Culture, Urine - Clean-catch midstream

Message
If positive, identification and antimicrobial suspectibility testing will be perfomed at an additional charge. For diagnostic purposes, clinical specimens should be collected before the initiation of therapy since even a few days of treatment may render the culture negative. Day(s) Test Set Up: Monday through Sunday


Test Code
UCC


CPT Codes
87086

Preferred Specimen
>1.0 mL urine


Instructions
Clean-Catch, Midstream Specimen 1. Collect a clean-catch, midstream urine specimen as follows: Male A. Prepare Towelette® by opening packages (do not remove Towelette® until ready to use), and place on sink. Take top off of plastic urine container, and set it on edge of sink. Set Towelettes® and container so that they can be reached while urinating. B. Holding back foreskin with 1 hand, if necessary, use first Towelette® to wash end of penis. Discard first Towelette® in wastebasket. C. Continue holding back foreskin and gently rinse end of penis using second and third Towelette®, discarding them in wastebasket when done. D. Continue holding back foreskin and begin to urinate into toilet. Female A. Prepare Towelette® by opening packages (do not remove Towelette® until ready to use), and place on sink. Take top off of plastic urine container, and set it on edge of sink. Set Towelettes® and container so that they can be reached while urinating. B. Pull panties below knees so they will not interfere with urine collection. With 2 fingers of 1 hand, hold outer folds of vagina apart. With other hand, gently wash vaginal area from front to back, using first Towelette®. After this step, throw away first Towelette® in wastebasket. C. Still holding outer vaginal skin away from opening through which urination takes place, rinse area from front to back using Towelette® #2, discard and repeat with Towelette® #3. D. Continue holding outer vaginal folds apart and begin to urinate into toilet. Lean slightly forward so urine flows directly down without running along skin. 2. After first few teaspoons, place screw-capped, sterile container under stream of urine and collect rest of urine in container. Even ¼ cup is adequate specimen for test. 3. After finishing, tighten cap on container securely and wash any spilled urine from outside of container. 4. Maintain sterility and transport specimen as soon as possible. Specimen type must be written on the test requistion for processing.


Transport Container
Sterile leakproof container


Transport Temperature
Refrigerate


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Obviously contaminated specimen. Room temperature.


Methodology
Conventional culture with colony count

Reference Range
Negative


Clinical Significance
Useful for the detection of potential aerobic pathogens of the urinary tract.



Last Updated: December 20, 2013


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.