 5799-2
377036 UA/M w/rflx Culture, Routine 58077-9 013094 Protein 20454-5
377036 UA/M w/rflx Culture, Routine 58077-9 013086 Glucose 25428-4
377036 UA/M w/rflx Culture, Routine 58077-9 013110 Ketones 2514-8
377036 UA/M w/rflx Culture, Routine 58077-9 013102 Occult Blood 5794-3
377036 UA/M w/rflx Culture, Routine 58077-9 013104 Bilirubin 5770-3
377036 UA/M w/rflx Culture, Routine 58077-9 013105 Urobilinogen,Semi-Qn mg/dL 20405-7
377036 UA/M w/rflx Culture, Routine 58077-9 013106 Nitrite, Urine 5802-4
377036 UA/M w/rflx Culture, Routine 58077-9 012237 Microscopic Examination 12235-8
377036 UA/M w/rflx Culture, Routine 58077-9 333336 Microscopic Examination 12235-8
377036 UA/M w/rflx Culture, Routine 58077-9 377202 Urinalysis Reflex N/A
Order Code377036
Order Code NameUA/M w/rflx Culture, Routine
Order Loinc58077-9
Result Code013060
Result Code NameSpecific Gravity
UofM
Result LOINC5811-5
Order Code377036
Order Code NameUA/M w/rflx Culture, Routine
Order Loinc58077-9
Result Code013078
Result Code NamepH
UofM
Result LOINC5803-2
Order Code377036
Order Code NameUA/M w/rflx Culture, Routine
Order Loinc58077-9
Result Code013045
Result Code NameUrine-Color
UofM
Result LOINC5778-6
Order Code377036
Order Code NameUA/M w/rflx Culture, Routine
Order Loinc58077-9
Result Code013052
Result Code NameAppearance
UofM
Result LOINC5767-9
Order Code377036
Order Code NameUA/M w/rflx Culture, Routine
Order Loinc58077-9
Result Code013185
Result Code NameWBC Esterase
UofM
Result LOINC5799-2
Order Code377036
Order Code NameUA/M w/rflx Culture, Routine
Order Loinc58077-9
Result Code013094
Result Code NameProtein
UofM
Result LOINC20454-5
Order Code377036
Order Code NameUA/M w/rflx Culture, Routine
Order Loinc58077-9
Result Code013086
Result Code NameGlucose
UofM
Result LOINC25428-4
Order Code377036
Order Code NameUA/M w/rflx Culture, Routine
Order Loinc58077-9
Result Code013110
Result Code NameKetones
UofM
Result LOINC2514-8
Order Code377036
Order Code NameUA/M w/rflx Culture, Routine
Order Loinc58077-9
Result Code013102
Result Code NameOccult Blood
UofM
Result LOINC5794-3
Order Code377036
Order Code NameUA/M w/rflx Culture, Routine
Order Loinc58077-9
Result Code013104
Result Code NameBilirubin
UofM
Result LOINC5770-3
Order Code377036
Order Code NameUA/M w/rflx Culture, Routine
Order Loinc58077-9
Result Code013105
Result Code NameUrobilinogen,Semi-Qn
UofMmg/dL
Result LOINC20405-7
Order Code377036
Order Code NameUA/M w/rflx Culture, Routine
Order Loinc58077-9
Result Code013106
Result Code NameNitrite, Urine
UofM
Result LOINC5802-4
Order Code377036
Order Code NameUA/M w/rflx Culture, Routine
Order Loinc58077-9
Result Code012237
Result Code NameMicroscopic Examination
UofM
Result LOINC12235-8
Order Code377036
Order Code NameUA/M w/rflx Culture, Routine
Order Loinc58077-9
Result Code333336
Result Code NameMicroscopic Examination
UofM
Result LOINC12235-8
Order Code377036
Order Code NameUA/M w/rflx Culture, Routine
Order Loinc58077-9
Result Code377202
Result Code NameUrinalysis Reflex
UofM
Result LOINCN/A
Reflex Table for Microscopic Examination
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 333328 Microscopic Examination 013128 WBC /hpf 5821-4
Reflex 1
Order Code333328
Order NameMicroscopic Examination
Result Code013128
Result NameWBC
UofM/hpf
Result LOINC5821-4
Reflex Table for Microscopic Examination
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 333328 Microscopic Examination 013136 RBC /hpf 13945-1
Reflex 1
Order Code333328
Order NameMicroscopic Examination
Result Code013136
Result NameRBC
UofM/hpf
Result LOINC13945-1
Reflex Table for Microscopic Examination
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 333328 Microscopic Examination 013148 Epithelial Cells (non renal) /hpf 5787-7
Reflex 1
Order Code333328
Order NameMicroscopic Examination
Result Code013148
Result NameEpithelial Cells (non renal)
UofM/hpf
Result LOINC5787-7
Reflex Table for Microscopic Examination
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 333328 Microscopic Examination 013149 Epithelial Cells (renal) /hpf 26052-1
Reflex 1
Order Code333328
Order NameMicroscopic Examination
Result Code013149
Result NameEpithelial Cells (renal)
UofM/hpf
Result LOINC26052-1
Reflex Table for Microscopic Examination
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 333328 Microscopic Examination 013145 Casts /lpf 24124-0
Reflex 1
