URINALYSIS WITH REFLEX CULTURE

LAB2038

3020

Macroscopic and Microscopic Examinations

If any of the following Urinalysis results are applicable, then a Culture, Urine will be performed at an additional charge (CPT code(s): 87086).
Presence of Leukocyte esterase alone
Presence of WBC's (>5/hpf) alone
Presence of Yeast
Presence of Bacteria and the presence of WBCs (>5/hpf) or Leukocyte esterase
Presence of Nitrite and the presence of WBCs (>5/hpf) or Leukocyte esterase

If culture is positive, CPT code(s): 87088 (each isolate) will be added with an additional charge.
Identification will be performed at an additional charge (CPT code(s): 87077 or 87140 or 87143 or 87147 or 87149).
Antibiotic susceptibilities are only performed when appropriate (CPT code(s): 87181 or 87184 or 87185 or 87186).

Submit two separate specimens:
1) 10 mL urine submitted in urinalysis transport tube (yellow-top, blue fill line, preservative tube)
2) 4 mL (fill to minimum line printed on tube; unpreserved for cultures) urine in urine culture tube (gray-top) or UriSponge™ transport

Preserved (yellow-top, blue fill line): 3 mL
Urine in urine culture tube (gray-top): Must be filled to minimum line printed on tube
Completely saturated UriSponge transport
Unpreserved (culture): 0.5 mL
Unpreserved: 1 mL
*Submitting less than 5 mL may result in partial result reporting.

Yellow/red swirl-topped conical transport tube with preservative • 3 mL unpreserved urine cup

Encourage clean catch mid stream samples to minimize contamination and improve accuracy. Label the sample appropriately.

Yellow-top, blue fill line urinalysis transport tube and
Gray-top urine transport tube or UriSponge transport

Preserved: Room temperature
Unpreserved: Refrigerated (cold packs)

Preserved urine
Room temperature: 72 hours
Refrigerated: 72 hours
Frozen: Unacceptable

Unpreserved urine
Refrigerated: 24 hours

Unpreserved specimen received at room temperature • Unpreserved refrigerated specimen >24hrs old

Mon-sat

1-3 days

Dipstick urinalysis is important in accessing the chemical constituents in the urine and the relationship to various disease states. Microscopic examination helps to detect the presence of abnormal urine cells and formed elements. Culture may identify the organism(s) causing infection.