Geisinger Medical Laboratories/Geisinger Proven Diagnostics Test Catalog

Order Display Name: Geisinger Epic Procedure Code Or ID CPT Code:  

URINALYSIS, REFLEX TO CULTURE (NOT FOR NEUTROPENIC PATIENTS)

ORDERING INFORMATION:
Geisinger Epic Procedure Code: LAB3444         Geisinger Epic ID: 55180

SPECIMEN COLLECTION
Specimen type:
Random urine
Preferred collection container:
Specimen required:
20 mL of urine; minimum 8 mL. Smaller volumes may be tested with appropriate comment entered on report.
Special notes:
Outpatient only: All three containers must be sent to the lab.
Inpatient/ED: This test is only available for GMC, GWV and GCMC.

SPECIMEN PROCESSING
Transport temperature:
Room temperature (preferred) or refrigerated at 2-8°C (unpreserved urines from clinic sites).
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.
Do not reject if received refrigerated.
Rejection criteria:
Stability limits exceeded.

TEST DETAILS
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
Interpretation guide:
Reflex to culture indicators (and/or):
WBC: >=10 / HPF
Bacteria: >=26 / HPF
Additional information:
See also Culture, Urine, Quantitative
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
Synonyms:
UACMR
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
Raquel Martinez, PhD, D(ABMM)    
Review Date: 12/14/2022

Performing Locations

Geisinger Medical Center

Performing laboratory: Urinalysis / Microbiology
Technical Lead: Karen Delp / Barbara Shoemaker
Frequency: Daily, all shifts (Urinalysis performed stat)
Performed STAT? Yes

Geisinger Wyoming Valley Medical Center

Performing laboratory: ATL+
Technical Lead: Mary Glazenski    
Frequency: Daily, all shifts    
Performed STAT? Yes

Geisinger Community Medical Center

Performing laboratory: Hematology
Technical Lead: Robert Furcon  
Frequency: Daily, all shifts    
Performed STAT? Yes
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