Urinalysis, Complete With Microscopic Examination With Reflex to Urine Culture, Routine

CPT: 81001. If reflex testing is performed, concomitant CPT codes/charges will apply.
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Test Details

Test Includes

Reflex to routine urine culture (equivalent to test 008847). Specimen will reflex to a routine urine culture if any one of the following criteria is present: 1. Positive nitrite on reagent strip2. Positive leukocyte esterase on reagent strip3. >5 WBC/hpf on urinalysis microscopic examination4. ≥Moderate bacteria on urinalysis microscopic examination

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.

Limitations

Insufficient volume may limit the extent of procedures performed. Metabolites of Pyridium® 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 with light microscopy

Specimen Requirements

Specimen

Urine (random)

Volume

Urinalysis: 10 mL; Culture: To fill line on Vacutainer® gray-top culture transport tube

Container

Routine urinalysis tube or BD urine transport tube and Vacutainer® gray-top urine culture transport tube with preservative or sterile cup

Collection

A voided specimen is usually suitable. If the specimen is likely to be contaminated, a clean-catch midstream specimen is desirable.

Storage Instructions

Refrigerate.

Causes for Rejection

Quantity not sufficient for analysis; improper labeling; tubes with boric acid or tartaric acid (eg, BD gray-top C&S tube, Boricult yellow-top C&S tube) as only device submitted; specimen not refrigerated or preserved; specimen more than 48 hours old if unpreserved/nonrefrigerated or more than 72 hours old for BD transport tube; frozen specimen

LOINC® Map

Order Code Order Code Name Order Loinc Result Code Result Code Name UofM Result LOINC
377036 UA/M w/rflx Culture, Routine 133330 Urinalysis Gross Exam N/A
377036 UA/M w/rflx Culture, Routine 013060 Specific Gravity 2965-2
377036 UA/M w/rflx Culture, Routine 013078 pH 5803-2
377036 UA/M w/rflx Culture, Routine 013045 Urine-Color 5778-6
377036 UA/M w/rflx Culture, Routine 013052 Appearance 5767-9
377036 UA/M w/rflx Culture, Routine 013185 WBC Esterase 5799-2
377036 UA/M w/rflx Culture, Routine 013094 Protein 20454-5
377036 UA/M w/rflx Culture, Routine 013086 Glucose 2349-9
377036 UA/M w/rflx Culture, Routine 013110 Ketones 2514-8
377036 UA/M w/rflx Culture, Routine 013102 Occult Blood 5794-3
377036 UA/M w/rflx Culture, Routine 013104 Bilirubin 5770-3
377036 UA/M w/rflx Culture, Routine 013105 Urobilinogen,Semi-Qn mg/dL 20405-7
377036 UA/M w/rflx Culture, Routine 013106 Nitrite, Urine 5802-4
377036 UA/M w/rflx Culture, Routine 012237 Microscopic Examination 12235-8
377036 UA/M w/rflx Culture, Routine 333336 Microscopic Examination 12235-8
377036 UA/M w/rflx Culture, Routine 377202 Urinalysis Reflex N/A
Reflex Table for Microscopic Examination
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 333328 Microscopic Examination 013128 WBC /hpf 5821-4
Reflex Table for Microscopic Examination
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 333328 Microscopic Examination 013136 RBC /hpf 13945-1
Reflex Table for Microscopic Examination
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 333328 Microscopic Examination 013148 Epithelial Cells (non renal) /hpf 5787-7
Reflex Table for Microscopic Examination
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 333328 Microscopic Examination 013149 Epithelial Cells (renal) /hpf 26052-1
Reflex Table for Microscopic Examination
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 333328 Microscopic Examination 013145 Casts /lpf 24124-0
Reflex Table for Microscopic Examination
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 333328 Microscopic Examination 013147 Cast Type 58436-7
Reflex Table for Microscopic Examination
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 333328 Microscopic Examination 013146 Crystals 5783-6
Reflex Table for Microscopic Examination
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 333328 Microscopic Examination 013152 Crystal Type 5782-8
Reflex Table for Microscopic Examination
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 333328 Microscopic Examination 333351 Mucus Threads 8247-9
Reflex Table for Microscopic Examination
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 333328 Microscopic Examination 333344 Bacteria 5769-5
Reflex Table for Microscopic Examination
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 333328 Microscopic Examination 333419 Yeast 5822-2
Reflex Table for Microscopic Examination
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 333328 Microscopic Examination 013151 Trichomonas 5813-1
Reflex Table for Microscopic Examination
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 333328 Microscopic Examination 333420 Comment 11279-7
Reflex Table for Microscopic Examination
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 333328 Microscopic Examination 013128 WBC /hpf 5821-4
Reflex Table for Microscopic Examination
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 333328 Microscopic Examination 013136 RBC /hpf 13945-1
Reflex Table for Microscopic Examination
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 333328 Microscopic Examination 013148 Epithelial Cells (non renal) /hpf 5787-7
Reflex Table for Microscopic Examination
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 333328 Microscopic Examination 013149 Epithelial Cells (renal) /hpf 26052-1
Reflex Table for Microscopic Examination
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 333328 Microscopic Examination 013145 Casts /lpf 24124-0
Reflex Table for Microscopic Examination
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 333328 Microscopic Examination 013147 Cast Type 58436-7
Reflex Table for Microscopic Examination
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 333328 Microscopic Examination 013146 Crystals 5783-6
Reflex Table for Microscopic Examination
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 333328 Microscopic Examination 013152 Crystal Type 5782-8
Reflex Table for Microscopic Examination
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 333328 Microscopic Examination 333351 Mucus Threads 8247-9
Reflex Table for Microscopic Examination
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 333328 Microscopic Examination 333344 Bacteria 5769-5
Reflex Table for Microscopic Examination
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 333328 Microscopic Examination 333419 Yeast 5822-2
Reflex Table for Microscopic Examination
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 333328 Microscopic Examination 013151 Trichomonas 5813-1
Reflex Table for Microscopic Examination
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 333328 Microscopic Examination 333420 Comment 11279-7
Reflex Table for Urinalysis Reflex
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 008848 Urine Culture, Routine 008847 Urine Culture, Routine 630-4
Reflex 2 000000 997131 000000 630-4
Reflex Table for Urinalysis Reflex
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 008848 Urine Culture, Routine 008847 Urine Culture, Routine 630-4
Reflex 2 000000 997132 000000 630-4
Reflex Table for Urinalysis Reflex
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 008848 Urine Culture, Routine 008847 Urine Culture, Routine 630-4
Reflex 2 000000 997133 000000 630-4
Reflex Table for Urinalysis Reflex
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 008848 Urine Culture, Routine 008847 Urine Culture, Routine 630-4
Reflex 2 000000 997134 000000 630-4
Reflex Table for Urinalysis Reflex
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 008848 Urine Culture, Routine 008847 Urine Culture, Routine 630-4
Reflex 2 000000 997135 000000 23658-8
Reflex Table for Urinalysis Reflex
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 008848 Urine Culture, Routine 997131 Result 1 630-4
Reflex Table for Urinalysis Reflex
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 008848 Urine Culture, Routine 997132 Result 2 630-4
Reflex Table for Urinalysis Reflex
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 008848 Urine Culture, Routine 997133 Result 3 630-4
Reflex Table for Urinalysis Reflex
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 008848 Urine Culture, Routine 997134 Result 4 630-4
Reflex Table for Urinalysis Reflex
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 008848 Urine Culture, Routine 997135 Antimicrobial Susceptibility 23658-8

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