Customer Contact Center 800-323-4040 or 847-832-7000 (Country code: 001) option 1 1
STORAGE AND STABILITY INSTRUCTIONS
1. Store all specimens upright and tightly capped.
2. Do not freeze specimens.
CMP and CMP1
1. Specimens are shipped with a cold pack. Upon receipt of the kit, follow the instructions
below.
2. Store specimens at 2 - 8°C.
3. Refrigerator temperature allows for the best specimen stability; however,
specimens are stable at room temperature for up to 5 days after the ship date.
OCB
1. Specimens are intentionally shipped ambient. Upon receipt of the kit, follow the
instructions below.
2. Store specimens at room temperature (refrigeration will not compromise the
specimen).
3. Test and record your results immediately upon opening.
GOCB
1. Store specimens at room temperature (refrigeration will not compromise the
specimen).
2. Use immediately upon opening.
Important: See the Biohazard Warning at the end of these instructions.
CM-A 2022
Urinalysis and Clinical Microscopy Survey
Kit Instructions
©
CAP 2022
MATERIALS FOR THIS MAILING
CMP CM-01 — CM-03 (liquid specimens)
CMP-04 — CMP-09 (photographs)
WC-01 — WC-08 (photographs)
CMP1 CMP1-01 — CMP1-03
(liquid specimens)
CMP-04 — CMP-09 (photographs)
WC-01 — WC-08
(wild card challenge photographs)
CMMP CMMP-20 — CMMP-26
(photographs)
USP-01 — USP-03 (photographs)
OCB OCB-01 — OCB-03
GOCB GOCB-01 — GOCB-03
DSC DSC-01 and DSC-02
IMPORTANT
This section lists all possible orderable programs for this mailing. Your laboratory will only
receive the programs it ordered.
FOR LABORATORY USE ONLY
Results due date:
___________________________________
Refer to the online result form on cap.org for
the most current due date. For replacement
materials, contact the CAP immediately.
Example
2 Urinalysis and Clinical Microscopy 2022
DSC
1. Specimens are shipped frozen with a cold pack.
2. Store specimens at 2 - 8°C, for 5 days.
3. Use within 3 days of opening.
NEW FOR THIS MAILING
Beginning with this mailing:
• you must access your result form and submit results online.
1. Go to cap.org. Click View, enter, or submit PT results and log in.
2. On the Result Form Data Entry page, choose your kit. Click Enter Data in the Data column.
You may download and print the result form, if needed.
• TRAKer email, on your kit label, or on the online result form.
• a copy of the attestation page has been added to the end of these instructions for your convenience to sign and retain for
inspection purposes.
• a Tests in this Program section has been added to these instructions.
• The photograph challenges reporting have been updated:
(1) Body uid photographs: Do not leave any reporting areas blank. Select Code 339 “object type not evaluated, would refer” for
any image the laboratory does not report.
(2)
Vaginal wet prep (Vaginal, unstained): Laboratories should report the presence and absence of all the cellular elements
outlined on the result form regardless of laboratory patient result reporting. Do not leave any reporting areas blank.
If you need help, refer to the For Assistance section of these instructions.
REPORTING CODE CHANGES
The following manufacturers have deleted or updated codes for this mailing:
None
CRITICAL REPORTING INFORMATION
1. For any testing that you do not routinely perform in your laboratory, leave all reporting areas for that test blank unless otherwise
2. Failure to specify or selection of an inappropriate instrument, method, or manufacturer may result in comparison with
the wrong peer group and unacceptable performance. To accommodate various reporting styles, multiple reporting sections
have been added for the protein, glucose, ketones, bilirubin, blood/hemoglobin, and leukocyte esterase analytes. Choose ONLY
1 reporting method to enter your results. Report results as you would a patient result.
