URINALAYSIS MEDICAID CODING GUIDELINE Effective: CPT CODES: 81000 Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, ph, protein, specific gravity, urobilinogen, any number of these constituents; non-automated, with microscopy 81001 automated, with microscopy 81002 non-automated, without microscopy 81003 automated, without microscopy 81005 Urinalysis, qualitative or semi-quantitative, except immunoassays 81007 Urinalysis, bacteriuria screen, by non-culture, commercial kit 81015 Urinalysis, microscopic only 81025 Urine pregnancy test, by visualcolor comparison methods 81050 Volume measurement for timed collection, each COVERED DIAGNOSIS: 016.00-016.96 Tuberculosis of genitourinary system 038.0-038.9 Septicemia 054.10-054.19 Genital herpes 070.0-070.59 Viral hepatitis 072.0 Mumps orchitis 078.11 Condyloma acuminatum 078.88 Other specified diseases due to chlamydia infection 079.81-079.89 Other specified viral and chlamydial infections 079.98 Unspecified chlamydial infection 087.0-087.1 Relapsing fever 095.4 Syphilis of kidney 098.0 Gonococcal infection, acute, lower genitourinary tract 098.10-098.19 Gonococcal infection, acute, upper genitourinary tract 098.2 Gonococcal infection, chronic, of lower genitourinary tract 098.30-098.39 Gonococcal infection, chronic, of upper genitourinary tract 098.89 Other Gonococal infection of other specified sites 099.3 Reiter s disease 099.40-099.49 Nongonococcal urethritis 099.53-099.54 Other venereal diseases due to Chlamydia trachomatis 100.0 Leptospiral icterohemorrhagica 102.0-102.9 Yaws 112.1 Candidasis of vulva and vagina 125.0-125.1 Filarial infection and dracontiasis 131.00-131.03 Urogenital trichomoniasis 185 Malignant neoplasm of prostate 186.0-186.9 Malignant neoplasm of testis 188.0-188.9 Malignant neoplasm of bladder 189.0-189.9 Malignant neoplasm of kidney and other and unspecified urinary organs 198.0-198.1 Secondary malignant neoplasm of kidney and other urinary organs 222.2 Benign neoplasm of prostate 223.0-223.3 Benign neoplasm of kidney and other urinary organs 223.81-223.89 Benign neoplasm of urethra and other urinary organs 223.4 Carcinoma in situ of prostate
223.7 Carcinoma in situ of bladder 233.9 Carcinoma in situ and other unspecified urinary organs 236.5 Neoplasm of uncertain behavior of prostate 236.7 Neoplasm of uncertain behavior of bladder 236.90-236.99 Neoplasm of uncertain behavior of other and unspecified urinary organs 250.00-250.93 Diabetes mellitus 253.5-253.6 Diabetes insipidus and other disorders of neurohypophysis 271.4 Renal glycosuria 272.2-272.4 Mixed and other unspecified hyperlipidemia 273.0-273.8 Disorders of plasma protein metabolism 274.10-274.19 Gouty nephropathy 275.0 Disorders of iron metabolism 275.42 Hypercalcemia 276.0-276.6 Disorders of fluid, electrolyte and acid-base balance 277.3-277.4 Amyloidosis/disorders of bilirubin excretion 282.60-282.69 Sickle-cell anemia 283.11 Hemolytic-uremic syndrome 306.53 Psychogenic dysuria 344.61 Cauda equina syndrome with neurogenic bladder 401.0-405.99 Hypertensive disease 421.0-421.9 Acute and subacute endocarditis 428.0 Congestive heart failure 446.0-446.7 Polyarteritis nodosa and allied condition 447.3-447.6 Other disorders of arteries and arterioles 456.4 Scrotal varices (varicocele) 457.0-457.1 Postmastectomy lymphedema and other lymphedema 570 Acute and subacute necrosis of liver 571.40-571.49 Chronic hepatitis 571.5-571.8 Chronic and other cirrhosis of the liver 572.2 Hepatic coma 573.0-573.3 Other disorders of liver 580.0-583.9 Nephritis, nephritic syndrome, and nephrosis 584.5-584.9 Acute renal failure 585 Chronic renal failure 586 Renal failure, unspecified 587 Renal sclerosis 588.0 Renal osteodystrophy 588.1-588.8 Disorders resulting from impaired renal function 590.00-590.9 Kidney infection 591 Hydronephrosis 592.0-592.9 Calculus of kidney and ureter 593.0-593.6 Other disorders of kidney and ureter 593.70-593.73 Vesicoureteral reflux 593.81-593.89 Other specified disorders of kidney and ureter 593.9 Unspecified disorder of kidney and ureter 594.0-594.9 Calculus of lower urinary tract 595.0-595.9 Cystitis 596.0-596.4 Other disorders of bladder 596.51-596.59 Other functional disorders of bladder 596.6-596.9 Rupture of bladder, nontraumatic; hemorrhage into bladder wall; other specified bladder disorder 597.0 Urethral abscess 597.80-597.89 Other and unspecified urethritis 598.00-598.01 Urethral stricture due to infection 598.1-598.9 Urethral stricture 599.0-599.7 Other disorders of urethra and urinary tract
