URINE MICROSCOPIC EXAM
Test Code: LAB9189
CPT Code: 81015
Interface Code
UMICR
Synonym
URINE, URINALYSIS, UA
Specimen Type
Urine (clean-catch, midstream specimen)
Specimen Container
Sterile container or BD Urine transport tube (red/yellow top tube)
Specimen Handling
1. Collect a clean-catch, midstream urine specimen as follows:
Males
a. Prepare cleansing Towelette by opening packages (do not remove Towelette until ready to use), and place them on sink. Take top off of plastic urine container, and set it on edge of sink. Set Towelettes and container so that they can be reached while urinating.
b. Holding back foreskin with 1 hand, if necessary, use first Towelette to wash end of penis. Discard first Towelette in wastebasket.
c. Continue holding back foreskin. Gently rinse end of penis using second and third Towelette, discarding them in wastebasket when done.
d. Continue holding back foreskin, and begin to urinate into toilet.
Females
a. Prepare cleansing Towelette by opening packages (do not remove Towelette until ready to use), and place them on sink. Take top off of plastic urine container, and set it on edge of sink. Set Towelettes and container so that they can be reached while urinating.
b. Pull panties below knees so they will not interfere with urine collection. With 2 fingers of 1 hand, hold outer folds of vagina apart. With other hand, gently wash vaginal area from front to back, using first Towelette. After this step, throw away first Towelette in wastebasket.
c. Still holding outer vaginal skin away from opening through which urination takes place, rinse area from front to back using Towelette #2, discard, and then repeat with Towelette #3.
d. Continue holding outer vaginal folds apart, and begin to urinate into toilet. Lean slightly forward so that urine flows directly down without running along skin.
2. After first few teaspoons, place screw-capped, sterile urine container under stream of urine. Collect rest of urine in container. Even 1/4 cup is an adequate specimen for testing.
3. After finishing, tighten cap on container securely. Wash any spilled urine from outside of container.
4. Label container with patient’s name (first and last), date of birth, date and actual time of collection, and type of specimen.
Males
a. Prepare cleansing Towelette by opening packages (do not remove Towelette until ready to use), and place them on sink. Take top off of plastic urine container, and set it on edge of sink. Set Towelettes and container so that they can be reached while urinating.
b. Holding back foreskin with 1 hand, if necessary, use first Towelette to wash end of penis. Discard first Towelette in wastebasket.
c. Continue holding back foreskin. Gently rinse end of penis using second and third Towelette, discarding them in wastebasket when done.
d. Continue holding back foreskin, and begin to urinate into toilet.
Females
a. Prepare cleansing Towelette by opening packages (do not remove Towelette until ready to use), and place them on sink. Take top off of plastic urine container, and set it on edge of sink. Set Towelettes and container so that they can be reached while urinating.
b. Pull panties below knees so they will not interfere with urine collection. With 2 fingers of 1 hand, hold outer folds of vagina apart. With other hand, gently wash vaginal area from front to back, using first Towelette. After this step, throw away first Towelette in wastebasket.
c. Still holding outer vaginal skin away from opening through which urination takes place, rinse area from front to back using Towelette #2, discard, and then repeat with Towelette #3.
d. Continue holding outer vaginal folds apart, and begin to urinate into toilet. Lean slightly forward so that urine flows directly down without running along skin.
2. After first few teaspoons, place screw-capped, sterile urine container under stream of urine. Collect rest of urine in container. Even 1/4 cup is an adequate specimen for testing.
3. After finishing, tighten cap on container securely. Wash any spilled urine from outside of container.
4. Label container with patient’s name (first and last), date of birth, date and actual time of collection, and type of specimen.
Volume
10 mL
Minimum Volume
2 mL
Temperature
Refrigerated
Unacceptable Conditions
1. Specimens without preservative that have remained at room temperature longer than 2 hours.
2. Specimens contaminted with feces.
2. Specimens contaminted with feces.
Methodology
Reflectance spectrophotometry (urine chemistry) and flow cytometry (cellular elements).
Schedule
Daily
Additional Information
Additional specimen required for culture reflex when requested. Please submit a clean catch specimen in a gray top urine culture transport tube.
Stability
UNPRESERVED - STERILE CONTAINER
- Room Temperature: 2 Hours
- Refrigerated: 24 Hours
- Frozen: NO
PRESERVED - BD RED/YELLOW CONICAL URINE TRANSPORT TUBE
- Room Temp: 72 hours
- Refrigerated: 72 hours
- Frozen: NO
- Room Temperature: 2 Hours
- Refrigerated: 24 Hours
- Frozen: NO
PRESERVED - BD RED/YELLOW CONICAL URINE TRANSPORT TUBE
- Room Temp: 72 hours
- Refrigerated: 72 hours
- Frozen: NO
Reference Range Information
Reference values are dependent upon methodology/instrumentation, check final report for current reference values
Turn Around Time
24 hours
Performing Site
Pacific Diagnostic Laboratories
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