Urine, Dipstick & Reflex Microscopy

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Marshfield Clinic Public WebSite

Test Code: STXR

Overview
Ordering
Specimen
Performing
Clinical/Interpretive
Contacts
Coding

Synonyms/Keywords

RUA, Urinalysis

Test Components

Color, Turbidity, Specific Gravity, pH, Protein, Glucose, Ketone, Bile, Blood, Urobilinogen, Esterase, and Nitrite

Specimen Requirements

Specimen Type	Preferred Container/Tube	Acceptable Container/Tube	Specimen Volume	Specimen Minimum Volume (allows for 1 repeat)	Pediatric Minimum Volume (no repeat)
Urine	Sage Cup Urine Container		10 mL	1.0 mL	0.5 mL

Collection Processing Instructions

Collect catheterized or clean-catch urine. Send specimen (in a urinalysis tube) to the laboratory as soon as possible after collection. The first morning void is the preferred specimen.

Specimen Stability Information

Specimen Type	Temperature	Time
Urine	Ambient	< 2 Hours
Urine	Refrigerated	24 hours

Rejection Criteria

Unlabeled or improperly labeled	Leaking containers
Contaminated with feces or bathroom tissue	Urine in preservative
Urine in swab or Eswab	Unrefrigerated urine
Urine > 24 hours	Bagged urines

Performing Laboratory Information

Performing Location	Day(s) Test Performed	Analytical Time	Methodology/Instrumentation
Bloomer	Monday through Friday	Less than 2 hours	Siemens Multistix 10/Clinitek Status/Manual Method for Microscopic Exam
Cadott	Monday through Friday	Less than 2 hours	Siemens Multistix 10/Clinitek Status/Manual Method for Microscopic Exam
Chetek	Monday through Friday	Less than 2 hours	Siemens Multistix 10/Clinitek Status/Manual Method for Microscopic Exam
Chippewa Falls	Monday through Friday	Less than 2 hours	Siemens Multistix 10/Clinitek Status/Manual Method for Microscopic Exam
Colby/Abbotsford	Monday through Friday	Less than 2 hours	Siemens Multistix 10/Clinitek Status/Manual Method for Microscopic Exam
Cornell	Monday through Friday	Less than 2 hours	Siemens Multistix 10/Clinitek Status/Manual Method for Microscopic Exam
Cumberland	Monday through Friday	Less than 2 hours	Siemens Multistix 10/Clinitek Status Microscopic Exam forwarded to Rice Lake
Diagnostic Treatment Center	Monday through Sunday	Less than 2 hours	Siemens Multistix 10/Clinitek Atlas/Manual Method for Microscopic Exam
Eagle River	Monday through Friday	Less than 2 hours	Siemens Multistix 10/Clinitek Status/Manual Method for Microscopic Exam
Eau Claire	Monday through Sunday	Less than 2 hours	Siemens Multistix 10/Clinitek Atlas/Clinitek Status/Manual Method for Microscopic Exam
Flambeau Hospital	Monday through Sunday	Less than 2 hours	Siemens Multistix 10/Clinitek Advantus10/Manual Method for Microscopic Exam
Greenwood	Monday through Friday	Less than 2 hours	Siemens Multistix 10/Clinitek Status/Manual Method for Microscopic Exam
Hayward	Monday through Friday	Less than 2 hours	Siemens Multistix 10/Clinitek Status/Manual Method for Microscopic Exam
Ladysmith Medical Center	Monday through Sunday	Less than 2 hours	Siemens Multistix 10/Clinitek Advantus/Manual Method for Microscopic Exam
Lake Hallie	Monday through Sunday	Less than 2 hours	Siemens Multistix 10/Clinitek Status/Manual Method for Microscopic Exam
Lakeview Medical Center	Monday through Sunday	Less than 2 hours	Siemens Multistix 10/Clinitek Advantus/Manual Method for Microscopic Exam
Marshfield	Monday through Sunday	Less than 2 hours	Siemens Multistix 10/Siemens Clinitek Atlas 10/Flow Cytometry/Phase Microscopy
Menomonie	Monday through Friday	Less than 2 hours	Siemens Multistix 10/Clinitek Status/Manual Method for Microscopic Exam
Mercer	Monday through Friday	Less than 2 hours	Siemens Multistix 10/Clinitek Status/Manual Method for Microscopic Exam
Merrill	Monday through Saturday	Less than 2 hours	Siemens Multistix 10/Clinitek Status/Manual Method for Microscopic Exam
Minocqua	Monday through Sunday	Less than 2 hours	Siemens Multistix 10/Clinitek Advantus/Manual Method for Microscopic Exam
Mosinee	Monday through Friday	Less than 2 hours	Siemens Multistix 10/Clinitek Status/Manual Method for Microscopic Exam
Neillsville	Monday through Sunday	Less than 2 hours	Siemens Multistix 10/Clinitek Advantus/Manual Method for Microscopic Exam
Oakwood	Monday through Friday	Less than 2 hours	Siemens Multistix 10/Clinitek Status/Manual Method for Microscopic Exam
Phillips	Monday through Friday	Less than 2 hours	Siemens Multistix 10/Clinitek Status/Manual Method for Microscopic Exam
Rhinelander	Monday through Friday	Less than 2 hours	Siemens Multistix 10/Clinitek Status/Manual Method for Microscopic Exam
Stettin	Monday through Friday	Less than 2 hours	Siemens Multistix 10/Clinitek Status/Manual Method for Microscopic Exam
Stevens Point	Monday through Friday	Less than 2 hours	Siemens Multistix 10/Clinitek Status/Manual Method for Microscopic Exam
Stratford	Monday through Friday	Less than 2 hours	Siemens Multistix 10/Clinitek Status/Manual Method for Microscopic Exam
Wausau	Monday through Sunday	Less than 2 hours	Siemens Multistix 10/Clinitek Advantus/Manual Method for Microscopic Exam
Wisconsin Rapids	Monday through Friday	Less than 2 hours	Siemens Multistix 10/Clinitek Status/Manual Method for Microscopic Exam
Wittenberg	Monday through Friday	Less than 2 hours	Siemens Multistix 10/Clinitek Status/Manual Method for Microscopic Exam

