URINALYSIS WITH CULTURE REFLEX

Message

Urine Microscopy reflex criteria:
Any of the following:
Appearance: Any Positive result
Blood:Any Positive result
Leukocytes:Any Positive result
Nitrates:Any Positive result
Protein: > 30 mg/dL

**New culture critera effective March 27, 2012**

Urine Culture reflex criteria:
Both of the following must be met:
>5 WBC (on micro)
>1+ bacteria (on micro)

OR

Too numerous to count (TNTC) WBC (on micro)

OR

>3+ Bacteria (on micro)



Test Code
RUAC


CPT Codes
81003

Instructions
Collection Instructions:
1. Wash hands thoroughly.
2. Remove towelettes and clean perineal area.
FEMALE: Separate folds of the labia with thumb and forefinger. Clean exposed area with towelettes, taking care to wipe from front to back. Keep cleaned area exposed while urinating.
MALE: Carefully clean head of penis, pulling back foreskin if necessary.
3. Remove urine container from the bag and unscrew lid. Do not touch inside of container.
4. Begin urination outside the container. As urination continues, bring container into stream. Urinate into container until about half full. Remove container from stream of urine and finish urinating in the toilet.
5. Place lid on container without touching the inside of the container.
6. After receipt of urine from the patient, label and process specimen appropriately.


Transport Container
URINE, RANDOM/SPOT COLLECTION


Transport Temperature
Room Temperature: 4 hours
Refrigerated: 24 hours


Methodology
AMES

Reference Range
ColorYellow 
AppearanceClear 
Specific Gravity1.000-1.030 
LeukocytesNegative 
NitriteNegative 
pH5-8 
ProteinNegativemg/dL
GlucoseNegativemg/dL
KetonesNegative 
Urobilinogen0.2-1.0mg/dL
BilirubinNegative 
BloodNegative 




The CPT Codes provided in this document are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payor being billed. Any Profile/panel component may be ordered separately. Reflex tests are performed at an additional charge.