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Anthem Blue Cross Connecticut CG-LAB-24 Outpatient Urine Culture Form
This procedure is not covered
This document addresses outpatient urine culture testing for bacteria.
Clinical Indications
Medically Necessary:
Outpatient urine culture testing for bacteria is considered medically necessary to evaluate any of the following situations:
- Clinical signs or symptoms suggesting urinary tract infection (UTI); or
- Abnormal urinalysis suggesting UTI; or
- Asymptomatic bacteriuria in pregnant persons; or
- Bacteriuria in individuals prior to undergoing an endoscopic urologic procedure; or
- Suspected interstitial cystitis or bladder pain syndrome.
Not Medically Necessary:
Outpatient urine culture testing for bacteria is considered not medically necessary when the above criteria are not met and for all other situations.