Urinalysis with Culture Reflex
Specimen Type
(Needs BOTH tubes)
| Test ID |
|
LAB5187 |
| EPIC Order |
|
URINALYSIS with Micro and Cult Reflex |
| CPT Code(s) |
|
81001, 87086 (UA, urine culture) |
| Group/Individual Test |
|
Group |
| Laboratory |
|
Core Laboratory/Clinical Microbiology |
| Tube Station |
|
Gray Top Tube (Culture) to 82
Urine Yellow tube (Urinalysis) to 30 (routine), 888 (STAT) |
| Specimen |
Routine: |
Minimum volume:
- Gray Tube: 3mL
- Urine Yellow Tube (UA No additive/Preservative) or sterile container, unspun: 10 mL
NOTE: if Minimum volume cannot be obtained for each tube, send specimen in original collection cup.
|
| Stability |
|
Room temperature: Gray Top - Yes
Refrigerator: DO NOT Refrigerate Gray Top
Urine Yellow Tubes stable 8 hours refrigerated, 2 hours room temperature
2-8°C Refrigerate original collection cup stable <8 hours.
Frozen: Do Not Freeze
|
| Transport |
|
Deliver urine to lab within 1 hour of collection |
| Availability |
Routine: |
24 hrs/day |
|
STAT: |
YES |
| Turnaround Time |
|
STAT 1 hour, Routine 2 hours |
| Reference Range |
Normal: |
See Urinalysis (General and Microscopic) webpage for urinalysis reference ranges. |
| Comments |
Criteria for Reflex:
- Leukocyte esterase: Any Positive (Trace, Small, Moderate, Large)
- Nitrite: Positive
- WBC:≥ 10 wbc/hpf
- Additional Criteria for Reflex:
- Patient has positive pregnancy test
- Patient has an ANC (absolute neutrophil count) less than 500 in the last 7 days
- Patient age is < 3 months old
- This test is only suggested for patients in the ED, and only those meeting certain criteria. Patients that shuld be excluded include:
- Patients who are < 5 years old
- Pregnant women
- Patients currently on antibiotics
- Patients who are neutropenic
- Patients who are catheterized
- It is the physician's responsibility to determine if these exclusion criteria apply to the patient.
|
Reviewed by J. Carr on January 15, 2026
