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Test Code Urinalysis, microscopic if indicated, reflex to culture when indicated/UAC Urinalysis, microscopic if indicated, reflex to culture when indicated

Important Note

  • If a physician wants microscopic examination irregardless of dipstick results order: Urinalysis, with mandatory microscopic/UAM/I or Urinalysis, with mandatory microscopic, relex to culture if indicated/UAM.
  • If physician wants a culture if indicated order UAC "Urinalysis, microscopic if indicated, reflex to culture when indicated".
  • If specimen is grossly bloody or viscous test will be canceled and UA "Urinalysis (UA), Routine will be ordered.


iChem Velocity Strips. Includes specimen type, color, clarity, bilirubin, blood, glucose, leukocyte esterase, nitrates, pH, protein, urobilinogen.

IQ200 Elite Microscopy System


Note: 1. If dipstick is positive for blood, leukocyte esterase, nitrates, or protein a microscopic examination of the urine will be performed.

2. If dipstick is positive for leukocyte esterase, nitrates, or >5 WBC a  "Culture, Urine" will be performed at an additional charge.

3.If patient is ≤ 2 years old order "Urinalysis, microscopic if indicated/UA/I" or "Urinalysis, with madatory microscopic/UAM/I", order urine culture separately.

Performing Laboratory

North Colorado Medical Center, Urinalysis Dept.

Specimen Type


Specimen Required

Collection Container/Tube:

Preferred:  Clean, plastic urine container

Acceptable:  Urine preservative tube

Specimen Volume:   10 mL

Collection Instructions:

  • If urine preservative tube is sent, the primary specimen or Gray top C & S Urine tube (minimum volume 3 ml) must also be sent if culture is ordered or indicated.
  • Collect a random urine specimen. Maintain sterility
  • Specimen must arrive within 60 minutes of collection
  • If longer than 60 minutes before analysis, store at 2°-8°C.

Specimen Stability



Specimen Type





1 hour



24 hours

Urine Preservative Tube


72 hours

Urine C & S tube


48 hours


Reject Due To










Day(s) Test Set Up

Monday through Sunday; Continuously

Reference Values

iChem Dispstick

Color:  yellow

Clarity:  clear

Bilirubin:  negative

Blood:  negative
Glucose:  negative

Leukocyte esterase:  negative
Ketones:  negative

Nitrates:  negative
pH:  5.0-9.0
Protein:  negative

Specific gravity:  1.000-1.040

Urobilinogen:  negative


IQ200 Elite Microscopic System (if applicable)
WBC:  0-5

RBC:  0-2

Squamous Epithelial cells:  0-5

Hyaline Casts: 0-2

Test Classification and CPT Coding

81001 - urinalysis, with microscopy (if applicable)

81003 - urinalysis, without microscopy (if applicable)

87086 - culture (if applicable)

87077 - bacterial definitive identification per organism (if applicable)

87088 - bacterial presumptive identification, per organism (if applicable)
87186 - MIC, per organism (if applicable)

Specimen Minumum Volume

3.0 mL