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Urinalysis


CPT Code Description of Test National Limit CLIAwaived.com Average Sale Price (per unit) CLIAwaived.com Recommended
Product(s)
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81002 Dipstick or tablet reagent urinalysis (non-automated). $3.62 $0.27 CLIAwaived, Inc. CLIA-10 Urine Reagent Strips for Urinalysis CLICK HERE
81002 Dipstick or tablet reagent urinalysis (non-automated). $3.62 $2.95 Siemens Multistix Pro 10 LS Test Strips CLICK HERE
81002 Dipstick or tablet reagent urinalysis (non-automated). $3.62 $0.35 Teco Diagnostics Clinistrip 11-Panel Urinalysis Test Strips CLICK HERE
81003QW Urinalysis, automated without microscopy. Screening of urine to monitor/diagnose various diseases/conditions, such as diabetes, the state of the kidney or urinary tract, and urinary tract infections. $3.18 $0.15 Mission Urinalysis Reagent Test Strips CLICK HERE
81003QW Urinalysis, automated without microscopy. Screening of urine to monitor/diagnose various diseases/conditions, such as diabetes, the state of the kidney or urinary tract, and urinary tract infections. $3.18 Siemens Clinitek Status Urine Chemistry Analyzer Tests CLICK HERE
81003QW Urinalysis, automated without microscopy. Screening of urine to monitor/diagnose various diseases/conditions, such as diabetes, the state of the kidney or urinary tract, and urinary tract infections. $3.18 $0.40 Siemens Multistix 10 SG Strips CLICK HERE

1Providers operating under a CLIA waiver should use the QW modifier when appropriate.

2CCI, Correct Coding Initiative edits; NCD, National Coverage Determination; LCD, Local Coverage Determination.

3Centers for Medicare and Medicaid Clinical Diagnostic Laboratory Fee Schedule 2011, available at www.cms.hhs.gov/ClinicalLabFeeSched/02_clinlab.asp.

The information provided on this website is current as of 2/8/2012, was obtained from publicly available sources, and is subject to change without notice. All content on this website is for informational purposes only, is general in nature, and does not cover all situations or all payers' rules and policies.

CLIAwaived.com cannot guarantee or promise coverage or payment for any particular item or service from any payer or health benefit plan. To be eligible for coverage, an item or service must be medically necessary for the individual patient, have been performed as reported, and appropriate documentation should be available in the patient's medical record.

It is the individual provider's responsibility to determine appropriate, medically necessary coding, charges and claims for a particular service. Providers are responsible for determining medical necessity for all Medicare recognized panel tests. To be eligible for coverage, each component test must be medically necessary for the individual patient. In addition, for tests grouped on single cassettes or cartridges, providers are responsible for determining the medical necessity of each test for each patient. Laws, regulations and payer policies regarding appropriate coding and payment levels can vary greatly from payer to payer and change over time. CLIAwaived.com recommends that providers contact their own regional payers to determine appropriate coding and charge or payment levels.

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