Order Code333328
Order NameMicroscopic Examination
Result Code013145
Result NameCasts
UofM/lpf
Result LOINC24124-0
Reflex Table for Microscopic Examination
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 333328 Microscopic Examination 013147 Cast Type 58436-7
Reflex 1
Order Code333328
Order NameMicroscopic Examination
Result Code013147
Result NameCast Type
UofM
Result LOINC58436-7
Reflex Table for Microscopic Examination
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 333328 Microscopic Examination 013146 Crystals 5783-6
Reflex 1
Order Code333328
Order NameMicroscopic Examination
Result Code013146
Result NameCrystals
UofM
Result LOINC5783-6
Reflex Table for Microscopic Examination
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 333328 Microscopic Examination 013152 Crystal Type 5782-8
Reflex 1
Order Code333328
Order NameMicroscopic Examination
Result Code013152
Result NameCrystal Type
UofM
Result LOINC5782-8
Reflex Table for Microscopic Examination
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 333328 Microscopic Examination 333351 Mucus Threads 8247-9
Reflex 1
Order Code333328
Order NameMicroscopic Examination
Result Code333351
Result NameMucus Threads
UofM
Result LOINC8247-9
Reflex Table for Microscopic Examination
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 333328 Microscopic Examination 333344 Bacteria 5769-5
Reflex 1
Order Code333328
Order NameMicroscopic Examination
Result Code333344
Result NameBacteria
UofM
Result LOINC5769-5
Reflex Table for Microscopic Examination
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 333328 Microscopic Examination 333419 Yeast 5822-2
Reflex 1
Order Code333328
Order NameMicroscopic Examination
Result Code333419
Result NameYeast
UofM
Result LOINC5822-2
Reflex Table for Microscopic Examination
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 333328 Microscopic Examination 013151 Trichomonas 5813-1
Reflex 1
Order Code333328
Order NameMicroscopic Examination
Result Code013151
Result NameTrichomonas
UofM
Result LOINC5813-1
Reflex Table for Microscopic Examination
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 333328 Microscopic Examination 333420 Comment 11279-7
Reflex 1
Order Code333328
Order NameMicroscopic Examination
Result Code333420
Result NameComment
UofM
Result LOINC11279-7
Reflex Table for Microscopic Examination
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 333328 Microscopic Examination 013128 WBC /hpf 5821-4
Reflex 1
Order Code333328
Order NameMicroscopic Examination
Result Code013128
Result NameWBC
UofM/hpf
Result LOINC5821-4
Reflex Table for Microscopic Examination
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 333328 Microscopic Examination 013136 RBC /hpf 13945-1
Reflex 1
Order Code333328
Order NameMicroscopic Examination
Result Code013136
Result NameRBC
UofM/hpf
Result LOINC13945-1
Reflex Table for Microscopic Examination
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 333328 Microscopic Examination 013148 Epithelial Cells (non renal) /hpf 5787-7
Reflex 1
Order Code333328
Order NameMicroscopic Examination
Result Code013148
Result NameEpithelial Cells (non renal)
UofM/hpf
Result LOINC5787-7
Reflex Table for Microscopic Examination
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 333328 Microscopic Examination 013149 Epithelial Cells (renal) /hpf 26052-1
Reflex 1
Order Code333328
Order NameMicroscopic Examination
Result Code013149
Result NameEpithelial Cells (renal)
UofM/hpf
Result LOINC26052-1
Reflex Table for Microscopic Examination
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 333328 Microscopic Examination 013145 Casts /lpf 24124-0
Reflex 1
Order Code333328
Order NameMicroscopic Examination
Result Code013145
Result NameCasts
UofM/lpf
Result LOINC24124-0
Reflex Table for Microscopic Examination
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 333328 Microscopic Examination 013147 Cast Type 58436-7
Reflex 1
Order Code333328
Order NameMicroscopic Examination
Result Code013147
Result NameCast Type
UofM
Result LOINC58436-7
Reflex Table for Microscopic Examination
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 333328 Microscopic Examination 013146 Crystals 5783-6
Reflex 1
Order Code333328
Order NameMicroscopic Examination
Result Code013146
Result NameCrystals
UofM
Result LOINC5783-6
Reflex Table for Microscopic Examination