599.81-599.89 Other specified disorders of urethra and urinary tract 599.9 Unspecified disorders of urethra and urinary tract 600.0-600.9 Hyperplasia of prostate 601.0-601.9 Inflammatory diseases of prostate 602.0-602.9 Other disorders of prostate 603.0-603.9 Hydrocele 604.0 Orchitis and epididymitis 604.90-604.91 Other orchitis, epididymitis and epididymoorchitis, without mention of abscess 605 Redundant prepuce and phimosis 606.1 Oligospermia 607.1 Balanoposthitis 607.81 Balanitis xerotica obliterans 607.84 Impotence of organic origin 607.89 Other specified disorders of penis 608.1 Spermatocele 608.2 Torsion of testis 608.83 Vascular disorders of male genital organs 608.89 Other disorders of male genital organs 608.9 Unspecified disorders of male genital organs 616.10-616.11 Vaginitis and vulvovaginitis 618.0 Genital prolapse 619.0-619.9 Fistula involving female genital tract 625.0 Dyspareunia 625.6 Stress incontinence, female 625.9 Unspecified symptom associated with female genital organs 628.9 Infertility, female of unspecified origin 634.00-634.32 Spontaneous abortion with complications 635.00-635.32 Legally induced abortion with complications 636.00-636.32 Illegally induced abortion with complications 637.00-637.32 Unspecified abortion with complications 638.0-638.3 Failed attempted abortion with complications 639.0-639.3 Complications following abortion, ectopic and molar pregnancies 642.00-642.94 Hypertension complication of pregnancy, childbirth and the puerperium 646.60-646.64 Infection of genitourinary tract in pregnancy 647.10-347.14 Infections and parasitic conditions in mother, Gonorrhea 648.00-648.04 Other current conditions in mother, Diabetes mellitus 648.80-648.84 Other current conditions in mother, Abnormal glucose tolerance 654.40-654.44 Other abnormalities in shape or position of gravid uterus and of neighboring structures 669.30-669.34 Acute renal failure following labor and delivery 672.00-672.04 Pyrexia of unknown origin during the puerperium 710.0-710.4 Diffuse diseases of connective tissue 710.9 Unspecified diffuse connective tissue disease 711.00-711.09 Pyogenic arthritis 714.0-714.9 Rheumatoid arthritis 719.40-719.49 Pain in joint 724.2 Lumbago 724.5 Backache, unspecified 752.51 Undescended testis 753.0 Renal agenesis and dysgenesis 753.10-753.19 Cystic kidney disease 753.20-753.29 Obstructive defects of renal pelvis and ureter 753.3-753.9 Other anomalies of urinary system 780.6 Fever; fever of unknown origin (FUO) 780.79 Malaise and fatigue 782.3 Edema 785.59 Other shock without mention of trauma
788.0-788.1 Renal colic/dysuria 788.20-788.29 Retention of urine 788.30-788.39 Incontinence of urine 788.41-788.43 Frequency of urination and polyuria 788.5 Oliguria and anuria 788.61-788.69 Other abnormality of urination 788.7-788.9 Urethral discharge/extravasation of urine/other symptoms involving urinary system 789.00-789.99 Other symptoms involving abdomen and pelvis 790.7 Bacteremia 790.93 Elevated PSA 791.0-791.9 Nonspecific findings on examination of urine 793.5-793.6 Abnormal findings on radiological and other examinations of genitourinary organs, abdominal area including retroperitoneum 795.79 Other and unspecified nonspecifiec immunological findings 796.2 Elevated blood pressure reading without diagnosis of hypertention 866.00-866.13 Injury to kidney 867.0-867.3 Injury to bladder and urethra 867.6 Injury to other specified pelvic organs, without mention of open wound into cavity 922.1-922.33 Contusion of trunk 922.4 Contusion to genital organs 926.0 Crushing injury of external genitalia 926.11-926.19 Crushing injury of other specified sites 926.8 Crushing injury to multiple sites of trunk 939.0 Foreign body in genitourinary tract, bladder urethra 958.5 Traumatic anuria 959.1 Injury, trunk 961.2 Poisoning by heavy metal anti-infectives 963.1 Poisoning by anti-neoplastic and immuno-suppressive drugs 963.3 Poisoning by alkalizing agents 965.1 Poisoning by salicylates 992.0-992.8 Effects of heat and light 995.2 Unspecified adverse effect of drug, medicinal and biological substance 996.30-996.39 Mechanical complication of genitourinary device, implant and graft 996.64-996.65 Infection and inflammatory reaction due to internal prosthetic device, implant and graft 996.81 Complications of transplanted kidney 997.5 Urinary complications 998.2 Accidental puncture or laceration during a procedure 999.8 Complications of medical care, not elsewhere classified; other transfusion reaction V10.46 Personal history of malignant neoplasm of prostate V10.50-V10.59 urinary organs V13.00-V13.09 Personal history of other diseases of urinary system V15.5 Injury V21.0-V21.9 Constitutional states in development V22.0-V22.2 Normal pregnancy V23.0-V23.7 Supervision of high-risk pregnancy V23.81-V23.89 Other high risk pregnancy V23.9 Unspecified high-risk pregnancy V42.0 Persons with organs or tissue replaced by kidney transplant V44.50-V44.59 Persons with cystostomy V44.6 Persons with other artificial opening of urinary tract V45.1 Renal dialysis status V58.0 Radiotherapy V58.69 Long term (current) use of other medications V67.51 Following completed treatment with high-risk medication, NEC
NON-COVERED DIAGNOSIS: V70.0-V70.1 V70.3-V70.9 V76.3 V81.5 V81.6 PRE-OPERATIVE URINALYSIS Codes V72.81-V72.84 must also have the diagnosis of the condition warranting surgery or pre-operative exam. These codes will be denied if billed alone. MC Part B News, Oct., 2002 MC Part B News, Aug, 2000 Revises: SP/ 2-22-02