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Test Code LAB546 Urine Dipstick; Reflex Microscopy; Reflex Culture

Clinical Information

To detect abnormalities of the urine, renal disease, urinary tract  infection,  among other disorders.

Synonym

  • UASR1

Profile Information

Reporting Name Available Separately Always Reported
Color No Yes
Clarity No Yes
Glucose Urine No Yes
Ketones Urine No Yes
Specific Gravity Urine Yes Yes
Blood Urine No Yes
pH Urine Yes Yes
Protein Urine No Yes
Urobilinogen Urine No Yes
Nitrites Urine No Yes
Leukocyte Esterase No Yes

Specimen Required

Preferred Container/Tube: Urine Container
Acceptable Container/Tube: Urine Container
Specimen Volume: 8 mL
Specimen Minimum Volume: 5 mL

Specimen Stability Information

Ambient: 
   Non-preservative tubes: 2 hours
   Preservative tubes: 72 hours
   NOTE: Preservative specimens are accepted but are not recommended.
Refrigerated: 8 hours

Rejected Due To

  • Unlabeled specimens
  • Ambient specimens >2 hours old
  • Specimens with fecal or vaginal contamination
  • Use of boric acid urine preservative
  • Specimens in collection cups

Testing Algorithm

If specimen clarity is reported as cloudy or turbid, blood is reported as positive, protein is reported as positive, nitrite is reported as positive and/or leukocyte esterase is reported as positive, then a Urine Microscopic (LAB348) will be performed at an additional charge. 

 

If Urine Microscopic (LAB348) is performed and the WBC is >10/HPF then the Urine Culture (LAB239) will be performed at an additional charge.

Reflex Tests

Reporting Name Available Separately Always Reported
Urine Microscopic Yes No
Urine Culture Yes No

Interpretation

Color: Yellow
Apearance: Clear
Glucose Urine: Negative
Ketones Urine: Negative
Specific Gravity Urine: 1.001-1.035
Blood Urine: Negative
pH Urine: 5.0, 5.5, 6.0, 6.5, 7.0
Protein Urine: Negative
Urobilinogen Urine: 0.2 E.U./dL, 1.0 E.U./dL
Nitrite Urine: Negative
Leukocyte Esterase: Negative

Cautions

Substances/conditions that cause abnormal urine color may affect the readability of reagent areas on urinalysis dipstick reagent strips and may cause false positive or false negative results. 

Insufficient urine volume can produce erroneous results, including falsely decreased urine microscopic  semiquantitative results for WBC, RBC, epithelial cells, casts, and bacteria.

Method Description

DIPSTICK
Dry pad urine chemistry

 

SPECIFIC GRAVITY
Dry pad urine chemistry or optic refractive index method

Performing Lab

Clinical Lab UH
Clinical Lab University East
Clinical Lab James
Clinical Lab Martha Morehouse
Clinical Lab Spielman
Clinical Lab West Campus

Day(s) Performed

Monday through Sunday

Report Available

Same day/ 1 day

Reporting Name

Urine Dipstick; Reflex Microscopy; Reflex Culture

CPT Code Information

81003
81015 (if applicable)
87088 (if applicable)

LOINC Code Information

5778-6
5767-9
5792-7
5797-6
2965-2
20409-9
5803-2
5804-0
3107-0
5802-4
5799-2