11800:URINALYSIS WITH MICROSCOPIC EXAM, CULTURE IF INDICATED
Automated Urine Chemistry (dipstick) Analyzer; Microscopic Exam, with manual review if flagged or abnormal
Urinalysis: Same day. Culture: 48-72 hours.
81001 / 87086 if indicated
Specimen Collection Details
Clean catch/midstream, catheter, cystoscopic, or suprapubic urine in a sterile plastic container. Do not submit syringes with needles attached.
Keep refrigerated. Send to the laboratory within 24 hours. If delayed, submit the specimen in a urinalysis preservative tube, available from Client Services. These special tubes are not designed for use with urine for urine culture.
24 hours refrigerated or 72 hours preservative tube.
10 mL urine.
6 mL urine (smaller volumes reported with disclaimer).
Refrigerated, or in urinalysis preservative tube.
Includes urinalysis with microscopic exam. Culture added if WBC >5 and/or Leukocyte Esterase positive and/or Nitrite positive. NOTE: In-house studies show that these screening parameters result in detection of most positive urine cultures (93% sensitivity). Some organisms do not elicit a typical UTI presentation (i.e., elevated WBC in the urine), and so may be missed by this reflex testing. If there is a strong initial clinical suspicion of UTI, or if symptoms persist despite normal screening test results, urine culture should be ordered rather than a reflex culture if indicated.
Frozen specimen; fecal contamination; insufficient specimen; specimen submitted with needle attached; unpreserved specimen held longer than 24 hours.
MEDICARE MAY REQUIRE A SIGNED ADVANCE BENEFICIARY NOTICE (ABN) FOR THIS TEST