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23247 Urine, Dipstick & Reflex Microscopy

Urine, Dipstick & Reflex Microscopy
Test Code: STXR
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​
Refrigerated​ 24 hours​
Rejection Criteria

Unlabeled or improperly labeledLeaking 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
​Beaver Dam
​Monday through Sunday
​Less than 2 hours
Siemens Multistix 10/Clinitek Status/Manual Method for Microscopic Exam 
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 LocationReference Range
All Performing LocationsUA 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
​Cerner Urine, Dipstick & Reflex Microscopy​

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​
Refrigerated​ 24 hours​
Rejection Criteria

Unlabeled or improperly labeledLeaking 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 LocationReference Range
All Performing LocationsUA 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


For more information visit:
Performing Laboratory Information
Performing Location Day(s) Test Performed Analytical Time Methodology/Instrumentation
​Beaver Dam
​Monday through Sunday
​Less than 2 hours
Siemens Multistix 10/Clinitek Status/Manual Method for Microscopic Exam 
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   ​
For most current information refer to the Marshfield Laboratory online reference manual.