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Test Code UA PL Urinalysis/Urinalysis with Microscopic

Performing Laboratory

Decatur Morgan Hospital-Parkway Campus

Specimen Requirements

15 mL from a random urine collection. No preservative. Forward promptly. Specimen may be refrigerated up to 4 hours and sent refrigerated.
Note:  1. Indicate random urine on request form.

2. Label specimen appropriately (urine).

3. Follow instructions in “Urine Collection—Decatur” in “Special Instructions.”

Reference Values

URINE DIPSTICK

Glucose:  negative

Bilirubin:  negative

Ketones:  negative

Specific gravity:  none given

Blood:  negative

pH:  none given

Protein:  negative
Urobilinogen:  none given
Nitrite: negative
Leukocytes:  negative
Note:  A microscopic urinalysis will be performed if the established criteria is met or at doctor's request.

URINE MICROSCOPIC

WBC

Males:  0-1/hpf
Females:  1-5/hpf
RBC:  1-5/hpf
Epithelial Cells

Males:  1-5/hpf
Females:  0-20/hpf
Bacteria:  none seen
Yeast:  none seen
Yeast form:  none seen
Mucous:  none seen
Amorphous:  none seen
Trichomonas:  none seen
Casts:  none seen

Cast type:  none seen

Crystals:  none seen
Crystal type:  none seen
Sperm:  none seen

Test Classification and CPT Coding

81003

81001-urine microscopic (if applicable)

Special Instructions