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Geisinger Medical Laboratories Test Catalog
URINALYSIS, REFLEX TO CULTURE (NOT FOR NEUTROPENIC PATIENTS) |
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Geisinger Epic Procedure Code: LAB3444
Geisinger Epic ID: 55180
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SPECIMEN COLLECTION |
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Specimen type: |
Random urine | |
Preferred collection container: |
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Specimen required: |
20 mL of urine; minimum 8 mL. Smaller volumes may be tested with appropriate comment entered on report. | |
Special notes: |
If urine volume is over 8 mL, urine specimen must be aliquoted into UA and C&S preservative tubes. If urine volume is ≤ 8 mL, urine specimen should be sent refrigerated to testing site. |
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| SPECIMEN PROCESSING |
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Specimen processing instructions: |
For low volume (≤ 8 mL): If urinalysis is performed on site: urine is poured off for urinalysis. Store cup refrigerated in case of reflex to culture. Send refrigerated cup to GMC only if culture is reflexively ordered. If urinalysis is not performed on site: send refrigerated urine cup to GMC. It must be sent refrigerated, and on a default packing list. |
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Transport temperature: |
Room temperature (preferred) or refrigerated at 2-8°C (unpreserved urines). | |
Specimen stability: |
Urine in C&S preservative tube: 48 hours room temperature (preferred) or refrigerated at 2-8°C. UA preservative tube: 72 hours at room temperature (preferred) or refrigerated at 2-8°C. Unpreserved urine: 2 hours at room temperature, 24 hours refrigerated 2-8° C. |
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Rejection criteria: |
Stability limits exceeded. Specimen not in proper preservative tubes/containers or at correct transport temperature. | |
TEST DETAILS |
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Reference interval: |
Color: Yellow, straw Clarity: Clear Specific gravity: 1.003 - 1.030 Esterase: Negative Nitrite: Negative pH: 5-7.5 Protein: Negative Glucose: Negative Ketone: Negative Urobilinogen: Normal (0.2 to 1.0 mg.dL) Bilirubin: Negative Blood: Negative RBC: 0-2/HPF WBC: 0-2/HPF Bacteria: 0-25 / HPF |
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Interpretation guide: |
Reflex to culture indicators (and/or): WBC: >=10 / HPF Bacteria: >=26 / HPF |
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Additional information: |
See also Culture, Urine, Quantitative. In addition to the hospital laboratories listed below, this test is also performed at Geisinger's Grays Woods, Hazleton Cancer Center, Pottsville, Scenery Park, and Tunkhannock clinic laboratories. | |
CPT code(s): |
81001, 87086 | |
| Note: The billing party has sole responsibility for CPT coding. Any questions regarding coding should be directed to the payer being billed. The CPT codes provided by GML are based on AMA guidelines and are for informational purposes only. | ||
Test includes: |
Urinalysis Reflex to Culture | |
Methodology: |
Colorimetric and microscopic examination |
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Synonyms: |
UACMR
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Clinical significance: |
Routine dipstick urinalysis with microscopic examination of formed elements may be useful in assessing the renal and metabolic status of the patient. | |
Doctoral Director(s:) |
Hoi-Ying Elsie Yu, PhD, DABCC, FADLM Sheng-Ying (Margaret) Lo, PhD, DABCC |
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| Review Date: | 11/14/2023 | |
Performing Locations
Geisinger Wyoming Valley Medical Center
Geisinger Shamokin Area Community Hospital
Geisinger Community Medical Center
Geisinger Medical Center Muncy