Clinical Microscopy, Occult Blood & Urinalysis Programs

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CLINICAL MICROSCOPY


Six photomicrographs and one digital image per testing event for identification of the following analytes:


Fern Test

Nasal Eosinophils

Sperm Count, Qualitative

Vaginal Wet Mount

KOH skin prep

Pinworm Prep

Stool Leukocytes



Code your answers from the list on the bottom on the reporting form. If a photomicrograph demonstrates features which would be referred to another laboratory for identification, report the code for would refer. Sperm, qualitative photomicrographs are available as online digital images only. The image link (URL) will be found at the top of your online data entry form for Clinical Microscopy. If you cannot access the image online contact AAB Technical Support so other arrangements can be made.

To insure that all aspects of Clinical Microscopy are covered, we will occasionally present variations from the normal samples or stains.  In such cases adequate information on specimen preparation will be presented on the photo micrograph page.  Please use the information from the micrograph page in making your result selection.  If you would not perform testing using a given sample or stain, you should simply code your results Would Refer.


LACTOFERRIN, FECAL

Two simulated stool specimens per testing event.

Refrigerate samples if not tested upon receipt.  Allow to reach room temperature before testing.

Code methods from the list on the reporting form.


OCCULT BLOOD, GASTRIC

Two simulated gastric specimens, per testing event, 2.0 mL


Occult blood

pH


Refrigerate samples if not tested upon receipt.  Allow to reach room temperature before testing.

Code methods from the list on the reporting form.


OCCULT BLOOD, FECAL

Two liquid, simulated stool specimens per testing event, 1.5 mL


Refrigerate samples if not tested upon receipt.  Allow to reach room temperature before testing.

Code methods from the list on the reporting form.


URINALYSIS

One liquid urine specimen per testing event, 12 mL, for the following analytes:


Bilirubin

Glucose

Nitrite

Specific Gravity

Blood (Hemoglobin)

Ketones

pH

Urobilinogen

Creatinine

Leukocyte Esterase

Protein



Two graded photomicrographs and one educational challenge per testing event for Sediment Identification.


CMS does not monitor urinalysis scores, except for urine pregnancy testing. The liquid specimen is intended only for Urinalysis procedures. Do not use for urine hCG or urine chemistry determinations.


Code your qualitative and semi-quantitative answers using only the codes listed on each line of the reporting form. Code your methods from the lists on the reporting form. If using a Bayer instrument, code the instrument rather than the dipstick.


The liquid sample may contain crystals, red blood cells and/or white blood cells. These are primarily intended for screening of the presence of microscopics using automated instruments.  If you wish, you may report the presence or absence of these microscopics on lines 14, 15 & 16 using a regular microscope.  Do not report these as Urine Sediment Identification.


The Urine Sediment Identification consists of three photomicrographs; two graded challenges and one ungraded educational challenge.  Choose your answers for the two graded challenges from the General Identification list on the form.  The ungraded sample may present a more challenging photomicrograph for educational purposes.  Choose your answers from either the General Identification or Detailed Identification lists on the form. If your laboratory does not perform detailed identifications of urine sediments, be sure and choose the best response from the General Identification list.  


If you do not perform Urine Sediment Identification, leave all result fields blank.  DO NOT report code 15 (would refer) for all 3 fields.  If a photomicrograph demonstrates features which would be referred to another laboratory for identification, report code 15 (would refer) for that photo. You will be flagged as incorrect for reporting “would refer” for a normal cell feature.  Leave all results blank if you do not perform Sediment Identification.