UA with Reflex to Culture and Sensitivity

Message

A culture will be reflexed if there are greater than or equal to 10 WBC/HPF on the Urinalysis results. Samples should be collected as a Mid-stream clean catch sample.

Patient less than or equal to 2 years have different reflex criteria.: Positive leukocyte esterase, Positive nitrates, greater than or equal to 4 WBC/HPF or bacteria seen.

Test Code

UAREFLEX

CPT Codes
81004 PLUS 80002 for culture and any additional for organism ID and sensitivies as applicable.

Includes

Urinalysis and Culture and Sensitivity if indicated.

Preferred Specimen

Random clean-catch mid stream urine specimen collected in a sterile container.
BD urine transport tube (preferred) and Vacutainer® gray-top urine culture transport tube with preservative(boric acid) or sterile cup for both assays

Minimum Volume

Urinalysis 4 mL

Instructions

To collect a clean-catch urine specimen from an adult male:
Have the patient wash his hands.
Instruct the un-circumcised patient to withdraw the foreskin to expose the urethral meatus.
With a sterile cleansing towelette or the equivalent, cleanse the glans, beginning at the urethra and working away from it.

The patient should begin urination, passing the first portion into the bedpan or toilet. Collect the midportion in the appropriate container without contaminating the container. Any excess urine should be passed into the bedpan or toilet
To collect a clean-catch urine specimen from an adult female:

Have the patient wash her hands with soap or a towelette.
Instruct the patient to position herself over the bedpan or toilet.
Using a sterile cleansing towelette or the equivalent, the patient should cleanse the urethral meatus and surrounding area.

The patient should begin to urinate, passing the first portion into the bedpan or toilet. The midportion should be collected into the appropriate container without contaminating the container. Any excess urine should be passed into the bedpan or toilet

Transport Temperature

Room temperature preferred

Specimen Stability

Fresh voided urine
Room Temperature: 1 hour
Refrigerated: 4 hours

Preservative Tube Room Temperature: 72 hours

Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)

Grossly bloody specimens cannot be run on the ichem Velocity. Diluted grossly blood specimens can be run on the iQ200 for microscopics. Gross hematuria may cause incorrect results in subsequent samples.

Samples submitted without a Grey Top tube containing Boric Acid.

Methodology
Iris IQ

Setup Schedule

Mon- Sun

Report Available

Urinalysis : Same day
Urine culture (if indicated): up to 48 hours

Reference Range

See Urinalysis

Clinical Significance

See Urinalysis

Performing Laboratory
Frederick Health Laboratory
400 W 7th St.
Frederick, MD. 21701

Last Updated: November 28, 2023

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.