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, without microscopy
Relative Value Units (RVUs)
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Clinical Information
When to Use
Urinalysis with dipstick testing only, without microscopic examination, non-automated method
Common Scenarios
Documentation Requirements
- Order from physician required
- Dipstick results documented
- Test results reported
Coding Guidelines
Common Modifiers
Bundling Rules
- Includes dipstick only
- Non-automated method
- No microscopy
Exclusions
- Do not bill urinalysis with microscopy (81000) on same day
- Do not bill automated urinalysis (81003) on same day
Coding Notes
Clinical scenarios
- Order from physician required
- Dipstick results documented
- Test results reported
- Order from physician required
- Dipstick results documented
- Test results reported
- Order from physician required
- Dipstick results documented
- Test results reported
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Code Details
Medicare Pricing
PFSRVU Breakdown
OPPS Details
National Limit: $3.48
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Get instant answers about 81002 - pricing, bundling rules, or billing questions.
Ask a QuestionFrequently Asked Questions
CPT 81002 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, without microscopy". Urinalysis with dipstick testing only, without microscopic examination, non-automated method
CPT 81002 has a total RVU of 0.36, broken down as: Work RVU 0.05, Practice Expense RVU 0.30, and Malpractice RVU 0.01. RVUs (Relative Value Units) determine Medicare reimbursement rates.
Key documentation requirements for CPT 81002 include: Order from physician required; Dipstick results documented; Test results reported. Missing or incomplete documentation is a leading cause of claim denials for this code.
Bundling considerations for CPT 81002: Includes dipstick only. Non-automated method Use an NCCI bundling checker to verify specific code combinations before billing.
Common modifiers for CPT 81002 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 81002 is Manual testing - results typically available quickly. Time-based codes require documentation of the actual time spent providing the service.