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Test Information

UROGRAM W/RFLX MICRO and CULTURE (43305)

CPT Code:

81003

Specimen Requirements:

Collect random urine in a clean container. Transfer 8 mL (5 mL minimum) to Stockwell urinalysis transport tube. Label tube with patient name, date, and time. Specimen stability is 72 hours. First morning sample is optimal. Note 1: This tube cannot be used for urine culture. Note 2: This tube can be used for urine chemistries except urine osmo. Transfer 4 mL of sample from clean container to a gray-top urine C&S Transport kit. Label tube with name, date, and time. Specimen Stability is 48 hours. (A microscopic exam and urine culture will be performed at an additional charge if Leukocyte Esterase, Protein (if greater than trace positive), Nitrite or Blood are positive on the screening Urogram. [For males and non-pregnant women: Includes reflex to Microscopic Exam and Culture and ID and Susceptitibities at additional charges - Test Nos. 303360 (Microscopic), and 790076 (culture)] In children less than 2 years of age, urine will be cultured. At this age, culture should be predicated on clinical symptoms and not on results of the UA. UTI's may occur despite negative UA results.

Stability:

72 hours if specimen transfered to the Urinalysis Preservative tube.

Minimum Collection Volume:

5.0 mL random urine

Methodology:

Automated Reagent Strip Reader

Transport Temperature:

Refrigerated

Container Type:

Urine in tube or cup

(The CPT codes provided are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payer being billed.)