Ordering Recommendations

Urine culture is performed to aid in the diagnosis or management of Urinary Tract Infections (UTI) and is not intended to detect colonizing flora, including Streptococcus agalactiae (Group B Streptococcus). For questions/ordering related to colonization with Streptococcus agalactiae (GBS) during pregnancy, see test codes GBS or GBSS which utilizes rectal/vaginal specimens.

Patient Preparation

MIDSTREAM COLLECTION:
Wash hands thoroughly with soap and water, rinse and dry them on a disposable paper towel.
Female: Open the towelette and cleanse the urinary opening and surrounding area.  Discard the towelette in the waste basket.  Void 20-25 mL into the toliet and catch a portion of the rest of the urine in the container without stopping the stream.  Place the lid securely on the specimen cup.  Transfer specimen to boric acid preservative tube (gray top).
Male:  Open the towelette and cleanse urinary opening.  If not circumcised, hold foreskin back prior to cleaning.  Discard the towelette in the waste basket. Void 20-25 mL into the toliet and catch a portion of the rest of the urine in the container without stopping the stream. Place the lid securely on the specimen cup.  Transfer specimen to boric acid preservative tube (gray top).

Collect

Midstream urine, catheter, bladder tap, kidney or other special collection method. Source of specimen is required.

Storage/Transport Temperature

Urine for aerobic culture should be submitted to the lab in a gray top urine preservative (boric acid) transport tube at 4-25°C.

Unacceptable Conditions

Nonsterile or leaking containers, delayed transport to the lab, urine from catheter bag, Foley catheter tips.
BD Preservative Marble Top tube
Unpreserved Urine
Blue top needle collection containers are not acceptable in the lab for processing.
 

Remarks

Gram stain is performed by request only. Results indicate colony count plus identification of significant isolates. Anaerobic culture not routinely performed except for suprapubic tap submitted in sterile-capped syringe (needle removed) are acceptable for anaerobe culture.  Specify if Neisseria gonorrhoeae or Salmonella typhi are being sought.

Stability (from collection to initiation)

Preserved: Ambient: 48 hours

Collection device



        - OR -

 

Test Barcode Number

15794

Lab Section

Bacteriology

Methodology

Standard reference procedures for aerobic bacterial cutlure and identification

Performed

Sun-Sat

Reported

1-3 days

Synonyms

  • Culture, Urine (Urine Culture)

Performing Laboratory Website (click below)

UR Medicine Labs

Notes

Identification and susceptibility tests are billed separately from culture.

Reference Interval

No growth.Identification and susceptibility tests are performed on significant isolates.

CPT Codes

Culture: 87086
CPT codes vary based on identification and susceptibility methods. Billing reports can be provided as needed.  Please contact your UR LABS Account Manager for details.

Order Type (Individual or Group)

I

Micro Source Information

Source ID             Source Name Sites REFLEX TESTS
URINE URINE
CLEAN CATCH
VOIDED
MIDSTREAM
BLADDER
 
 
 
 
 
                          
UCATH
 		 URINE(CATHETER)
STRAIGHT
FOLEY
ILEAL LOOP
ILEOSTOMY
STOMA
UROSTOMY
VESICOSTOMY
SUPRAPUBIC ASPIRATE
BLADDER WASH
 
RURIN URINE(RECURRENT UTI) SAME AS URINE CULTURE  
URSPE URINE SPECIAL COLLECTION
NEPHROSTOMY
KIDNEY
SUPRAPUBIC TAP
URETER
CYSTOSCOPY
STENT
PRE PROSTATIC MASSAGE
POST PROSTATIC MASSAGE
EXPRESSED PROSTATIC MASSAGE
SURGICALLY OBTAINED
 

CPT Codes

Culture: 87086
CPT codes vary based on identification and susceptibility methods. Billing reports can be provided as needed.  Please contact your UR LABS Account Manager for details.

