CPT^® 81003, Under Urinalysis Procedures

The Current Procedural Terminology (CPT^®) code 81003 as maintained by American Medical Association, is a medical procedural code under the range - Urinalysis Procedures.

Additional/Related Information

Tabs

Summary

The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dipstick, and shakes off the excess urine. She places the stick onto a mechanical dip stick reader that will automatically read and record the chemical analytes and other constituents such as leukocytes, pH, and specific gravity.

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 81003 ? Start a discussion here

cpt 81003 with E & M

do we need to add modifier 25 on E & M code when bill with 81003? and does 81003 need QW modifier? please help... [ Read More ]

Trying to get L8606 paid

I work for a Urogyne and billing Advocate for 51715, L8606 and 81003. Ins paid on 51715 and 81003, but did not on the L8606. Claims non covered service, but they've paid on this before for other pat... [ Read More ]

Modifier 25

Typically labs do not require the E/M to have a modifier 25. I have never seen this, and in fact have seen denials from insurance when other coders have mistakenly appended a 25 modifier to the E/M wi... [ Read More ]

Modifier 25

Is Modifier 25 required on an E/M code when tests are performed on the same DOS? Test would be 81003 UA dip, 87804 Flu screen, 87811 Visual Covid screen, basically any code that would start with 8?... [ Read More ]

CPT 36415 - Is provider sign off required?

Hi Jan At my facility or doctor's office if patient gets blood drawn CPT 36415 . The provider / doc will order lab test on a requisition order form in which he wants to check if pt. has a certain d... [ Read More ]

TC modifier

Recently, one of our Medi-Cal HMO/IPA payors started denying our 81003's stating that a TC modifier is required for this test. I have appealed it stating that we do this test in house with our own eq... [ Read More ]

81003 bundle with 81001

I believe there is a CCI edit are you attacching a modifier to the 81003?... [ 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 ]

81002 vs 81003 icd10 urinalysis urine

Hi, I am just a little confused on the difference between non-automated and automated. Can anyone help me understand? Thanks, Linsey... [ Read More ]

View All