UA w/reflex Sediment Exam/UC-16153
Test info
UA Complete
Reflex culture based on Urine Microscopic findings of >=6 WBCs indicating a higher likelihood of a urinary tract infection. WBC <=5 has a good negative predictive value for urine culture with low likelihood the urine will yield a uropathogen in significant numbers.
This test is not intended for patients where a UA only is indicated.
The reflex test should not be ordered for patients in whom a urine culture is indicated regardless of urinalysis findings, such as those being evaluated for asymptomatic bacteriuria in pregnancy, patients undergoing urinary tract procedures, or kidney transplant recipients.
This order is for Allina Health providers only
Specimen
Refrigerated - 24 hours
- Improper label (unlabeled or mislabeled)
- Time delay between time of collection and receipt of specimen
- Specimens received in a sterile container at ambient temperatures more than 2 hours after collection
- Improper storage/transport temperature.
- Inappropriate specimen type
- Leaking container
- Interfering substances
Performance
Clinical and Interpretive info
Urinalysis microscopic:
|
WBC |
0-5 per HPF |
|
RBC |
0-2 per HPF |
|
Bacteria |
None seen, rare, few per HPF |
|
Squamous epithelial cells |
None seen, few per HPF |
|
Crystals |
None |
|
Hyaline casts |
0 – 5 per HPF |
Urinalysis w/ reflex microscopic:
|
Color |
Yellow |
|
Clarity |
Clear |
|
Specific gravity |
1.010 - 1.025 |
|
pH |
6.0 - 8.5 |
|
Glucose |
Negative |
|
Bilirubin |
Negative |
|
Ketones |
Negative |
|
Protein |
Negative |
|
Urobilinogen |
Normal (≤1.0 EU/dL) |
|
Nitrites |
Negative |
|
Blood |
Negative |
|
Leukocytes |
Negative |
Urine Culture: No growth
Billing
Additional CPT codes (if appropriate)
81001 - Microscopic
87086 - Urine Culture
Additional CPT codes:
87186 - Sensitivities (if appropriate)
87077 - ID (if appropriate)
This list may not be all inclusive if there is the need to send the ID or sensitivities out to a referral laboratory