Culture, Routine Urine

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Test Code
CULURN


Alias/See Also
395;
Urine Routine Culture;
UC;
Urine C&S;(comment: If specimen submitted in Gray Top Tube transport container);
Urine Bac Culture;
Urine CX & Sensitivity;
Urine Culture


CPT Codes
87086***When a culture is positive there will be a reflex for each identification and susceptibility

Preferred Specimen
Urine obtained by clean catch, catheterization or suprapubic aspiration.  (minimum 5.0 mL) 


Minimum Volume
3 mL


Instructions
Collect urine in a sterile cup.
Place specimen in urine transport with preservative (Urine Culture Transport Kit BD Grey Cap) immediately (within one hour) it needs a minimum of 3 mL urine -- there is a min fill line on the tube.


Transport Container
Urine Culture Transport Kit BD (Grey Cap)


Transport Temperature
Room Temperature=Urine transport tube.


Specimen Stability
Room Temperature = 2 Days in urine culture transport medium. 1 hour if unpreserved and not refrigerated.
Refrigerated = 2 days if preserved, 24 hours if unpreserved
Frozen = unacceptable


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Unrefrigerated specimens that have not been preserved.  Frozen specimen.


Methodology
Conventional Colony Count, Isolation and Identification Techniques. If culture is positive, additional charges for identification and susceptibilities will be added when appropriate

Setup Schedule
Sunday - Saturday
MB


Report Available
4 days


Clinical Significance
This culture is designed to quantitate the growth of significant bacteria when collected by the Clean Catch Guidelines or from indwelling catheters.  Quantitative culturing of urine is an established tool to differentiate significant bacteruria from contamination introduced during voiding. This test has a reference range of less than 1,000 bacteria per mL. More than 95% of Urinary Tract Infections (UTI) are attributed to a single organism. Infecting organisms are usually present at greater that 100,000 per mL, but a lower density may be clinically important. In cases of UTI where more than one organism is present, the predominant organism is usually significant and others are probably urethral or collection contaminants. When multiple organisms are isolated from patients with indwelling catheters, UTI is doubtful and colonization likely.


Performing Laboratory
Compunet Clinical Laboratories, LLC
2308 Sandridge Drive
Moraine, OH 45439


Last Updated: June 27, 2022


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.