Oncology & Hematology Coding Alert

Lab Coding:

81002 or 81003? Here's How to Pinpoint the Proper Code

Understanding 'microscopy' will shore up your urinalysis coding.Even a straightforward test like urinalysis can have some twists that could lead your coding off course. Make the most of these tips to identify automated tests, microscopy, and whether your code needs modifier QW (CLIA waived test).Start With the Common FactorsTo ensure proper coding of urinalysis (UA), review the definitions for each of the following codes:81000, Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automated, with microscopy 81001, ... automated, with microscopy 81002, ... non-automated, without microscopy 81003, ...automated, without microscopy. The test: The dip stick (or chem-strip) method involves a strip with squares, which the tester quickly dips into the urine. After a specified time the squares change color as each reacts to a different substance in the urine. For the tablet test, the tester [...]
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