Urinalysis, Routine With Microscopic Examination on Positives
Urinalysis, Routine With Microscopic Examination on Positives
    
Number
003038
CPT
81003
Synonyms
Routine Urinalysis ; UA, Routine
Test IncludesTest Includes - Updated April 2 2007
Color, appearance, specific gravity, pH, protein, glucose, ketones, occult blood, leukocyte esterase, nitrite, bilirubin, and urobilinogen. These tests are done on all routine urinalysis ordered and if protein, leukocyte, occult blood, and nitrites are all negative, microscopic examination is not performed; just the above parameters are reported.
Specimen
Urine (random)
Volume
10 mL
Minimum VolumeMinimum Volume - Updated February 20 2007
2 mL
Container
Routine urinalysis tube, BD urine transport tube, or sterile urine cup
Collection
A voided specimen is usually acceptable. If specimen is likely to be contaminated, a clean catch midstream specimen is desirable.
Storage Instructions
Refrigerate
Causes for Rejection
Improper labeling; tubes with boric acid or tartaric acid (eg, BD gray-top C&S tube); LabCorp red-top C&S tube; Boricon, Bortiex, or Boricult yellow-top C&S tubes; specimen not refrigerated or preserved; specimen more than 48 hours old when unpreserved/refrigerated or more than 72 hours old for BD transport tube
Use
Detect abnormalities of urine; diagnose and manage renal diseases, urinary tract infection, urinary tract neoplasms, systemic diseases, and inflammatory or neoplastic diseases adjacent to the urinary tract
LimitationsLimitations - Updated February 20 2007
Insufficient volume may limit the extent of procedures performed. Metabolites of PyridiumŪ may interfere with the dipstick reactions by producing color interference. High vitamin C intake may cause an underestimate of glucosuria, or a false-negative nitrite test. Survival of WBCs is decreased by low osmolality, alkalinity, and lack of refrigeration.
Methodology
Reagent strip

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