Advanced Search

Pathology/Lab Coding Alert

Reader Question:

Ensure Constituents for Full Urinalysis

Published on Fri Jan 07, 2011

Question: Our lab performed a macroscopic urine test, but due to color interference, we could report only color and clarity as results. We proceeded to perform the microscopic exam on the specimen. Can we report a complete urinalysis code?South Dakota SubscriberAnswer: No, you should not report a complete urinalysis using a code such as 81000 (Urinalysis, by dipstick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non- automated, with microscopy) or 81001 (... automated, with microscopy).Instead, you should bill only for the microscopic exam using 81015 (Urinalysis; microscopic only).Here's why: Because color and clarity are observations, not any of the listed components of a urinalysis (81000 or 81001), you can't use those codes. The definition says "any number of these constituents" but the lab was unable to identify any of the constituents. Because the lab successfully performs and [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in your eNewsletter
  • 6 annual AAPC-approved CEUs*
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more
*CEUs available with select eNewsletters.

Other Articles in this issue of

Pathology/Lab Coding Alert

View All