Test Information

Urine Dipstick is routinely performed. Reflex microscopic will be automatically ordered and performed if hemoglobin, protein, esterase, or nitrite dipstick results are positive. Available at Marshfield Clinic regional centers that currently perform microscopic review of urines.

Reference Range Information

Performing Location

Reference Range

All Performing Locations

UA Color: Yellow
UA Spec Grav: 1.002 – 1.030
UA Bili: Negative
UA pH: 6.5
UA Urobilinogen: Normal
UA Blood: Negative
UA Glucose: Negative
UA Ketones: Negative
UA Protein: Negative
UA Nitrite: Negative
UA Leuk Esterase: Negative
UA Appear: Clear
UA Hyal Cast: 0-2/HPF
UA Gran Cast: None Seen
UA Renal Epithelial Cast: None Seen
UA WBC: 0-10/HPF
UA RBC: 0-2/HPF
UA Renal Epithelial Cells: None Seen
UA Squamous Epithelial Cells: 0-10/HPF
UA Mucus: None Seen
UA Bacteria: None Seen

Outreach CPTs

CPT	Modifier (if needed)	Quantity	Description	Comments
81003

Synonyms/Keywords

RUA, Urinalysis

Test Components

Color, Turbidity, Specific Gravity, pH, Protein, Glucose, Ketone, Bile, Blood, Urobilinogen, Esterase, and Nitrite

Ordering Applications

Ordering Application	Description
Centricity	a. Urine, Dipstick & Reflex Micro-NOT SJH b. Urine, Dipstick & Reflex Micro (routine UA)
Cerner	Urinalysis, Dipstick with Reflex Microscopic
COM	Urine, Dipstick & Reflex Micro

Ordering Application

Description

Centricity

a. Urine, Dipstick & Reflex Micro-NOT SJH

b. Urine, Dipstick & Reflex Micro (routine UA)

Cerner

Urinalysis, Dipstick with Reflex Microscopic

COM

Urine, Dipstick & Reflex Micro

If the ordering application you are looking for is not listed, contact your local laboratory for assistance.

Specimen Requirements

Specimen Type	Preferred Container/Tube	Acceptable Container/Tube	Specimen Volume	Specimen Minimum Volume (allows for 1 repeat)	Pediatric Minimum Volume (no repeat)
Urine	Sage Cup Urine Container		10 mL	1.0 mL	0.5 mL

Collection Processing

Collect catheterized or clean-catch urine. Send specimen (in a urinalysis tube) to the laboratory as soon as possible after collection. The first morning void is the preferred specimen.

Specimen Stability Information

Specimen Type	Temperature	Time
Urine	Ambient	< 2 Hours
Urine	Refrigerated	24 hours

Rejection Criteria

Unlabeled or improperly labeled	Leaking containers
Contaminated with feces or bathroom tissue	Urine in preservative
Urine in swab or Eswab	Unrefrigerated urine
Urine > 24 hours	Bagged urines

Test Components

Color, Turbidity, Specific Gravity, pH, Protein, Glucose, Ketone, Bile, Blood, Urobilinogen, Esterase, and Nitrite