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 333328 Microscopic Examination 013152 Crystal Type 5782-8
Reflex 1
Order Code333328
Order NameMicroscopic Examination
Result Code013152
Result NameCrystal Type
UofM
Result LOINC5782-8
Reflex Table for Microscopic Examination
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 333328 Microscopic Examination 333351 Mucus Threads 8247-9
Reflex 1
Order Code333328
Order NameMicroscopic Examination
Result Code333351
Result NameMucus Threads
UofM
Result LOINC8247-9
Reflex Table for Microscopic Examination
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 333328 Microscopic Examination 333344 Bacteria 5769-5
Reflex 1
Order Code333328
Order NameMicroscopic Examination
Result Code333344
Result NameBacteria
UofM
Result LOINC5769-5
Reflex Table for Microscopic Examination
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 333328 Microscopic Examination 333419 Yeast 5822-2
Reflex 1
Order Code333328
Order NameMicroscopic Examination
Result Code333419
Result NameYeast
UofM
Result LOINC5822-2
Reflex Table for Microscopic Examination
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 333328 Microscopic Examination 013151 Trichomonas 5813-1
Reflex 1
Order Code333328
Order NameMicroscopic Examination
Result Code013151
Result NameTrichomonas
UofM
Result LOINC5813-1
Reflex Table for Microscopic Examination
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 333328 Microscopic Examination 333420 Comment 11279-7
Reflex 1
Order Code333328
Order NameMicroscopic Examination
Result Code333420
Result NameComment
UofM
Result LOINC11279-7
Reflex Table for Urinalysis Reflex
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 008848 Urine Culture, Routine 008847 Urine Culture, Routine 630-4
Reflex 1
Order Code008848
Order NameUrine Culture, Routine
Result Code008847
Result NameUrine Culture, Routine
UofM
Result LOINC630-4
Reflex Table for Urinalysis Reflex
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 008848 Urine Culture, Routine 008847 Urine Culture, Routine 630-4
Reflex 1
Order Code008848
Order NameUrine Culture, Routine
Result Code008847
Result NameUrine Culture, Routine
UofM
Result LOINC630-4
Reflex Table for Urinalysis Reflex
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 008848 Urine Culture, Routine 008847 Urine Culture, Routine 630-4
Reflex 1
Order Code008848
Order NameUrine Culture, Routine
Result Code008847
Result NameUrine Culture, Routine
UofM
Result LOINC630-4
Reflex Table for Urinalysis Reflex
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 008848 Urine Culture, Routine 008847 Urine Culture, Routine 630-4
Reflex 1
Order Code008848
Order NameUrine Culture, Routine
Result Code008847
Result NameUrine Culture, Routine
UofM
Result LOINC630-4
Reflex Table for Urinalysis Reflex
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 008848 Urine Culture, Routine 008847 Urine Culture, Routine 630-4
Reflex 1
Order Code008848
Order NameUrine Culture, Routine
Result Code008847
Result NameUrine Culture, Routine
UofM
Result LOINC630-4
Reflex Table for Urinalysis Reflex
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 008848 Urine Culture, Routine 997131 Result 1 630-4
Reflex 1
Order Code008848
Order NameUrine Culture, Routine
Result Code997131
Result NameResult 1
UofM
Result LOINC630-4
Reflex Table for Urinalysis Reflex
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 008848 Urine Culture, Routine 997132 Result 2 630-4
Reflex 1
Order Code008848
Order NameUrine Culture, Routine
Result Code997132
Result NameResult 2
UofM
Result LOINC630-4
Reflex Table for Urinalysis Reflex
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 008848 Urine Culture, Routine 997133 Result 3 630-4
Reflex 1
Order Code008848
Order NameUrine Culture, Routine
Result Code997133
Result NameResult 3
UofM
Result LOINC630-4
Reflex Table for Urinalysis Reflex
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 008848 Urine Culture, Routine 997134 Result 4 630-4
Reflex 1
Order Code008848
Order NameUrine Culture, Routine
Result Code997134
Result NameResult 4
UofM
Result LOINC630-4
Reflex Table for Urinalysis Reflex
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 008848 Urine Culture, Routine 997135 Antimicrobial Susceptibility 23658-8
Reflex 1
Order Code008848
Order NameUrine Culture, Routine
Result Code997135
Result NameAntimicrobial Susceptibility
UofM
Result LOINC23658-8