3. CMP1 users: When selecting your instrument, please select from the boxed in area for “CMP1 participants only” found on the
TESTS IN THIS PROGRAM
Urinalysis and Clinical Microscopy
Analyte
Program Code
CMP CMP1 CMMP OCB GOCB DSC
Bilirubin
Blood or hemoglobin
Example
Customer Contact Center 800-323-4040 or 847-832-7000 (Country code: 001) option 1 3
Urinalysis and Clinical Microscopy
Analyte
Program Code
CMP CMP1 CMMP OCB GOCB DSC
and protein
Fern test (vaginal) photograph
Gastric occult blood
Gastric pH
Glucose
hCG urine, qualitative
Ketones
KOH preparation (skin)
photograph
Leukocyte esterase
Nasal smear photograph
Nitrite
Occult blood
Osmolality
pH
Pinworm preparation
photograph
Protein, qualitative
Reducing substances
Spermatozoa photograph
Stool for leukocytes
photograph
Urine sediment photographs
Urobilinogen
Vaginal wet preparation
photographs (for clue cells,
epithelial cells, trichomonas,
or yeast)
Example
4 Urinalysis and Clinical Microscopy 2022
DETAILED TESTING INSTRUCTIONS
HANDLING INSTRUCTIONS
1. CMP and CMP1 specimens:
• Urinalysis specimens require no reconstitution.
• Allow the specimens to come to room temperature for 20 minutes before mixing.
• Mix well before beginning tests.
• Perform only those tests that are ordinarily performed in your laboratory.
2. DSC specimens:
• Before sampling, allow the specimens to reach room temperature and invert the vial several times to ensure homogeneity.
After each use, promptly replace the stopper and return to 2 - 8°C storage.
•
3. CMP, CMP1, and DSC specimens:
• DSC bilirubin specimens:
The volume of both the specimen and DI water added to the test pad square/disk is critical to the results. Test the DSC
bilirubin specimens using 2 drops of DI water. Adding too much water could dilute the specimen resulting in a negative
result interpretation. Adding more than the required 4 micro drops of specimen could lead to over-saturation which could
impede wicking of the DI water from the disk onto the sample and lead to misinterpretation of results.
Results with Ictotest Reagent Tablets are negative if no blue or purple color develops on the mat within 60 seconds. If a
blue or purple color develops on the mat or under the tablet within 60 seconds, the result is positive.
•
green) color development by some methods when examined visually. If this occurs, the specimen should be graded based
upon the intensity of the color.
4. OCB specimens:
• Test and record results immediately upon opening. Follow your manufacturer’s package insert when testing.
5. GOCB specimens:
• Roll the vial between the palms of the hands 6 times in an upright position.
• Gently invert the vial 6 times.
• Analyze specimens as directed in the product instructions of your test kit.
6. Photograph challenges:
• For any testing you do not routinely perform in your lab, leave all reporting areas for that test blank. An exception applies to
laboratories that report vaginal wet mounts; they must report the presence and absence of all the cellular elements
outlined on the result form regardless of laboratory patient result reporting.
• Report results using the photographs and not the online images, as the color will be more consistent between laboratories.
• Refer to the current Hematology and Clinical Microscopy Glossary and master list before selecting the appropriate cell
• The review of photographs must be performed by a single individual who may seek the assistance of a supervisor, lead tech,
testing results, group review of the images provides an excellent continuing education opportunity.
7. Wildcard challenges:
• WC-01 — WC-08 Urine Wildcard Cell Identication: Identify the annotated cells using the codes listed on the result
form only.
Example
Customer Contact Center 800-323-4040 or 847-832-7000 (Country code: 001) option 1 5
REPORTING YOUR RESULTS
GENERAL REPORTING INSTRUCTIONS
1. Verify the accuracy of all reporting codes by reviewing the online result form.
2. Exception Codes: If you must report an analytical problem for a test or individual analyte, leave the result area for that
section blank and select one of the following bubbles on the result form within that section. The exception code bubble that you
select will apply only to the result area(s) left blank. If your laboratory does not perform testing, do not use an exception code.
Documentation on the use of these codes is the responsibility of the laboratory and should be kept internally.
• 11 Unable to analyze
Use code 11 to indicate your laboratory was unable to analyze the specimens (eg, instrument not functioning, reagents not
available). You do not need to call the CAP to use this code.
• 22 Result is outside the method/instrument reportable range
Use code 22 if you obtain a high or low result outside the reportable range of your method or instrument. Do not use this code
if there is an option to select greater than or less than. You do not need to call the CAP to use this code.
• 33 Specimen unsatisfactory
You must contact the CAP to use this code.
For graded analytes, if you select an exception code bubble and enter data on the result form, the data will be graded.
3. Corrections can be made to the result form at any time prior to the due date.
4. An option for greater than values is provided in certain sections of the result form. Select the option, if appropriate, and enter your
highest detectable limit in the boxes provided or refer to the use of exception codes.
