CPT^® 81001, Under Urinalysis Procedures

The Current Procedural Terminology (CPT^®) code 81001 as maintained by American Medical Association, is a medical procedural code under the range - Urinalysis Procedures.

Additional/Related Information

Tabs

Summary

Urinalysis is used to detect substances or cellular material in the urine associated with different metabolic and kidney disorders. It is used to detect urinary tract infections (UTI) and other disorders of the urinary tract. A regular urinalysis often includes color, clarity, odor, specific gravity, pH, protein, glucose, nitrites, WBC, and ketones. The most common method is dipstick or tablet reagent urinalysis but it can be performed by some other methods as well.

For clinical responsibility, terminology, tips and additional info
start codify free trial.

View any code changes for 2024 as well as historical information on code creation and revision.

Crosswalks

Tabs

Combat the #1 denial reason - mismatched CPT-ICD-9 codes - with top Medicare carrier and private payer accepted diagnoses for the chosen CPT® code.

View the CPT® code's corresponding procedural code and DRG. In a click, check the DRG's IPPS allowable, length of stay, and more. To plug inpatient facility revenue drains, subscribe to DRG Coder today.

Crosswalk to an anesthesia code and its base units, and calculate payments in a snap! Subscribe to Anesthesia Coder today.

View matching HCPCS Level II codes and their definitions.

Forum

Have a question about CPT Code 81001 ? Start a discussion here

Modifiers to lab and pathology tests

Is there a course or a book that goes into more details on how to read lab results, and differentiating what modifier a lab/pathology cpt needs to pass CCI edits? This is for a hospital coding. Some ... [ Read More ]

81003 bundle with 81001

Recently Medicare is bundling 81003 (urine dip without microscopy) with 81001 (urine dip with microscopy). This started over the past few months and only with Medicare. Anyone have an idea why this h... [ Read More ]

Medicare is Denying My Ua's (81002)

please see this article. you need -25 on E/M [URL]http://www.medicarepaymentandreimbursement.com/2016/08/cpt-codes-81001-81002-81003-and-81025.html[/URL] . it also explains the N264 denial requiremen... [ Read More ]

E/M plus procedures

I would code 25 with both e&m codes, but I would change the OV to an established patient code. In my experience, insurance will only pay for 1 new visit, not 2. I would put 59 on procedures except 364... [ Read More ]

E/M plus procedures

Patient came in for an annual physical but also was treated for allergies and abdominal pain, do I append modifier 25 to the E/M and no modifiers for the procedures or do I add modifier 59 ( distinct ... [ Read More ]

80307-90

When billing a G0480 and a 81001 I am receiving an edit asking for a modifier. Would 91 be acceptable? they are not repeat labs but are bumping against each other.... [ Read More ]

Urinalysis - complete With Microscopic Examination

Hello!! Any lab people out there? I am in need of some help. We are primary care with an "in house lab". We do many urinalysis I our lab and many need (blood in urine, leukocyte etc.) further exami... [ Read More ]

Office billing 81003 and sending to lab for a Urine C&S that includes 81001 same day

Unless the office is doing the testing, all you bill for is the specimen collection I think. A microscopic UA is going to show the solid cells and and whether a culture/sensitivity is even needed. 8... [ Read More ]

Office billing 81003 and sending to lab for a Urine C&S that includes 81001 same day

Is it appropriate for a clinic to bill for a 81003 (automated U/A w/o microscopy) - when the reference lab separately bills 81001 (automated U/A with microscopy) the same day when specimen is sent fo... [ Read More ]

Please help

. I have a patient that was seen with 99213 visit and 81001. Do I need to include modifier QW on 81001 if out lab is CLIA certified and do I need to append a 25 modifer to the office visit? Also I hav... [ Read More ]

View All