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Test Code UA Urinalysis/Urinalysis with Microscopic

Performing Laboratory

Huntsville Hospital Labortatory/Madison Hospital Laboratory

Specimen Requirements

15 mL from a random urine collection. Forward promptly or refrigerate up to 4 hours, and send specimen refrigerated.

 

Males - Midstream Clean Catch

1. Wash and dry hands with soap.
2. Foreskin must be completely retracted and glans penis cleansed with soapy water. Surplus soap is removed with warm, sterile water.
3. Patient should void approximately 20 mL to 25 mL of urine into toilet and then pass a portion of midstream urine into a screw-capped, sterile container.
4. Label container with patient’s information, date and actual time of collection, and type of specimen.
5. Send specimen refrigerated. Forward promptly.
Note:  Specimen collection method is required on request form for processing.

 

Females - Midstream Clean Catch
1. Wash hands with soap.
2. If menstruating, insert a fresh tampon or use cotton to stop flow.
3. With 1 hand, spread labia and keep them continuously apart until urine is voided.
4. Taking a saturated soapy sponge, wash vulva well, passing from front to back. Discard sponge. While vulva is still spread, repeat the front to back wash with remaining sponges, discarding each as its use is finished. Patient should rinse with warm sterile water to eliminate the possibility of contaminating specimen with soap.
5. Patient should void approximately 20 mL to 25 mL of urine into toilet.
6. Collect midstream portion of urine into a screw-capped, sterile container. Cup should be held in such a way that contact with legs, vulva, or clothing is avoided.
7. Label container with patient’s information, date and actual time of collection, and type of specimen.
8. Send specimen refrigerated. Forward promptly.
Note:  Specimen collection method is required on request form for processing.

Specimen Stability Information

 

Specimen Type

Temperature

Time

Urine, random

RT

30 mins
 

Refrigerated

24 hrs

 

Reject Due To

 

Hemolysis

NA

Lipemia

NA

Icterus

NA

 

Reference Values

COLOR

Pale yellow to amber

 

APPEARANCE

Clear, cloudy if due to amorphous


SPECIFIC GRAVITY

1.001-1.035

 

PH

5.0-9.0


PROTEIN

Negative


GLUCOSE

 Normal

 

KETONES

Negative

 

BILIRUBIN

Negative


BLOOD

Negative


LEUKOCYTES

Negative

 

NITRITE

Negative


BACTERIA

None seen


RBC

0-6.0/hpf


WBC

0-7.0/hpf


EPITHELIAL CELLS

Males:  0-10 cells/µL

Females:  0-37 cells/µL


CASTS

Hyaline:  0-3.0/lpf

 

UROBILINOGEN

0.1-1.0

Day(s) Test Set Up

Monday through Sunday

CPT Coding

81003

Secondary ID

HHA261

LOINC Coding

Test Name LOINC Code
Urinalysis 24356-8
Source 19159-3
Urine Color 5778-6
Urine Clarity 32167-9
Urine Glucose 53328-1
Urine Bilirubin 1977-8
Urine Ketones 50557-8
Urine Specific Gravity 53326-5
Urine Blood 33051-4
Urine pH 50560-2
Urine Total Protein 57735-3
Urine Urobilinogen 62487-4
Urine Nitrates 50558-6
Urine Leukocytes 60026-2
Urine Epithelial Cells 20453-7
Urine White Blood Cells 5821-4
Urine Red Blood Cells 13945-1
Urine Bacteria 50221-1
Hyaline Casts 5796-8
Other Observations 8267-7
Comment 8267-7