

It aids in diagnosing and following the course of treatment in diseases of the kidney and urinary system and in detecting disorders in other parts of the body such as metabolic or endocrinologic abnormalities in which the kidneys function normally. Urinalysis is one of the most useful indicators of health and disease, and is especially helpful in the detection of renal or metabolic disorders.

Indications and Limitations of Coverage and/or Medical Necessity

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 microscopyĨ1001 – Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents automated, with microscopy- Fee schedule amount $3-$4Ĩ1002 – 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, without microscopy Fee schedule amount $3-$4Ĩ1003 – Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents automated, without microscopy Fee schedule amount $3-$4Ĩ1005 Urinalysis, qualitative or semi-quantitative, except immunoassays Fee schedule amount $3-$4Ĩ1007 Urinalysis, bacteriuria screen, by non-culture, commercial kit Fee schedule amount $3-$5Ĩ1015 Urinalysis, microscopic only Fee schedule amount $3-$5Ĩ1025 Urine pregnancy test, by visualcolor comparison methods Fee schedule amount $8-$11Ĩ1050 Volume measurement for timed collection, each Fee schedule amount $4-$5
