Urine pregnancy test, by visual color comparison methods
Relative Value Units (RVUs)
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Clinical Information
When to Use
Qualitative urine pregnancy test using visual color comparison methods
Common Scenarios
Documentation Requirements
- Order from physician required
- Test results documented
- Positive/negative result reported
Coding Guidelines
Common Modifiers
Bundling Rules
- Qualitative pregnancy test
- Visual color comparison method
Exclusions
- Do not bill quantitative pregnancy tests on same day
- Do not bill serum pregnancy tests
Coding Notes
Clinical scenarios
- Order from physician required
- Test results documented
- Positive/negative result reported
- Order from physician required
- Test results documented
- Positive/negative result reported
- Order from physician required
- Test results documented
- Positive/negative result reported
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Code Details
Medicare Pricing
PFSRVU Breakdown
OPPS Details
National Limit: $8.61
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Get instant answers about 81025 - pricing, bundling rules, or billing questions.
Ask a QuestionFrequently Asked Questions
CPT 81025 is the billing code for "Urine pregnancy test, by visual color comparison methods". Qualitative urine pregnancy test using visual color comparison methods
CPT 81025 has a total RVU of 0.31, broken down as: Work RVU 0.05, Practice Expense RVU 0.25, and Malpractice RVU 0.01. RVUs (Relative Value Units) determine Medicare reimbursement rates.
Key documentation requirements for CPT 81025 include: Order from physician required; Test results documented; Positive/negative result reported. Missing or incomplete documentation is a leading cause of claim denials for this code.
Bundling considerations for CPT 81025: Qualitative pregnancy test. Visual color comparison method Use an NCCI bundling checker to verify specific code combinations before billing.
Common modifiers for CPT 81025 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 81025 is Manual testing - results typically available within minutes. Time-based codes require documentation of the actual time spent providing the service.