Pricing

Refer to Lab Account Manager. email: labservicesoutreach@urmc.rochester.edu
Specimen Requirements

Ordering Recommendations

Urine culture is performed to aid in the diagnosis or management of Urinary Tract Infections (UTI) and is not intended to detect colonizing flora, including Streptococcus agalactiae (Group B Streptococcus). For questions/ordering related to colonization with Streptococcus agalactiae (GBS) during pregnancy, see test codes GBS or GBSS which utilizes rectal/vaginal specimens.

Patient Preparation

MIDSTREAM COLLECTION:
Wash hands thoroughly with soap and water, rinse and dry them on a disposable paper towel.
Female: Open the towelette and cleanse the urinary opening and surrounding area.  Discard the towelette in the waste basket.  Void 20-25 mL into the toliet and catch a portion of the rest of the urine in the container without stopping the stream.  Place the lid securely on the specimen cup.  Transfer specimen to boric acid preservative tube (gray top).
Male:  Open the towelette and cleanse urinary opening.  If not circumcised, hold foreskin back prior to cleaning.  Discard the towelette in the waste basket. Void 20-25 mL into the toliet and catch a portion of the rest of the urine in the container without stopping the stream. Place the lid securely on the specimen cup.  Transfer specimen to boric acid preservative tube (gray top).

Collect

Midstream urine, catheter, bladder tap, kidney or other special collection method. Source of specimen is required.

Storage/Transport Temperature

Urine for aerobic culture should be submitted to the lab in a gray top urine preservative (boric acid) transport tube at 4-25°C.

Unacceptable Conditions

Nonsterile or leaking containers, delayed transport to the lab, urine from catheter bag, Foley catheter tips.
BD Preservative Marble Top tube
Unpreserved Urine
Blue top needle collection containers are not acceptable in the lab for processing.
 

Remarks

Gram stain is performed by request only. Results indicate colony count plus identification of significant isolates. Anaerobic culture not routinely performed except for suprapubic tap submitted in sterile-capped syringe (needle removed) are acceptable for anaerobe culture.  Specify if Neisseria gonorrhoeae or Salmonella typhi are being sought.

Stability (from collection to initiation)

Preserved: Ambient: 48 hours

Collection device



        - OR -

 

Test Barcode Number

15794
Testing

Lab Section

Bacteriology

Methodology

Standard reference procedures for aerobic bacterial cutlure and identification

Performed

Sun-Sat

Reported

1-3 days

Synonyms

  • Culture, Urine (Urine Culture)

Performing Laboratory Website (click below)

UR Medicine Labs

Notes

Identification and susceptibility tests are billed separately from culture.
Result Interpretation

Reference Interval

No growth.Identification and susceptibility tests are performed on significant isolates.
Coding

CPT Codes

Culture: 87086
CPT codes vary based on identification and susceptibility methods. Billing reports can be provided as needed.  Please contact your UR LABS Account Manager for details.
URM Labs Internal
Test Build

Order Type (Individual or Group)

I

Micro Source Information

Source ID             Source Name Sites REFLEX TESTS
URINE URINE
CLEAN CATCH
VOIDED
MIDSTREAM
BLADDER
 
 
 
 
 
                          
UCATH
 		 URINE(CATHETER)
STRAIGHT
FOLEY
ILEAL LOOP
ILEOSTOMY
STOMA
UROSTOMY
VESICOSTOMY
SUPRAPUBIC ASPIRATE
BLADDER WASH
 
RURIN URINE(RECURRENT UTI) SAME AS URINE CULTURE  
URSPE URINE SPECIAL COLLECTION
NEPHROSTOMY
KIDNEY
SUPRAPUBIC TAP
URETER
CYSTOSCOPY
STENT
PRE PROSTATIC MASSAGE
POST PROSTATIC MASSAGE
EXPRESSED PROSTATIC MASSAGE
SURGICALLY OBTAINED
 

CPT Codes

Culture: 87086
CPT codes vary based on identification and susceptibility methods. Billing reports can be provided as needed.  Please contact your UR LABS Account Manager for details.

Pricing

Refer to Lab Account Manager. email: labservicesoutreach@urmc.rochester.edu

Important Information

Lab Section
Bacteriology

ARUP Consult®

Disease Topics

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