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Test Code URINCASD Urinalysis Cascade

Important Note

The Urinalysis Cascade automatically reflexes to a Urine Culture when WBC > 5/HPF, LE >= Trace, or Nitrite positive. If the clinical situation would require culture it must be ordered separately, i.e. neutropenia.

Indicate whether the urine submitted is clean catch, clean voided, sterile, etc.; also indicate the date and time of collection on the urine container.

*Microscopic examinations at MQMA are sent to MercyOne Dubuque for completion; the chemical analysis is performed by MQMA.

Additional Codes

ALAB: URINCASD

PowerChart: Urinalysis with Reflex Culture

MA Cerner: Urine Cascade

Test Method

Reagent Impregnated Strips; N-Multistix 10 SG, Siemens Healthcare Diagnostic

 Wet Prep Microscopy

Specimen Requirement

10 mL of urine is required. First morning void is recommended.

Additional Specimen Collection Information

Collect the first morining void into a clean specimen container with a tight fitting lid. Label the specimen appropriately with two identifiers, patient name and another identifier, (patient ID number, DOB, etc.) include date and time of collection. Protect the urine from strong light prior to transport. Transport urine collections to laboratory as soon as possible. Urine, protected from strong light, may be stored at room temperature for up to 2 hours. If a delay in transport may exceed 2 hours, refrigerate the specimen for up to 4 hours. Specimens not meeting the above storage criteria may be rejected.

Performance

Testing is performed Monday through Sunday.

Routine orders: Typically completed within 4 hours after the speicmen arrives at the testing site.

Expedite orders: Typically completed within 1 hour after the specimen arrives at the testing site.

STAT orders: Typically completed within 20 minutes after the specimen arrives at the testing site.

Reference Values

Color: Yellow

Appearance: Clear

pH: 5.0-7.5

Specific Gravity:

Random Specimen: 1.005-1.035

24 Hour Specimen: 1.015-1.025

Protein: Negative

Glucose: Negative

Ketones: Negative

Bilirubin: Negative

Blood: Negative

Nitrite: Negative

Urobilinogen: 0.1-1.0 eu/dL

Leukocyte Esterase: Negative

Microscopic Exam:

WBC: 0-3/HPF

RBC: 0-5/HPF

CPT Code Information

81000 Urine Tests: Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automated with microscopy

 

BCBS requires a signed ABN. (Not covered for preventative care.)

Useful For

Screening for urinary tract diseases and some nonrenal diseases

LOINC Code Information

24356-8 Urinalysis Complete Panel-Urine

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