5. Quantitative results for this program can be directly transmitted to e-LAB Solutions Suite. To learn more, visit cap.org and search
for direct transmission.
If you use: Then for method use: Then for instrument use:
Refractometer 2533 Refractometer 2044 Visual
Siemens Reagent Strip on Siemens Clinitek 500 2936 Siemens Reagent Strip 2292 Siemens Clinitek 500
Siemens Reagent Strip and read visually 2936 Siemens Reagent Strip 2044 Visual
Roche Chemstrip on Roche Chemstrip 101 2937 Roche Chemstrip 3241 Roche Chemstrip 101
Roche Chemstrip and read visually 2937 Roche Chemstrip 2044 Visual
7. Bayer Acetest users: Results should be read at 30 seconds as instructed for urine specimens in the Bayer package insert.
Positive results may change if incubated longer due to the use of surrogate material for the Ketone analyte.
8. Protein, Method 1:
Protein, Method 2:
9. Reducing Substances: If your laboratory performs reducing substances, you must perform all 3 challenges, otherwise leave
blank if your laboratory does not perform this test. The 3/4% option is not an appropriate response for the Bayer Clinitest or
Germaine Aim Tabs, 2-drop method.
10. Urobilinogen Method 2:
11. Analyticon CombiScan/Urilyzer series users: For pH, results should be reported in whole numbers from 5.0 to 9.0 with the
exceptions of 6.5 and 7.5.
12. IRIS iChemVelocity and iChem 100 users:
• Leukocyte Esterase and Urobilinogen: You may use Positive to report results if that is your laboratory policy, otherwise
select 1 of the other reporting bubbles.
• pH for either iChem 100 instruments or 800-7212 strips users: Results should be reported in whole numbers from
5.0 - 9.0.
Example
6 Urinalysis and Clinical Microscopy 2022
13. Roche users:
• Chemstrip, Specic Gravity (Visual):
on an instrument, the correction is applied automatically.)
• pH:
pH Visual: Results should be reported in whole numbers; 0.5 increments are not allowed.
Cassette and all other pH Instrumentation: Results should be reported in whole numbers from 5.0 to 9.0, with the exception
of 6.5.
• Glucose:
Roche Glucose Visual Method only: Results may be reported as 500 mg/dL.
All Other Roche Glucose Methods: 500 mg/dL is not an appropriate response. Analyzers are not able to discern results of
500 vs. 1000 mg/dL.
• Ketones: All Roche Urinalysis instruments should not report 80 - 100 mg/dL. Analyzers are not able to discern ketones
between 60 and 150 mg/dL.
14. Roche Urisys 1100 users:
• Blood/Hemoglobin: Do not convert your results.
• Protein Method 2: 75 mg/dL is not an appropriate response and will be penalized if used.
15. Siemens users:
• Multistix, Specic Gravity (Visual): According to the Siemens package insert, for increased accuracy add 0.005 to the
result form. (Results from strips read by Clinitek are automatically corrected.)
16. When reporting a high qualitative value do not choose a response greater than your method allows.
17. CMP, CMP1, and/or DSC participants:
•
to other test results.
•
do not
on the CM specimens even though your laboratory protocol requires them for patient specimens. Report only the results for your
DSC specimens only.
18. DSC participants:
laboratory. You only need to report in 1 of the areas.
19. GOCB participants:
select Beckman Coulter Gastroccult when entering your results.
20. To display the online images, select the View Image(s) link on the result form data entry page.
CONVERSION TABLE (PROTEIN, GLUCOSE, AND KETONES)
Protein Method 2 reporting options in SI units
Conventional (mg/dL) SI (g/L)
Negative Negative
10 - 20 0.1 - 0.2
30 - 70 0.3 - 0.7
75 - Roche users only 0.75 - Roche users only
100 - 200 1.0 - 2.0
Example
Customer Contact Center 800-323-4040 or 847-832-7000 (Country code: 001) option 1 7
Glucose Method 2 reporting options in SI units
Conventional (mg/dL) SI (mmol/L)
Negative (Norm) Negative (Norm)
30 - 100 1.6 - 6.0
150 - 300 8.3 - 27.9
500 28
CMP Ketones Method 3 reporting options in SI units
Conventional (mg/dL) SI (mmol/L)
Negative Negative
5 -10 0.5 - 1.0
15 - 30 1.5 - 3.0
40 - 60 3.9 - 6.0
80 - 100 7.8 - 10.0
CMP1 Ketones Method 3 reporting options in SI units
Conventional (mg/dL) SI (mmol/L)
Negative Negative
5 - 15 0.5 - 1.9
20 - 50 2.0 - 5.9
60 - 100 6.0 - 10.0
BODY FLUID AND VAGINAL WET PREP IMAGE(S)
erythrophage” is the appropriate answer, not “macrophage.”
