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HelpTest Code Billings Clinic: 6772 Culture, Urine, Anaerobic Bacteria
Additional Codes
| Ordering Mnemonic |
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| MayoAccess: BCL330 |
Performing Laboratory
Billings Clinic LaboratoryMethodology
Reflex Information:This test may automatically reflex to other tests. An additional fee may be added. The ordering physician/provider must indicate if the reflex test is NOT DESIRED. Indicate on order if no reflex test is desired.
Specimen Requirements
Specimen must arrive as soon as possible. Call Billings Clinic Laboratory at 866-232-2522 to discuss the best specimen transport.
Specimen is to be collected from a prepared site using a sterile technique. Avoid contamination with normal flora from skin, rectum, vaginal tract, or other body surfaces. Overnight incubation in bladder yields highest bacterial counts. Collect 1 mL of urine from a first-morning specimen in an anaerobic transport device supplied. Follow directions below for collection.
Submit only 1 of the following specimens:
Catheterized
1. Do not collect urine from drainage bag.
2. Disinfect catheter collection port with 70% alcohol.
3. Use a needle and syringe to aseptically collect urine.
4. Place specimen in anaerobic transport device supplied.
5. Label container with patient’s name (first and last), date and actual time of collection, and type of specimen.
6. Maintain sterility and forward promptly at ambient temperature only. Do not refrigerate.
Note: 1. Specimen source is required on request form for processing.
2. Label specimen appropriately (catheterized urine).
Clean-Catch, Midstream
Males
1. Clean glans with soap and water or benzalkonium chloride antiseptic towelette.
2. Rinse area with water or wet gauze pads.
3. While holding foreskin retracted, begin voiding.
4. After several mL have passed, collect specimen without stopping flow of urine.
5. Place specimen in anaerobic transport device supplied.
6. Label container with patient’s name (first and last), date and actual time of collection, and type of specimen.
7. Maintain sterility and forward promptly at ambient temperature only. Do not refrigerate.
Note: 1. Specimen source is required on request form for processing.
2. Label specimen appropriately (clean-catch, midstream urine).
Females
1. Thoroughly clean urethral area with soap and water or benzalkonium chloride antiseptic towelette.
2. Rinse area with water or wet gauze pads.
3. While holding labia apart, begin voiding.
4. After several mL have passed, collect specimen without stopping flow of urine.
5. Place specimen in anaerobic transport device supplied.
6. Label container with patient’s name (first and last), date and actual time of collection, and type of specimen.
7. Maintain sterility and forward promptly at ambient temperature only. Do not refrigerate.
Note: 1. Specimen source is required on request form for processing.
2. Label specimen appropriately (clean-catch, midstream urine).
Suprapubic Aspiration
1. Expose area above pubis.
2. Scrub area with povidone-iodine surgical scrub. Cover area with povidone-iodine solution. Allow to dry.
3. Using a sterile needle and syringe, aspirate urine from bladder.
4. Expel air bubble and inject specimen into anaerobic transport device supplied.
5. Label container with patient’s name (first and last), date and actual time of collection, and type of specimen.
6. Maintain sterility and forward promptly at ambient temperature only. Do not refrigerate.
Note: 1. Specimen source is required on request form for processing.
2. Label specimen appropriately (suprapubic aspiration urine).
Reference Values
No growthDay(s) Test Set Up
Monday through SundayTest Classification and CPT Coding
CPT Code:87075 - isolation and presumptive identification of isolates
87076 - definitive identification; each isolate (if appropriate)
LCD or NCD test. ICD-9 code is required for this test. When appropriate, obtain a properly executed ABN and submit the ABN with test order(s). See “Medical Necessity and Advanced Beneficiary Notice (ABN) Policy and Form” in “Special Instructions” for a copy of a form and additional information.
Microbiology Coding:
Proper coding for MICROBIOLOGY tests depends on what procedures are actually performed which may depend on the organism(s) isolated. When a culture is initially set up, organism(s) may be isolated and a presumptive identification takes place. When/if an organism(s) grows, a definitive identification and possible MIC of each organism may be indicated.