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Urinalysis with Microscopic Exam

Order Name UA W/MICR
Test Number: 1003050
Revision Date 08/03/2021
Test Name Methodology LOINC Code
Appearance
Visual 5767-9 
Bilirubin
Colorimetric 5770-3 
Glucose
Colorimetric 25428-4 
Hemoglobin
Colorimetric 5794-3 
Ketones
Colorimetric 2514-8 
Leukocyte Esterase
Colorimetric 51487-7 
Nitrites
Colorimetric 5802-4 
pH Urine
Colorimetric 5803-2 
Protein
Colorimetric 20454-5 
Specific Gravity
Colorimetric 5811-5 
RBC per high power field
Microscopy 13945-1 
WBC per high power field
Microscopy 5821-4 
SPECIMEN REQUIREMENTS
Specimen Specimen Volume (min) Specimen Type Specimen Container Transport Environment
Preferred 10 mL (4 mL) Urine, Random Sterile Screwtop Container Refrigerated
Instructions Early morning specimen preferred. Use clean catch instructions.
Refrigerate specimen after collection. Instrumentation requires a minimum volume of 4mL for testing.
Urinalysis Specimen Stability: 12hrs Refrigerated (12-24hr Reported with disclaimer).
GENERAL INFORMATION
Testing Schedule Daily 
Expected TAT 1 Day  
Clinical Use Urinalysis is performed as a routine health screen in the evaluation of patients with suspected renal dysfunction, urinary tract disease, urinary tract infection, diabetes, prenatal evaluation, and many other conditions. 
CPT Code(s) 81001
Lab Section Hematology