UA REFLEX
Urinalysis, Routine, Random Urine (With Reflex to Microscopic and C URINE if Indicated)
EPIC Test Procedure Code: LAB2632
Urine, random collection
Instructions To Transfer Urine Specimen Into Tiger Top and Gray Top Evacuated Tubes Using BD Vacutainer® Urine Transfer Straw:
1. Place the urine cup on a clean, flat surface.
2. Place the tip of the transfer straw into the urine specimen. The urine cup may be tipped at an angle if the volume of urine is limited.
3. Place the evacuated gray top tube into the holder, stopper down. Advance the tube over the puncture point to pierce the stopper.
4. Hold the tube in position until filled.
5. Remove the tube from the holder.
6. Mix the tube 8 - 10 times by inversion.
7. Repeat the above steps for the tiger top tube.
8. Lift the transfer straw from the cup and allow the specimen to drain. Discard the transfer straw in a biohazard container approved for sharps disposal.
9. Label the tiger top tube, gray top tube and urine cup with two patient identifiers for transport to the laboratory.
Tiger and gray tubes - Room temperature
The tiger top tube is stable at room temperature for 72 hours.
The gray top tube is stable at room temperature for 48 hours.
The cup is stable at 2 - 8 °C for 24 hours.
81003 - Urinalysis WO Micro (EAP 30022820)
(If urine microscopic is also performed, 81001 (EAP 30022840) will be billed instead of 81003)
(If unable to perform UA due to color interference, a MICRO UA ONLY will be performed and 81015 (EAP 30022860) only will be billed)
(If urine culture is also performed, refer to C URINE in this directory for appropriate CPT codes)
A urine culture will be performed if:( WBC ≥ 11 ) OR (WBC ≥ 6 and Protein ≥ 30mg/dL ) OR ( Nitrite = Positive )
Appearance: Colorless, Yellow, Dark Yellow
Glucose: Negative
Bilirubin: Negative
Ketones: Negative
Specific gravity: >1.005 - <1.030
Hemoglobin: Negative
pH: 5.0 - 8.0
Protein: Negative
Urobilinogen: Normal
Nitrite: Negative
Leukocyte esterase: Negative