Test Code UAC Urinalysis with Culture (if Indicated)
Methodology
Note:
Culture indicated and ordered if any one of these criteria are met:
1. Positive for Nitrites
2. Positive for Leukocytes.
3. WBC > 7
Specimen Requirements
15 mL from a random urine collection (first-morning specimen preferred) collected as follows:
Non-preserved specimen must arrive within 2 hours of collection.
Preservative tube may be submitted for the culture only.
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: 1. Specimen collection method
is required on request form for processing.
2. Specimens should be added up to designated line on preservative
tubes. Preserved specimens can be stored refrigerated or at ambient
temperature for up to 48 hours.
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: 1. Specimen collection method
is required on request form for processing.
2. Specimens should be added up to designated line on preservative tubes. Preserved specimens can be stored refrigerated or at ambient temperature for up to 48 hours.
Reference Values
COLOR
Pale yellow to amber
APPEARANCE
Clear, cloudy if due to amorphous
SPECIFIC GRAVITY
Newborn (first few days): 1.012
Infants: 1.002-1.006
Adults: 1.001-1.035
PH
5.0-9.0
PROTEIN
Negative
GLUCOSE
Neonatal infants (10-14 days): normal
Children and adults: normal
REDUCING SUGARS
Neonatal infants (10-14 days): negative or positive
Children and adults: negative
Pregnant and postpartum women: negative or positive
KETONES
Negative
BILIRUBIN
Negative
BLOOD
Negative
RBC
0-6.0/hpf
WBC
0-7.0/hpf
EPITHELIAL CELLS
Males: 0-10 cells/µL
Females: 0-37 cells/µL
OVAL FAT BODIES
None
CASTS
Hyaline: 0-3.0/lpf
Other: none
UROBILINOGEN
Normal
Day(s) Test Set Up
Monday through Sunday
CPT Coding
81003 - urinalysis
87077 - identification, aerobic (if appropriate)
87086 - quantitative culture (if appropriate)
87088 - presumptive identification (if appropriate)
87181 - per antibiotic (if appropriate)
87184 - per plate-disk method (if appropriate)
87185 - beta-lactamase (if appropriate)
87186 - per panel-microdilution (if appropriate)
Secondary ID
HHA262
Performing Laboratory
Huntsville Hospital Laboratory/ Madison Hospital Laboratory
LOINC Coding
Test Name | LOINC Code |
---|---|
Urinalysis with Culture (if Indicated) |
58077-9 |
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 |
Reflex Urine Culture | 8267-7 |