2025 CPT code 81005
(Active) Effective Date: N/A Revision Date: N/A Laboratory - Urinalysis Procedures Pathology and Laboratory Procedures Feed
Urinalysis; qualitative or semiquantitative analysis of urine, excluding immunoassays.
Modifiers may apply depending on the circumstances of service.Examples include modifiers 90 (Reference laboratory), 91 (Repeat test), 59 (Distinct procedural service), and others as clinically indicated.
Medical necessity is determined by the ordering physician based on the patient's clinical presentation, history, and suspected diagnosis.The test must be deemed appropriate to aid in diagnosis or management of a condition.
The laboratory analyst is responsible for performing the technical aspects of the test, including specimen handling, analysis, and reporting results. The ordering physician is responsible for medical decision-making based on the results.
In simple words: This lab test checks a urine sample for a specific substance. It tells if the substance is present and gives an approximate amount.This test does not use a special type of antibody test.
This CPT code encompasses the qualitative or semiquantitative analysis of urine specimens for analytes lacking more specific CPT codes.The analysis involves determining the presence or approximate concentration of the analyte, excluding immunoassay methodologies. The specific methodology employed depends on the analyte being tested.This code is not applicable to immunoassay testing.
Example 1: A pediatrician orders a urinalysis (81005) on an infant suspected of having galactosemia to detect reducing substances in the urine., A physician orders a qualitative urinalysis (81005) to check for the presence of a specific metabolite in a patient's urine as part of a metabolic disorder workup., A patient presents with symptoms suggestive of kidney stones.Their physician orders a urinalysis (81005) to screen for unusual crystals or substances in the urine.
Physician order specifying the analyte to be tested; properly labeled urine specimen; results report with the qualitative or semiquantitative measurement and date/time of collection.
** This code is frequently used for qualitative or semi-quantitative testing of urine samples where a specific, more detailed code isn't available. It's crucial to appropriately document the specific analyte tested to ensure accurate coding and billing.
- Revenue Code: T1C (LAB TESTS - URINALYSIS)
- RVU: Information not available in provided sources.RVUs vary based on geographic location, payer, and other factors.
- Global Days: Not applicable. This is a laboratory test, not a surgical procedure.
- Payment Status: Active
- Modifier TC rule: Not applicable.Technical Component modifiers are not relevant for laboratory tests.
- Fee Schedule: Information not available in provided sources.Fee schedules vary based on payer, location, and year.
- Specialties:Pediatrics, nephrology, endocrinology, internal medicine, family medicine
- Place of Service:Office, hospital, laboratory, other clinical settings