Urinalysis, microscopic only
Relative Value Units (RVUs)
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Clinical Information
When to Use
Microscopic examination of urine sediment only, without dipstick testing
Common Scenarios
Documentation Requirements
- Order from physician required
- Microscopic findings documented
- Test results reported
Coding Guidelines
Common Modifiers
Bundling Rules
- Microscopic examination only
- No dipstick testing
Exclusions
- Do not bill complete urinalysis codes (81000, 81001) on same day
- Do not bill dipstick urinalysis codes
Coding Notes
Clinical scenarios
- Order from physician required
- Microscopic findings documented
- Test results reported
- Order from physician required
- Microscopic findings documented
- Test results reported
- Order from physician required
- Microscopic findings documented
- Test results reported
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Code Details
Medicare Pricing
PFSRVU Breakdown
OPPS Details
National Limit: $3.05
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Get instant answers about 81015 - pricing, bundling rules, or billing questions.
Ask a QuestionFrequently Asked Questions
CPT 81015 is the billing code for "Urinalysis, microscopic only". Microscopic examination of urine sediment only, without dipstick testing
CPT 81015 has a total RVU of 0.50, broken down as: Work RVU 0.08, Practice Expense RVU 0.40, and Malpractice RVU 0.02. RVUs (Relative Value Units) determine Medicare reimbursement rates.
Key documentation requirements for CPT 81015 include: Order from physician required; Microscopic findings documented; Test results reported. Missing or incomplete documentation is a leading cause of claim denials for this code.
Bundling considerations for CPT 81015: Microscopic examination only. No dipstick testing Use an NCCI bundling checker to verify specific code combinations before billing.
Common modifiers for CPT 81015 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 81015 is Manual testing - results typically available within hours. Time-based codes require documentation of the actual time spent providing the service.