2. For the Body Fluid images, review the CSF and Body Fluids Master List and select the 3-digit code on the result form. For the
Vaginal wet prep image, select a reporting bubble on the result form. (Consult the current Hematology and Clinical Microscopy
Glossary
section of the current Hematology and Clinical Microscopy Glossary, which can be accessed at cap.org.
a. Under the Member Resouces tab, click on Councils and Committees.
b. Click on Hematology and Clinical Microscopy Committee.
c. Click on Hematology and Clinical Microscopy Topic Center.
d. Click on 2022 Hematology and Clinical Microscopy Glossary.
URINE SEDIMENT IMAGES
2. Arrows are placed on USP images that contain more than one cell type. Participants should make their selection based on the
cell indicated by the arrow. If only one image appears on the USP challenge, no arrows will be present.
Example
8 Urinalysis and Clinical Microscopy 2022
3. Review the Urine Sediment Master List and record the 3-digit code on the result form. (Consult the current Hematology and
Clinical Microscopy Glossary
section of the current Hematology and Clinical Microscopy Glossary, which can be accessed at cap.org.
a. Under the Member Resouces tab, click on Councils and Committees.
b. Click on Hematology and Clinical Microscopy Committee.
c. Click on Hematology and Clinical Microscopy Topic Center.
d. Click on 2022 Hematology and Clinical Microscopy Glossary.
5. Participants who purchase CMP, CMP1, and
one or both sets of urine sediment photopage results.
SUBMITTING RESULTS
1. Results must be received no later than midnight, Central Time by the due date on the result form.
laboratory, obtain approval from their site administrator, and then log in.
3. Your laboratory must be enrolled/registered to enter results online via e-LAB Solutions Suite. If you are not enrolled/registered or
if you have any questions related to your access to e-LAB Solutions Suite, contact the CAP.
REGULATORY INFORMATION
Per CLIA, as published by the United States Federal Register
•
PT specimens the same number of times it routinely tests patient specimens.
• If referral for testing is routinely performed for patient specimens, the practice cannot be followed for PT specimens. Referral is
•
DISCLAIMER
used in PT, when disposed of, should be autoclaved or incinerated and disposed of as hazardous waste. Disposal must follow local
regulations, if more stringent than regulations enforced by the US Centers for Disease Control and Prevention and US Food and Drug
Administration.
BIOHAZARD WARNING
All program specimens should be treated as if potentially infectious and should be handled as if they are capable of transmitting
disease.
Program specimens are prepared from blood or other source material obtained from human donors or animals.
When working with program specimens, precautions should be taken to protect yourself and others from accidental exposure to
infectious agents such as HIV, HBV, and HCV.
HIV can be transmitted through accidental parenteral inoculation, mucous membranes, or non-intact skin contact with HIV infected
contact, aerosolization or ingestion.
Precautions described in CDC and FDA recommendations and OSHA blood borne pathogen rules should be followed at all times
when handling program specimens and reagents.
Example
Customer Contact Center 800-323-4040 or 847-832-7000 (Country code: 001) option 1 9
Such precautions include the following:
• Gloves should be put on before opening the container and should be kept on throughout the period specimens are handled.
Replace gloves if contaminated, or if their ability to function as a barrier is compromised.
• At high altitudes, specimens should be opened in a hood or biologic safety cabinet.
• There should be no eating, drinking, or smoking in the laboratory.
• Hands should be washed after removing gloves and before leaving the testing area.
• Program specimens and reagents should be kept in separate refrigerators from those containing blood or blood components for
transfusion.
• Program specimens, reagents, and disposable equipment used in testing should be autoclaved or incinerated and disposed of as
hazardous waste. Disposal must follow local regulations, if more stringent than regulations enforced by the CDC or the FDA.
If there has been an accident in which you have been exposed to the testing materials, call the CAP Hot Line at 800-443-3244
or 847-470-2812 (Country code: 001) at any time. You can access Safety Data Sheets (SDS) by logging on to cap.org. Under the
Laboratory Improvement tab, click on Catalog and Ordering Information.
