Test Code UA Urinalysis/Urinalysis with Microscopic
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 |
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 Critical Value: Urine Ketones >40 mg/dL and Glucose present
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
Critical Value: The presence of RBC Casts
Reject Due To
Hemolysis |
NA |
Lipemia |
NA |
Icterus |
NA |
Day(s) Test Set Up
Monday through Sunday
CPT Coding
81003
Secondary ID
HHA261
Performing Laboratory
Huntsville Hospital Labortatory/Madison Hospital Laboratory
Special Instructions
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 |