Reference Range Information

Performing Location

Reference Range

All Performing Locations

For more information visit:

http://labtestsonline.org

Performing Laboratory Information

Performing Location	Day(s) Test Performed	Analytical Time	Methodology/Instrumentation
Bloomer	Monday through Friday	Less than 2 hours	Siemens Multistix 10/Clinitek Status/Manual Method for Microscopic Exam
Cadott	Monday through Friday	Less than 2 hours	Siemens Multistix 10/Clinitek Status/Manual Method for Microscopic Exam
Chetek	Monday through Friday	Less than 2 hours	Siemens Multistix 10/Clinitek Status/Manual Method for Microscopic Exam
Chippewa Falls	Monday through Friday	Less than 2 hours	Siemens Multistix 10/Clinitek Status/Manual Method for Microscopic Exam
Colby/Abbotsford	Monday through Friday	Less than 2 hours	Siemens Multistix 10/Clinitek Status/Manual Method for Microscopic Exam
Cornell	Monday through Friday	Less than 2 hours	Siemens Multistix 10/Clinitek Status/Manual Method for Microscopic Exam
Cumberland	Monday through Friday	Less than 2 hours	Siemens Multistix 10/Clinitek Status Microscopic Exam forwarded to Rice Lake
Diagnostic Treatment Center	Monday through Sunday	Less than 2 hours	Siemens Multistix 10/Clinitek Atlas/Manual Method for Microscopic Exam
Eagle River	Monday through Friday	Less than 2 hours	Siemens Multistix 10/Clinitek Status/Manual Method for Microscopic Exam
Eau Claire	Monday through Sunday	Less than 2 hours	Siemens Multistix 10/Clinitek Atlas/Clinitek Status/Manual Method for Microscopic Exam
Flambeau Hospital	Monday through Sunday	Less than 2 hours	Siemens Multistix 10/Clinitek Advantus10/Manual Method for Microscopic Exam
Greenwood	Monday through Friday	Less than 2 hours	Siemens Multistix 10/Clinitek Status/Manual Method for Microscopic Exam
Hayward	Monday through Friday	Less than 2 hours	Siemens Multistix 10/Clinitek Status/Manual Method for Microscopic Exam
Ladysmith Medical Center	Monday through Sunday	Less than 2 hours	Siemens Multistix 10/Clinitek Advantus/Manual Method for Microscopic Exam
Lake Hallie	Monday through Sunday	Less than 2 hours	Siemens Multistix 10/Clinitek Status/Manual Method for Microscopic Exam
Lakeview Medical Center	Monday through Sunday	Less than 2 hours	Siemens Multistix 10/Clinitek Advantus/Manual Method for Microscopic Exam
Marshfield	Monday through Sunday	Less than 2 hours	Siemens Multistix 10/Siemens Clinitek Atlas 10/Flow Cytometry/Phase Microscopy
Menomonie	Monday through Friday	Less than 2 hours	Siemens Multistix 10/Clinitek Status/Manual Method for Microscopic Exam
Mercer	Monday through Friday	Less than 2 hours	Siemens Multistix 10/Clinitek Status/Manual Method for Microscopic Exam
Merrill	Monday through Saturday	Less than 2 hours	Siemens Multistix 10/Clinitek Status/Manual Method for Microscopic Exam
Minocqua	Monday through Sunday	Less than 2 hours	Siemens Multistix 10/Clinitek Advantus/Manual Method for Microscopic Exam
Mosinee	Monday through Friday	Less than 2 hours	Siemens Multistix 10/Clinitek Status/Manual Method for Microscopic Exam
Neillsville	Monday through Sunday	Less than 2 hours	Siemens Multistix 10/Clinitek Advantus/Manual Method for Microscopic Exam
Oakwood	Monday through Friday	Less than 2 hours	Siemens Multistix 10/Clinitek Status/Manual Method for Microscopic Exam
Phillips	Monday through Friday	Less than 2 hours	Siemens Multistix 10/Clinitek Status/Manual Method for Microscopic Exam
Rhinelander	Monday through Friday	Less than 2 hours	Siemens Multistix 10/Clinitek Status/Manual Method for Microscopic Exam
Stettin	Monday through Friday	Less than 2 hours	Siemens Multistix 10/Clinitek Status/Manual Method for Microscopic Exam
Stevens Point	Monday through Friday	Less than 2 hours	Siemens Multistix 10/Clinitek Status/Manual Method for Microscopic Exam
Stratford	Monday through Friday	Less than 2 hours	Siemens Multistix 10/Clinitek Status/Manual Method for Microscopic Exam
Wausau	Monday through Sunday	Less than 2 hours	Siemens Multistix 10/Clinitek Advantus/Manual Method for Microscopic Exam
Wisconsin Rapids	Monday through Friday	Less than 2 hours	Siemens Multistix 10/Clinitek Status/Manual Method for Microscopic Exam
Wittenberg	Monday through Friday	Less than 2 hours	Siemens Multistix 10/Clinitek Status/Manual Method for Microscopic Exam

For billing questions, see Contacts

Outreach CPTs

CPT	Modifier (if needed)	Quantity	Description	Comments
81003

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For most current information refer to the Marshfield Laboratory online reference manual.

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23247 Urine, Dipstick & Reflex Microscopy