FOR ASSISTANCE
Provide your CAP number and contact information with all correspondence. Participants in countries serviced by a designated
CAP distributor should contact their distributor’s customer service department.
Telephone: 800-323-4040 or 847-832-7000 (Country code: 001) option 1
(Monday - Friday, 7:00 – 5:30 US Central Time)
Email: [email protected]
Website: cap.org
Address: CAP Surveys Program
325 Waukegan Road
USA
Example
10 Urinalysis and Clinical Microscopy 2022
MASTER LISTS
Urine hCG Manfacturer Master List
1735 Abbott TestPack Combo
2027 Abbott TestPack Plus Combo with or
without OBC
1736 Abbott TestPack Plus - Urine
1784 ABI SureStep
1782 ABI SureStep Combo
1783 ABI SureStrip
3505 ABON Biopharm
2938 Acceava Basic II (urine)
3168 Acceava Combo II
2648 ACON One Step (urine only)
2055 Alere hCG Cassette (20) (Acceava)
1959 Alere hCG Cassette (25) (Clearview)
2403 Alere hCG Combo Cassette (20/10)
1299 Alere hCG Combo Cassette (25)
(Clearview)
2404 Alere hCG Dipstick
1161 Beckman Coulter ICON 20
2618 Beckman Coulter ICON 25
3188 BioMerieux AuraTek
2064 BioTron Diagnostics Foremost Urine
2354 Cardinal Health Cassette
2355 Cardinal Health Combo
2356 Cardinal Health Dipstick
2647 Cen-Med Elite Plus One Step hCG
1264 Cenogenics
2120 Chembio STAT-PAK
2812 Clarity Test Cassette
2813 Clarity Test Strip
1961 Clearview hCG Combo II
1430 Consult Diagnostics Cassette
1432 Consult Diagnostics Combo
1433 Consult Diagnostics Dipstick
3140 DE Healthcare Products TruView
One-Step
2098 Eiken
3517 EKLA NOVAPLUS hCG Combo
3516 EKLA NOVAPLUS hCG urine
2860 Formosa One Sure Pregnancy Kit
1586 Germaine Labs AimStep
1587 Germaine Labs AimStep Combo
1679 Germaine Labs AimStrip
1205 Henry Schein OneStep+ Combo
1382 Henry Schein OneStep+ Urine Cassette
1383 Henry Schein OneStep+ Urine Strip
1117 Immunostics Immuno hCG Detector
1118 Immunostics Immuno hCG Detector
Combi (serum/urine)
1119 Immunostics Immuno hCG Detector Stix
3227 Innovatek BioStrip
3634 Innovatek QuickStep Plus hCG
2474 Instant Technologies iPregnancy
Cassette (serum/urine)
2475 Instant Technologies iPregnancy
Cassette (urine only)
2476 Instant Technologies iPregnancy
Strip (urine only)
1303 J & S Medical Associates Accutex
1370 Jant Accustrip Value+
2857 Jant Accutest (serum/urine)
3409 Jant Accutest Value+ (serum/urine)
3410 Jant Accutest Value+ (urine only)
2981 LifeSign Status (serum/urine)
2980 LifeSign Status (urine only)
1189 LifeSign UniStep
1179 LSC (LABSCO) Pep hCG Combo
1178 LSC (LABSCO) Pep hCG Test
1477 McKesson Medi-Lab Performance
Cassette
1478 McKesson Medi-Lab Performance
Combo
1476 McKesson Medi-Lab Performance
Dipstick
2276 MediChoice Combi
2277 MediChoice Urine Only
1091 Medline hCG Combo Cassette
2465 Medline hCG Urine Cassette
2466 Medline hCG Urine Dipstick
3209 Meridian ImmunoCard STAT
3043 NCS One Step
1288 NDC Pro Advantage Urine/Serum
Cassette
1491 NDC Pro Advantage Urine Cassette
1492 NDC Pro Advantage Urine Strip
3061 Polymedco Poly stat (serum/urine)
2872 Polymedco Poly stat (urine only)
1414 Quidel QuickVue+ One-Step Combo
1475 Quidel QuickVue One-Step Combo
1129 Quidel QuickVue One-Step Urine
1338 Quidel RapidVue (urine only)
2479 Ramco Quik-Trak (urine only)
2480 Ramco Quik-Trak Combi Test
(serum/urine)
