Geisinger Medical Laboratories/Geisinger Proven Diagnostics Test Catalog

Test Name: Sunquest Test Code Epic Procedure Code Or ID CPT Code:  

CULTURE QUANT URINE

ORDERING INFORMATION:
Sunquest Test Code:
QUR      Geisinger Epic Procedure Code: 87086.02         Geisinger Epic ID: 33398

SPECIMEN COLLECTION
Specimen type:
Clean catch/midstream urine, catheterized urine, nephrostomy, cystoscopy, ileal loop ileostomy, suprapubic bladder tap
Preferred collection container:
Alternate Collection Container:
Sterile specimen container
Specimen required:
Urine C&S preservative tube filled to minimum fill line
Special notes:
See GML Urine Specimen Collection Guide. If a small volume of urine is collected (< 3 mL), do not place in C&S preservative tube. Submit in sterile specimen container at 2-8° C. Low colony count testing performed upon request. Must be specified on order.
Patient preparation:
Use skin disinfection procedure (for suprapubic collection only). See Collection Appendix for patient instructions.

SPECIMEN PROCESSING
Transport temperature:
Unpreserved urine: 0-2 hours at room temperature, 0-24 hours refrigerate 2-8°C
Urine in C&S preservative tube: 0-48 hours room temperature
Specimen stability:
Unpreserved urine: 0-2 hours at room temperature, 0-24 hours refrigerate 2-8° C
Urine in C&S preservative tube: 0-48 hours room temperature
Rejection criteria:
Improperly labeled/identified specimen. Grossly contaminated specimens. Inadequately filled transport devices. Expired transport device. Delay in transport or transport at wrong temperature.

TEST DETAILS
Reference interval:
Multiple flora suggest contamination or colonization, less than 1,000 colonies/mL = no growth, or < 10,000 mixed flora, or < 10,000 one colony type.
Additional information:
Urine culture interpretive guide
CPT code(s):
87086
Note: The billing party has sole responsibility for CPT coding.  Any questions regarding coding should be directed to the payer being billed.  The CPT codes provided by GML are based on AMA guidelines and are for informational purposes only.
Test includes:
Isolation identification and semiquantitation of aerobic urinary pathogens. Bacterial identification and antibiotic susceptibility testing performed as appropriate. Additional charges may apply.
Methodology:
Culture
Synonyms:
URINE
CULTURE
QUANTITATIVE
LOW COLONY COUNT
SUPRAPUBIC ASPIRATE
URINE CULTURE
Clinical significance:
> 104 CFU/mL of a urogenital pathogen is generally indicative of infection in a symptomatic patient; however, a lower concentration of bacteria may be significant in patients with acute urethral syndrome.
Doctoral Director(s:)
Donna Wolk PhD, D(ABMM), Raquel Martinez, PhD, D(ABMM)    
Review Date: 05/06/2019

Performing Locations

Geisinger Medical Center

Performing laboratory: Microbiology
Technical Lead: Barbara Shoemaker
Frequency: Daily
Performed stat? No
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*GMC - Geisinger Medical Center; GWV - Geisinger Wyoming Valley Medical Center; GSACH - Geisinger Shamokin Area Community Hospital; GBH - Geisinger Bloomsburg Hospital;
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