Urinalysis, Complete, with Reflex to Culture
Test code
CPT code(s)*
Test resources
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Details
Includes
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).
Methodology
Reagent Impregnated Strips/Tablets
Alternative name(s)
UA Reflex Culture,UA,C&S if Indicated,Urine,C&S if Indicated
Specimen requirements | |
|---|---|
| Patient preparation | None Specified |
| Preferred specimen(s) | 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 |
| Alternative specimen(s) | Yellow/red swirl-topped conical transport tube with preservative • 3 mL unpreserved urine cup |
| Minimum volume | 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. |
| Collection instructions | Encourage clean catch mid stream samples to minimize contamination and improve accuracy. Label the sample appropriately. |
| Transport container | Yellow-top, blue fill line urinalysis transport tube and Gray-top urine transport tube or UriSponge transport |
| Transport temperature | Preserved: Room temperature Unpreserved: Refrigerated (cold packs) |
| Specimen stability | Preserved urine Room temperature: 72 hours Refrigerated: 72 hours Frozen: Unacceptable Unpreserved urine Refrigerated: 24 hours |
| Reject criteria | Unpreserved specimen received at room temperature • Unpreserved refrigerated specimen >24hrs old |
Reference Range(s)
| Color | Yellow |
| Appearance | Clear |
| Specific Gravity | 1.001-1.035 |
| pH | 5.0-8.0 |
| Glucose | Negative |
| Bilirubin | Negative |
| Ketones | Negative |
| Occult Blood | Negative |
| Protein | Negative |
| Nitrite | Negative |
| Leukocyte Esterase | Negative |
| WBC | ≤5 /HPF |
| RBC | ≤2 /HPF |
| Squamous Epithelial Cells | ≤5 /HPF |
| Transitional Epithelial | ≤5 /HPF |
| Renal Epithelial Cells | ≤3 /HPF |
| Bacteria | None seen |
| Calcium Oxalate Crystals | None or Few |
| Triple Phosphate Crystals | None or Few |
| Uric Acid Crystals | None or Few |
| Amorphous Sediment | None or Few |
| Crystals | None seen |
| Hyaline Casts | None seen |
| Granular Casts | None seen |
| Casts | None seen |
| Yeast | None seen |
Reference ranges are provided as general guidance only. To interpret test results use the reference range in the laboratory report.
*The CPT codes provided are based on AMA guidance and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payer being billed.
This material contains content from LOINC® (http://loinc.org). The LOINC Table, LOINC Table Core are copyright © 1995-2019, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee and is available at no cost under the license at http://loinc.org/license.
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