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82570

Creatinine; clearance

Pathology & Laboratory Clinical Chemistry 0.57 Total RVUs
Quick Reference
Creatinine clearance test using 24-hour urine collection and serum creatinine for kidney function assessment

Relative Value Units (RVUs)

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Work RVU
0.10
Physician effort
PE RVU
0.45
Practice expense
MP RVU
0.02
Malpractice
Total RVU
0.57
Combined value
Dollar reimbursement rates vary by locality and payer. RVUs shown for relative comparison only.
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Clinical Information

When to Use

Creatinine clearance test using 24-hour urine collection and serum creatinine for kidney function assessment

Time Requirement
24-hour urine collection plus serum creatinine - results typically available within days

Common Scenarios

Kidney function assessment
Renal clearance evaluation
Chronic kidney disease monitoring
Glomerular filtration rate assessment
Kidney function detailed evaluation

Documentation Requirements

  • Order from physician required
  • 24-hour urine collection documented
  • Serum creatinine documented
  • Test results documented
  • Clinical interpretation if applicable

Coding Guidelines

Common Modifiers

26 Professional component only (interpretation)
TC Technical component only (performance)
91 Repeat clinical diagnostic laboratory test, same day

Bundling Rules

  • Includes 24-hour urine collection and serum creatinine
  • May be billed with blood creatinine (82565) on same day

Exclusions

  • Do not bill if 24-hour collection not performed

Coding Notes

Requires 24-hour urine collection
Common for detailed renal function assessment
Manual calculation

Clinical scenarios

Kidney function assessment
Kidney function assessment
When to use:Creatinine clearance test using 24-hour urine collection and serum creatinine for kidney function assessment
  • Order from physician required
  • 24-hour urine collection documented
  • Serum creatinine documented
Renal clearance evaluation
Renal clearance evaluation
When to use:Creatinine clearance test using 24-hour urine collection and serum creatinine for kidney function assessment
  • Order from physician required
  • 24-hour urine collection documented
  • Serum creatinine documented
Chronic kidney disease monitoring
Chronic kidney disease monitoring
When to use:Creatinine clearance test using 24-hour urine collection and serum creatinine for kidney function assessment
  • Order from physician required
  • 24-hour urine collection documented
  • Serum creatinine documented

Who are you?

Code Details

Code 82570
Category Pathology & Laboratory
Subcategory Clinical Chemistry
Total RVUs 0.57

Medicare Pricing

PFS
2025 National Rate
$0.00
Facility
$0.00
Non-Facility
$0.00
RVU Breakdown
Work RVU:0.00PE RVU:0.00MP RVU:0.00Total RVU:0.00CF:$32.3465Global Days:XXX
OPPS Details
Status:Q4Copayment:$0.00

National Limit: $5.18

Physician Fee Schedule: Medicare pays physicians based on Relative Value Units (RVUs) multiplied by a conversion factor.

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Frequently Asked Questions

What is CPT code 82570?

CPT 82570 is the billing code for "Creatinine; clearance". Creatinine clearance test using 24-hour urine collection and serum creatinine for kidney function assessment

What are the RVUs for CPT 82570?

CPT 82570 has a total RVU of 0.57, broken down as: Work RVU 0.10, Practice Expense RVU 0.45, and Malpractice RVU 0.02. RVUs (Relative Value Units) determine Medicare reimbursement rates.

What documentation is required for CPT 82570?

Key documentation requirements for CPT 82570 include: Order from physician required; 24-hour urine collection documented; Serum creatinine documented; Test results documented. Missing or incomplete documentation is a leading cause of claim denials for this code.

Can CPT 82570 be billed with other codes?

Bundling considerations for CPT 82570: Includes 24-hour urine collection and serum creatinine. May be billed with blood creatinine (82565) on same day Use an NCCI bundling checker to verify specific code combinations before billing.

What modifiers are commonly used with CPT 82570?

Common modifiers for CPT 82570 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.

What is the time requirement for CPT 82570?

The typical time requirement for CPT 82570 is 24-hour urine collection plus serum creatinine - results typically available within days. Time-based codes require documentation of the actual time spent providing the service.

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