3137 Randox Direct
1800 Roche AccuStat Combo
1836 Sekisui OSOM
1837 Sekisui OSOM Combo
1270 Sekisui OSOM Ultra Combo
2532 Siemens Clinitek Status
2853 Signify hCG Card
2854 Signify hCG Urine
2855 Signify hCG Urine/Serum
2442 SMC Direct RefuAH Combo
2441 SMC Direct RefuAH Urine
1438 Stanbio QuPID
1439 Stanbio QuPID Plus
3425 Stanbio QuPID Plus E.R.
1135 Stanbio QuStick
3424 Stanbio True 20 Plus
1467 Sure-Vue (serum/urine)
1466 Sure-Vue (urine only)
2052 Sure-Vue STAT (serum/urine)
1816 Syntron/CIDA QuikPac II OneStep
(serum/urine)
3428 Technologist Choice (serum/urine)
2814 Wampole UCG-Beta Slide Monoclonal
2559 Wampole UCG-Slide Test
3158 Wondfo One Step hCG Urine
3159 Wondfo One Step hCG Urine/Serum
1761 YD Diagnostics Preg-Q
0010 Other, specify on result form
Deleted codes
None
New/Updated codes
None
Example
Customer Contact Center 800-323-4040 or 847-832-7000 (Country code: 001) option 1 11
Occult Blood Manufacturer Master List
Urinalysis and Specic Gravity Method Master List
3503 ABON FOB
2049 Aerscher Diagnostics HemaPrompt
2092 Aerscher Diagnostics HemaPrompt
FG
3402 Alfresa Hemo Techt NS-Plus C
1111 Beckman Coulter Hemoccult ICT
3173 Beckman Coulter Hemoccult/II/
SENSA
3504 BioMerieux bioNexia
1264 Cenogenics Corp.
3574 CerTest Biotec
3497 Clarity
2008 Clearview
1733 77 Elektronika reagent strips
3367 ACON Mission Reagent Strips
3431 Analyticon CombiScreen/
CombiScreen Plus reagent strips
1534 ARKRAY Aution Sticks
2547 Bayer Acetest
2544 Bayer Clinitest, 2 drop
2543 Bayer Clinitest, 5 drop
2922 Biorex DIAZO-CHEK
1798 Biorex K-Check
1626 BioSys/Consult Diag/PSS Select/YD
Diag Reagent Strips
2574 BTNX Rapid Response Reagent
Strips
1030 CTMI/Germaine Labs/Thermo Fisher
Reagent Strips
3425 Diagnostic Test Group Clarity
Urocheck Reagent Strips
2332 DIRUI H series reagent strips
2333 DIRUI H-800 series reagent strips
3443 Consult Diagnostics
3502 Coral/Tulip Hemospot
3501 Dipro Hemdetect
1347 Eiken OC-Sensor io
1348 Eiken OC-Sensor Pledia
3539 Enterix (Clinical Genomics) InSure FIT
3170 Helena ColoScreen/ColoScreen-ES
3419 Hemosure iFOB
3510 Jant Accutest
3459 Hitachi Chemical DS HM-JACK series
3171 Laboratory Diagnostics Quik-Cult
2383 MedTek HemaSlide
1238 Eiken Uropaper
2786 Erba Phan test strips
1400 Germaine Labs AimTab, 2 drop
1401 Germaine Labs AimTab, 5 drop
1313 Henry Schein Urispec test strips
1862 IRIS iChem Reagent Strips
3400 IRIS iChemVELOCITY Reagent Strips
(800-7204)
3206 IRIS iChemVELOCITY Reagent Strips
(800-7212)
2831 IRIS vChem Reagent Strips
1855 IRIS Mass Gravity Meter
1323 IRIStrips
1114 Jant Accustrip URS 10 Reagent Strips
1381 Jant Accutest URS 10 Reagent Strips
3422 McKesson/Teco Reagent Strips
2468 Medline Urinalysis Reagent Strips
1095 M-N (Macherey-Nagel) Medi-Test
Uryxxon test strips
2546 pH Meter
2385 MedTek Instaccult
1625 Polymedco OC-Auto Micro 80
3357 Polymedco OC-Light/OC-Light S
