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urine, routine analysis (dipstick only)
Synonyms: Urinalysis, Dipstick Only; UA 
Computer Code: UMA
Specimen Collection: 10 mL fresh random urine. Send immediately. In-house specimens are rejected if specimen is received >3hrs post collection. Collection time must be documented on specimen & requisition. 
Minimum Volume: 5 mL 
Handling Instructions for Offsite Areas: Refrigerate immediately. Transport within 8 hours of collection. 
Reference Values: Specific Gravity: 1.003-1.029 pH: 4.5-7.8 Bilirubin: Negative Glucose: Negative Ketones: Negative Proteins: Negative Nitrite: Negative Urobilinogen: 0.0-1.0 E.U./DL Leukocyte Esterase: Negative Hemoglobin: Negative Chemical screen only - No microscopic.  
Lab Code: HEM 
Requisition: URINE
Test Frequency: Daily 
Routine TAT: 4 hr 
Stat TAT: 60 min 
CPT Code(s): 81003 
LCD or NCD:  
Methodology Used: 15,59
See Addendum XVII

Albany Medical Center
43 New Scotland Avenue
Albany, NY, 12208
Date: 09/02/2014
Time: 15:07:38 (24hr)