Urinalysis with Microscopic

Abbrev Code:UAI   
Order Code:LAB3806Order Name:Urinalysis with Microscopic
Synonyms:UA, Routine; Fat Urine Qualitative; UAI - Chemical Screen Reflex to Microscopic
Methodology:Depending on testing location: multiple reagent strip, microscopy, automated chemical strip, and/or flow imaging
CPT Codes: 81001 x1
Test Includes:Appearance, bilirubin, blood, color, glucose, ketones, leukocyte esterase, nitrite, pH, protein, specific gravity, urobilinogen and microscopic examination of sediment.
Turnaround Time:Performed and reported 24 hours/day.
Associated Links:

Urine Collection Procedure, Urinalysis Tests

Collection Instructions

Specimen:Urine, random collection
Optimal Volume:Submit entire collection; analysis requires 3 mL
Minimum\Peds Volume:1 mL; collection volumes of 1-3 mL will be analyzed but may not be concentrated before examination of the sediment.
Container:Plastic leakproof container, sterile
Alternate Containers: BD Vacutainer Plus Urinalysis Preservative Tube
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:Specimen collected with preservatives other than BD Vacutainer Plus Urinalysis Preservative tube; stored at room temperature >2 hours; stored at refrigerated temperature >24 hours; fecal contamination. Neonatal urine specimens collected on cotton balls.

Processing and Shipping

Specimen Processing:Store in refrigerator.
Shipping Instructions:Ship at refrigerated temperature.
Stability:BD Vacutainer Plus Urinalysis Preservative Tube: 72 hours at room temperature or refrigerated temperature.
Plastic Leakproof Container: 2 hours at room temperature; 24 hours refrigerated
Test Performed at or Referral Lab Urinalysis  (Clinics, CSC Maple Grove, CSC Mpls, Grand Itasca, Lakes, Northland, Range, Ridges, Southdale, UMMC East Bank, UMMC West Bank)


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 0.0-2.0 mg/dL
Specific Gravity Newborn, 0-2d: About 1.012
Infant, 3d-5 mo: 1.002-1.006
6 mo & older: 1.003-1.035
Red blood cells/HPF 0-2   
White blood cells (neutrophils)/HPF 0-5
Hyaline Casts/LPF 0-2
Renal epithelial cells/HPF Neg
Transitional epithelial cells/HPF 0-1
Squamous epithelial cells/HPF 0-1
Bacteria/HPF Neg
Abnormal crystals Neg

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