2951 Polymedco OC-Sensor Diana
3172 Propper Seracult/Seracult Plus
3284 Quidel QuickVue iFOB
1519 Sekisui OSOM iFOB
3247 Siemens Hema-Chek slide
3169 Siemens Hematest reagent tablet
2664 Stanbio
3026 Starline ColoScan/ColoScan-ES
3099 Sure-Vue/Sure-Vue ES
0010 Other, specify on result form
1283 Pyrogallol Red
2533 Refractometer
3071 Roche Chemstrip LN
2937 Roche Chemstrip/Combur
2492 Roche cobas u Pack Cassette
1221 Roche Urisys Cassette
2673 Siemens Clinitek Atlas Reagent
1622 Siemens Clinitek Novus/Pro Cassette
2538 Siemens Ictotest
2936 Siemens Reagent Strips (All)
3427 SMC Direct RefuAH Reagent Strips
1285 Sulfosalicylic acid
2552 Sysmex Reagent Strips
2534 Uriometer
0010 Other, specify on result form
Deleted codes
None
Deleted codes
None
New/Updated codes
None
New/Updated codes
None
Example
12 Urinalysis and Clinical Microscopy 2022
Urinalysis and Specic Gravity Instrument Master List
CMP1 participants only
1860 IRIS iChem 100
3401 IRIS iChemVELOCITY
2044 Visual
0010 Other, specify on result form
1935 77 Elektronika urine chemistry
analyzers
3368 ACON Mission U120, U500
3579 Analyticon Urilyzer Series
1456 ARKRAY Aution Eleven AE-4022
2126 ARKRAY Aution Hybrid
2675 ARKRAY Aution JET
2676 ARKRAY Aution MAX
1569 ARKRAY/Thermo BioStar
PocketChem UA
3444 BioSys/Consult Diag/PSS Select/
YD Diag Urine Analyzer
2573 BTNX Rapid Response series
3424 Diagnostic Test Group Clarity
Urocheck 120
3538 DIRUI FUS systems
3498 DIRUI H-800
3371 Eiken US-1200/2100R/2200
3372 Eiken US-3100R/3100Rplus/3500
3179 Erba Laura series
1864 Germaine Labs AimStrip Urine Auto
Analyzer
1062 Germaine Labs AimStrip/CTMI CT-
120 Urine Analyzer
1019 Henry Schein Urispec Plus
1689 Jant Accustrip URS 10 Reader
3423 McKesson 107-101 UA
1096 M-N (Macherey-Nagel) Uryxxon
series
1532 Rapimat
3241 Roche Chemstrip 101
1945 Roche Chemstrip Criterion, Criterion II
1171 Roche Chemstrip Mini UA
1365 Roche Chemstrip Super UA
2097 Roche Chemstrip Urine Analyzer
1790 Roche cobas u411, Urisys 1800
2490 Roche cobas u601
1789 Roche Urisys 1100
1821 Roche Urisys 2400
1579 Siemens Clinitek 10 or 100
1845 Siemens Clinitek 50
1580 Siemens Clinitek 200 or 200+
2292 Siemens Clinitek 500, Advantus
1578 Siemens Clinitek 2000
1465 Siemens Clinitek Atlas
2681 Siemens Clinitek Novus
2532 Siemens Clinitek Status
3426 SMC Direct RefuAH U120
1261 Super Aution Analyzer
2398 Sysmex UC-3500
2186 Sysmex UX-2000
2603 Teco Uritek TC-101
2044 Visual
0010 Other, specify on result form
Deleted codes
None
New/Updated codes
None
Example
Customer Contact Center 800-323-4040 or 847-832-7000 (Country code: 001) option 1 13
Urine Sediment Master List
240 Immature or abnormal cell, would
should be used only if you would
routinely send the cell in question to
an outside laboratory with another
CLIA number.)
Note: If organisms are present, choose
their presence.
