Test Code STXRC Urinalysis with Culture if Indicated
Useful For
Urinalysis provides important information regarding the status of a patient's health. Urinalysis test results are used to:
- Aid in diagnosis of disease
- Screen for asymptomatic, congenital, or hereditary diseases
- Monitor progress of disease
- Monitor effectiveness or complications of therapy
Culture may identify the organism(s) causing infection.
Specimen Requirements
| Fasting Required | Specimen Type | Preferred Container/Tube | Acceptable Container/Tube | Specimen Volume | Specimen Minimum Volume (allows for 1 repeat) |
|---|---|---|---|---|---|
| No | Urine, clean catch midstream | Sterile sage cup or urine container | VACUETTE urine transport tube, No additive | 10 mL | 1 mL |
Collection/Processing Instructions
Collect catheterized or clean-catch urine.
Send specimen to laboratory as soon as possible after collection.
Culture of specimens >24 hours may lead to a reduction in recovery of microorganisms.
Specimen Stability Information
| Specimen Type | Temperature | Time |
|---|---|---|
| Urine | Ambient | < 2 Hours |
| Refrigerated | 24 hours |
Rejection Criteria
| Unlabeled or improperly labeled |
|---|
| Contaminated with feces or bathroom tissue |
| Urine in swab or Eswab |
| Urine > 24 hours |
| Leaking containers |
| Urine in preservative |
| Unrefrigerated urine |
| Bagged urines |
Test Components
RUA and reflex Culture with Susceptibility if the following criteria is present:
- ≤ 10 Squamous/hpf
AND
- >10 WBC/hpf on microscopic examination
Reference Range Information
| Performing Location | Reference Range |
|---|---|
| All performing sites | See individual test components for reference ranges |
Marshfield Labs Performing Department
Marshfield Labs Urinalysis
Performing Information
| Performing Location | Day(s) Test Performed | Analytical Time | Methodology/Instrumentation |
|---|---|---|---|
| All sites | Monday through Sunday |
RUA: < 2 hours |
Siemens Multistix 10/Siemens Clinitek Atlas 10, Flow Cytometry/Phase Microscopy |
| URNS: 2 days | Quantitative Culture (0.001 mL) |
CPT Codes
| CPT | Modifier (if needed) |
Quantity | Description | Comments |
|---|---|---|---|---|
| 81001 | Urine, Dipstick & Microscopy | As needed | ||
| 87086 | Colony Count | As needed | ||
| 87088 | Isolation and Presumptive Identification | As needed | ||
| 87077 | Definitive Identification | As needed | ||
| 87186 | MIC susceptibility | As needed | ||
| 87184 | KB (disk), susceptibility | As needed | ||
| 87181 | MIC susceptibility, E-test, gradient strip | As needed | ||
| 87147 | Serotyping/grouping | As needed |
Outreach CPT Codes
| CPT | Modifier (if needed) |
Quantity | Description | Comments |
|---|---|---|---|---|
| 81001 | Urine, Dipstick & Microscopy | As needed | ||
| 87086 | Colony Count | As needed | ||
| 87088 | Isolation and Presumptive Identification | As needed | ||
| 87077 | Definitive Identification | As needed | ||
| 87186 | MIC susceptibility | As needed | ||
| 87184 | KB (disk), susceptibility | As needed | ||
| 87181 | MIC susceptibility, E-test, gradient strip | As needed | ||
| 87147 | Serotyping/grouping | As needed |
Ordering Applications
| Ordering Application | Description |
|---|---|
| Cerner | Urinalysis with Culture if Indicated |