Urinalysis Reflex to Microscopic and Culture - Fairview Clinics (except Maple Grove, Princeton and Range)


Sunquest Code:UMACC  
Epic Code:LAB5821Epic Name:UA macro reflex to micro and culture
Synonyms:UMACC - Chemical Screen, Microscopic, Reflex to Culture
Methodology:Multiple reagent strip, microscopy
CPT Code:81001, 81003
Test Includes:Appearance, bilirubin, blood, color, glucose, ketones, leukocyte esterase, nitrite, pH, protein, specific gravity, urobilinogen.
Turnaround Time:Performed and reported 24 hours/day.
Special Instructions:If the microscopic examination is required regardless of the screen results, the Epic Code LAB5820 should be ordered. For UMMC, UMMC Clinics, Maple Grove, Ridges and Southdale use Epic Code LAB5823.
Associated Links:

Urine Collection Procedure



Collection Instructions

Specimen:Urine, random collection
Optimal Volume:Submit entire collection; analysis requires 1 mL.
Container:Plastic leakproof container, sterile (Plastic leakproof container, sterile)
Collection Instructions:Specimen of choice is a first morning mid-stream, clean catch urine. Refrigerate the urine if it cannot be delivered immediately.
Causes for Rejection:Collected with preservatives, stored at room temperature >2 hours, fecal contamination.


Processing and Shipping

Specimen Processing:Aliquot 12 mL, 1 mL minimum. Store in refrigerator.
Shipping Instructions:Ship at refrigerated temperature.
Test Performed at or Referral Lab Urinalysis  (Fairview Clinics (except Princeton, Maple Grove and Range), Grand Itasca GICH)


Interpretive

Reference Range:

 

pH

5-7

Protein (albumin)

Neg

Protein (albumin) in concentrated specimen

Trace

Blood  (hemoglobin)

Neg

Nitrite

Neg

Leukocyte

Neg

Glucose

Neg

Ketones

Neg

Bilirubin (conjugated)

Neg

Urobilinogens

1 EU (Ehrlich unit) = 1 mg/dL

1 EU/dL or less

Specific Gravity

Newborn (0-2 d)

Infant (3 d-5 mo)

6 mo and older

 

About 1.012

1.002-1.006

1.003-1.035

 

 

Use:Screen for renal and urinary tract diseases and metabolic diseases.


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