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2025 CPT code 81025

Urine pregnancy test, by visual color comparison methods.

Refer to the American Medical Association's CPT manual for complete coding guidelines and proper reporting of this code.If other urinalysis procedures not explicitly listed are performed, utilize the appropriate analyte-specific code from the Chemistry section (82009-84830) or, if no analyte-specific code is available, code 81099 (Unlisted urinalysis procedure).

Modifiers may be applicable based on the specific circumstances of the service.Consult the CPT manual and local payer guidelines for appropriate modifier usage.

Medical necessity for this test is established when a patient presents with symptoms suggestive of pregnancy or requires a quick pregnancy assessment before undergoing other potentially harmful procedures or treatments.The physician's clinical judgment regarding the need for the test is paramount.

The clinical laboratory analyst performs the technical aspects of the test, interpreting the visual results to determine if the pregnancy test is positive or negative.

IMPORTANT:More precise pregnancy tests include 84702 (Gonadotropin, chorionic, hCG, quantitative) and 84703 (Gonadotropin, chorionic, hCG, qualitative).

In simple words: This lab test checks for pregnancy hormones in a urine sample using a simple test strip that changes color to show if the result is positive or negative for pregnancy. The test is usually done on a urine sample collected in the morning.

This CPT code encompasses the performance of a qualitative pregnancy test on a urine specimen using visual color comparison methods.The test is typically performed using a dipstick or other device with reagents that react with human chorionic gonadotropin (hCG) in the urine, resulting in a visible color change indicating a positive or negative result. A first morning specimen is preferred for optimal accuracy.The clinical analyst performs all technical steps in the testing process.

Example 1: A woman visits her physician's office experiencing symptoms suggestive of early pregnancy. The physician orders a rapid urine pregnancy test (81025) for immediate results before deciding on further diagnostic procedures., In an emergency room setting, a female patient presents with vaginal bleeding and potential complications. A rapid urine pregnancy test (81025) is performed to rule out pregnancy before administering certain medications or treatments that could harm a fetus., A healthcare provider in a rural health clinic uses a visual color comparison pregnancy test (81025) as a preliminary screening tool for pregnant women during routine check-ups.The result informs the need for more comprehensive prenatal care.

* Patient demographics* Date and time of specimen collection* Test result (positive or negative)* Method used for testing* Physician's order for the test

** This code is for a qualitative pregnancy test; quantitative hCG levels require codes 84702 or 84703.Bundling rules with other procedures should be considered based on local payer guidelines.

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