Geisinger Medical Laboratories/Geisinger Proven Diagnostics Test Catalog

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

URINALYSIS, REFLEX TO URINE ALBUMIN-CREATININE RATIO

ORDERING INFORMATION:
Geisinger Epic Procedure Code: LAB3445         Geisinger Epic ID: 119772

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:
Urine specimens containing preservatives are not acceptable for urine albumin-creatinine ratio.

SPECIMEN PROCESSING
Specimen processing instructions:
Two aliquots are to be made: Preserved aliquot for urinalysis. Unpreserved aliquot for urine albumin-creatinine ratio. Urine grey top tube C&S Preservative tube not acceptable. 
Transport temperature:
Refrigerated.
Specimen stability:
See Urinalysis with Microscopic Exam and Albumin/Creatinine Ratio, Urine
Rejection criteria:
Urine specimens containing preservatives are not acceptable for urine albumin-creatinine ratio.

TEST DETAILS
Reference interval:
Color: Colorless, Straw, Yellow (Light / Dark)
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
WBC: 0-2/HPF
RBC: 0-2/HPF
Bacteria: 0-25/HPF
Interpretation guide:
Urine Albumin/Creatinine Ratio is reflexively added when urine protein result on urinalysis is greater than or equal to 30 mg/dL.
CPT code(s):
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 with reflex to microscopy. Urine Albumin/Creatinine Ratio (if applicable).
Methodology:
Colorimetric and microscopic examination (Urinalysis), Immunoturbidity (Urine albumin), Jaffe/Enzymatic (Urine Creatinine)
Synonyms:
UA ACR, microalbumin
Clinical significance:
Urine Albumin is a sensitive marker of nephropathy. It is used to screen for early renal disease in diabetic patients.
Doctoral Director(s:)
Hoi-Ying Elsie Yu, PhD, DABCC
Sheng-Ying (Margaret) Lo, PhD, DABCC    
Review Date: 01/11/2021

Performing Locations

Geisinger Medical Center

Performing laboratory: Urinalysis / Automated Chemistry
Technical Lead: Karen Delp / Mariana Moyer, Jared Shepherd
Frequency: Daily, all shifts
Performed stat? Yes

Geisinger Wyoming Valley Medical Center

Performing laboratory: Urinalysis / ATL+
Technical Lead: Lisa Meeker / Sarah McGowan    
Frequency: Daily, all shifts    
Performed stat? Yes

Geisinger Shamokin Area Community Hospital

Performing laboratory: Urinalysis / Chemistry
Technical Lead: Valerie Koveleski / Anthony Cole    
Frequency: Daily, all shifts    
Performed stat? Yes

Geisinger Bloomsburg Hospital

Performing laboratory: Hematology / Chemistry
Technical Lead: Sophie Rockwell / Robyn Stokes  
Frequency: Daily, all shifts    
Performed stat? Yes

Geisinger Community Medical Center

Performing laboratory: Hematology / Chemistry
Technical Lead: Renee Bordo, Robert Furcon / Ann Mack, Deborah Dempsey  
Frequency: Daily, all shifts    
Performed stat? Yes

Geisinger Lewistown Hospital

Performing laboratory: Urinalysis / Chemistry
Technical Lead: Lisa Sheaffer / Melissa Forsythe  
Frequency: Daily, all shifts    
Performed stat? Yes
Locations  |    Search  |    Site Map |   Contact Us
©2000-2021 Geisinger Health System.   All rights reserved.