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urine, routine analysis with reflex to microscopic
Synonyms: Urinalysis, Reflex to Microscopic; UA 
Computer Code: UMC
Specimen Collection: 10 mL fresh random urine. Send immediately. In-house specimens are rejected if specimen is received >2 hrs 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: pH: 4.5-7.8 Bilirubin: Negative Glucose: Negative Ketones: Negative Proteins: Negative Hemoglobin: Negative Crystals: Physician Interpretation Specific Gravity: 1.002-1.029 Urobilinogen: 0.0-1.0 E.U./DL Leukocyte Esterase: Negative Bacteria: None WBC: 0-5/hpf RBC: 0-3/hpf (male); 0-5/hpf (female) Casts: None Nitrite: Negative If any chemical component other than ketones or bilirubin is positive, a microscopic examination will automatically be performed.  
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: 15,52,69
See Addendum XVII

Albany Medical Center
43 New Scotland Avenue
Albany, NY, 12208
Date: 05/25/2016
Time: 18:46:30 (24hr)