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

CPT 81000 is the billing code for "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". Complete urinalysis with dipstick testing and microscopic examination, non-automated method

CPT 81000 has a total RVU of 0.57, broken down as: Work RVU 0.10, Practice Expense RVU 0.45, and Malpractice RVU 0.02. RVUs (Relative Value Units) determine Medicare reimbursement rates.

Key documentation requirements for CPT 81000 include: Order from physician required; Dipstick results documented; Microscopic findings documented; Test results reported. Missing or incomplete documentation is a leading cause of claim denials for this code.

Bundling considerations for CPT 81000: Includes dipstick and microscopy. Non-automated method Use an NCCI bundling checker to verify specific code combinations before billing.

Common modifiers for CPT 81000 include: 26 (Professional component only (interpretation)), TC (Technical component only (performance)), 91 (Repeat clinical diagnostic laboratory test, same day). Modifiers indicate special circumstances and can affect reimbursement or prevent claim denials.

The typical time requirement for CPT 81000 is Manual testing - results typically available within hours. Time-based codes require documentation of the actual time spent providing the service.