Urinalysis, 2 or 3 glass test
Relative Value Units (RVUs)
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Clinical Information
When to Use
Two or three glass urinalysis test for localization of urinary tract infection
Common Scenarios
Documentation Requirements
- Order from physician required
- Multiple glass test results documented
- Test results reported for each glass
Coding Guidelines
Common Modifiers
Bundling Rules
- 2 or 3 glass test
- Includes multiple specimen collections
Exclusions
- Do not bill single urinalysis codes on same day
Coding Notes
Clinical scenarios
- Order from physician required
- Multiple glass test results documented
- Test results reported for each glass
- Order from physician required
- Multiple glass test results documented
- Test results reported for each glass
- Order from physician required
- Multiple glass test results documented
- Test results reported for each glass
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Code Details
Medicare Pricing
PFSRVU Breakdown
OPPS Details
National Limit: $4.70
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Get instant answers about 81020 - pricing, bundling rules, or billing questions.
Ask a QuestionFrequently Asked Questions
CPT 81020 is the billing code for "Urinalysis, 2 or 3 glass test". Two or three glass urinalysis test for localization of urinary tract infection
CPT 81020 has a total RVU of 0.62, broken down as: Work RVU 0.10, Practice Expense RVU 0.50, and Malpractice RVU 0.02. RVUs (Relative Value Units) determine Medicare reimbursement rates.
Key documentation requirements for CPT 81020 include: Order from physician required; Multiple glass test results documented; Test results reported for each glass. Missing or incomplete documentation is a leading cause of claim denials for this code.
Bundling considerations for CPT 81020: 2 or 3 glass test. Includes multiple specimen collections Use an NCCI bundling checker to verify specific code combinations before billing.
Common modifiers for CPT 81020 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 81020 is Manual testing - results typically available within hours. Time-based codes require documentation of the actual time spent providing the service.