Urinalysis, qualitative or semiquantitative, except immunoassays

CPT 81005 is the billing code for "Urinalysis, qualitative or semiquantitative, except immunoassays". Qualitative or semiquantitative urinalysis testing

CPT 81005 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 81005 include: Order from physician required; Test results documented; Test results reported. Missing or incomplete documentation is a leading cause of claim denials for this code.

Bundling considerations for CPT 81005: Qualitative or semiquantitative testing. May include various urinalysis methods Use an NCCI bundling checker to verify specific code combinations before billing.

Common modifiers for CPT 81005 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 81005 is Manual or automated testing - results typically available quickly. Time-based codes require documentation of the actual time spent providing the service.