Cells
308 Erythrocyte
189 Erythrocyte, dysmorphic
183 Leukocyte (neutrophil, eosinophil,
lymphocyte)
204 Monocyte/macrophage
112 Renal tubular epithelial (RTE) cell
145 Spermatozoa
113 Squamous epithelial cell
114 Transitional epithelial cell
(urothelial cell)
Casts
190 Cellular cast (neutrophil and/or RTE)
115 Fatty cast
116 Granular cast
118 Hyaline cast (includes non-hemoglobin
pigmented cast)
121 RBC/muddy brown cast
123 Waxy cast
Crystals
124 Ammonium biurate
137 Ammonium magnesium (triple)
phosphate
126 Amorphous urate/phosphate
127 Ampicillin
167 Bilirubin
129 Calcium oxalate
131 Cholesterol
132 Cystine
155 Hippuric acid
133 Leucine
136 Sulfonamide
138 Tyrosine
139 Uric acid
Organisms
168 Bacteria
147 Protozoa, includes Trichomonas
309 Yeast/fungi
Miscellaneous/Exogenous
140 Fat droplet
141 Fiber (exogenous)/fecal contamination
142 Mucus strand
172 Pollen grain
188 Stain precipitate
146 Starch granule
Important: Consult the current Hematology and Clinical Microscopy Glossary,
Note: Please read the history that accompanies the static images before making your selection.
Example
14 Urinalysis and Clinical Microscopy 2022
CSF and Body Fluids Master List
339 Object type not evaluated, would refer
240 Immature or abnormal cell, would
should be used only if you would
routinely send the cell in question to
CLIA number.)
Note: If microorganisms or other
intracellular inclusions are seen,
their presence.
Erythrocytes
109 Erythrocyte
110 Erythrocyte, nucleated
Lymphocytes and Plasma Cells
160 Lymphocyte
152 Lymphocyte, reactive
165 Lymphoma cell
120 Plasma cell, normal/abnormal
Granulocytes
135 Basophil, mast cell
159 Eosinophil, any stage
180 Neutrophil, immature (metamyelocyte,
myelocyte, promyelocyte)
207 Neutrophil, segmented or band
Mononuclear Phagocytic Cells
212 Macrophage containing abundant
uniform small lipid vacuoles/droplets
(Lipophage)
213 Macrophage containing erythrocyte(s)
(Erythrophage)
214 Macrophage containing hemosiderin
(Siderophage)
215 Macrophage containing neutrophil(s)
(Neutrophage)
204 Monocyte/macrophage
111 Neutrophil/macrophage containing
crystal
Lining Cells
216 Bronchial lining cell
217 Endothelial cell/Capillary
219 Mesothelial cell
220 Synoviocyte (synovial lining cell)
221 Ventricular lining cell (ependymal or
choroid cell)
Miscellaneous Cells
222 Blast cell
223 Chondrocyte (cartilage cell)
224 Degenerating cell, NOS
225 Germinal matrix cell
226 Lupus erythematosus (LE) cell
227 Malignant cell (non-hematopoietic)
228 Megakaryocyte
229 Neural tissue/neuron
113 Squamous epithelial cell
Crystals
130 Calcium pyrophosphate dihydrate
(CPPD) crystal
131 Cholesterol crystal
166 Crystal, NOS
230 Hematin/hematoidin crystal
231 Monosodium urate (MSU) crystal
Microorganisms
234 Anaplasma/Ehrlichia
233 Bacteria - extracellular
205 Neutrophil/macrophage containing
bacteria
206 Neutrophil/macrophage containing
fungi
144 Parasite
246 Pneumocystis jirovecii
150 Yeast/fungi, extracellular
Miscellaneous Findings
140 Fat droplets
179 Parabasal cell, basal cell (vaginal
188 Stain precipitate
146 Starch granule
Important: Consult the current Hematology and Clinical Microscopy Glossary
Note: Please read the history that accompanies the whole slide images before making your selection.
Example
Customer Contact Center 800-323-4040 or 847-832-7000 (Country code: 001) option 1 15
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Example
16 Urinalysis and Clinical Microscopy 2022
ATTESTATION
• As stated in the February 28, 1992 United States Federal Register under Subpart H 493-801 (b) (1), “the individual testing
or examining the samples and the laboratory director must attest to the routine integration of the samples into the patient
work load using the laboratory’s routine methods.” The laboratory director or designee and the testing personnel must
sign this form.
• Please sign and retain this attestation page for your records and inspection purposes. Alternatively, you may print, sign,
and retain a copy of the attestation page included with the online result form.
• If your laboratory requires additional space for signatures, copy this form as needed.
(PT) materials, have as closely as is practical, performed the analyses on these specimens in the same manner as
DIRECTOR (OR DESIGNEE)
(signature required)
TESTING PERSONNEL
(signature required)
TESTING PERSONNEL
(signature required)
TESTING PERSONNEL
(signature required)
Urinalysis and Clinical Microscopy Survey
CM-A 2022
Do not return to the CAP.
Example
