Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automated, without microscopy
CPT4 code
Name of the Procedure:
Urinalysis by Dip Stick or Tablet Reagent Test
Summary
Urinalysis by dip stick or tablet reagent is a simple, rapid test used to analyze urine for various constituents like bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, and urobilinogen. It helps diagnose and monitor a variety of medical conditions.
Purpose
This urinalysis helps detect abnormalities in the urine that may indicate diseases such as diabetes, liver disease, urinary tract infections, kidney disorders, and metabolic conditions. The main goal is to obtain quick, preliminary information about a patient’s health and guide further diagnostic testing or treatment.
Indications
- Symptoms of kidney disease (e.g., swelling, fatigue)
- Urinary tract infection symptoms (e.g., frequent urination, burning sensation)
- Symptoms of diabetes (e.g., excessive thirst, frequent urination)
- Routine medical check-up
- Unexplained fever or fatigue
- Monitoring of existing conditions like diabetes or hypertension
Preparation
- No specific preparation is needed unless advised by your healthcare provider.
- Patients may be asked to provide the first morning urine sample for more accurate results.
- Patients should inform their healthcare provider about any medications they are taking, as certain drugs can affect the results.
Procedure Description
- The patient collects a urine sample in a clean, dry container provided by the healthcare facility.
- A healthcare professional dips a reagent strip (dip stick) into the urine sample or adds a tablet reagent to the sample.
- The reagent strip/tablet contains chemicals that react with urine to change color.
- The color change is then compared to a color chart to interpret the results for various constituents.
- The entire process is non-automated and does not require a microscope.
Duration
The procedure typically takes about 5-10 minutes.
Setting
Urinalysis by dip stick or tablet reagent is usually performed in a doctor's office, outpatient clinic, or hospital laboratory.
Personnel
- Nurse or trained laboratory technician performs the test.
- Physician or healthcare provider interprets the results.
Risks and Complications
- Minimal risk involved as it is a non-invasive procedure.
- Rare chance of error due to improper handling or contamination of the urine sample.
- Certain medications or foods may interfere with the test results.
Benefits
- Quick and convenient method to screen for multiple health conditions.
- Non-invasive with immediate results.
- Helps in early detection and monitoring of diseases.
Recovery
- No recovery time is needed as the procedure is non-invasive.
- Patients can resume normal activities immediately.
- Follow-up appointments may be scheduled based on the test results.
Alternatives
- Automated urinalysis in a laboratory setting.
- More accurate and provides additional details but may take longer.
Microscopic examination of urine.
- Provides detailed information about cells and microorganisms but requires more specialized equipment and training.
Patient Experience
- The patient may feel slight discomfort while collecting the urine sample.
- No pain or sedation involved.
- The procedure is quick, and results are often available immediately, allowing for a prompt discussion with a healthcare provider about next steps if necessary.