11850:URINALYSIS, MICROSCOPIC EXAM & CULTURE IF INDICATED

Print View Attached Docs:
11850:URINALYSIS, MICROSCOPIC EXAM & CULTURE IF INDICATED
Methodology: Automated Urine Chemistry (dipstick) Analyzer
Edit Date: 4/5/2010
Performed: Daily
Released: Urinalysis: Same day. Culture: 48-72 hours.
CPT Code: 81003 (if micro not indicated) or 81001 (if micro indicated) and 87086 (if culture indicated)
Specimen Collection Details
Collection: Clean catch/midstream, catheter, cystoscopic, or suprapubic urine in a sterile plastic container. Do not submit syringes with needles attached.
Handling: Keep refrigerated. Send to 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.
Stability: 24 hours refrigerated or 72 hours in preservative tube.
Standard Volume: 10 mL urine.
Minimum Volume: 6 mL urine (smaller volumes reported with disclaimer).
Transport: Refrigerated, or in urinalysis preservative tube.
Comments: Urinalysis with Reflex Microscopic & Culture if indicated. Automated analysis for urine chemical (dipstick) analysis, and microscopic exam and culture if abnormalities of screening parameters are detected. Criteria for urine microscopic: turbidity, nitrite, leukocyte esterase, blood or protein. Criteria for urine culture: WBC >5/HPF and/or leukocyte esterase positive and/or nitrite positive. NOTE: 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.
Rejection Criteria: Frozen specimen; fecal contamination; insufficient specimen; specimen submitted with needle attached; unpreserved specimen held more than 24 hours.
MEDICARE MAY REQUIRE A SIGNED ADVANCE BENEFICIARY NOTICE (ABN) FOR THIS TEST

Reference Range:
Specific Gravity 1.003-1.035
pH 5-8
Leukocyte Esterase, Nitrite, Protein, Glucose, Ketone, Urobilinogin, Bilirubin, Blood Negative
WBC 0-5/HPF
RBC 0-3/HPF
Bacteria 0-2+