TMPPM 2008 > Texas Medicaid Services > Independent Laboratory > Benefits and Limitations

   
 

26.4.3.2 Urinalysis

Procedure codes 5-82009, 5-82947, and 5-83986 are payable when billed on the same day as a urinalysis. If procedure code 5-84578 and 5-84583 are billed on the same day as any of the following urinalysis procedure codes, procedure codes 5-84578 and 5-84583 will be denied as part of the urinalysis:

Procedure Codes

5-81000

5-81001

5-81002

5-81003

5-81005

5-81020

If procedure code 5-81015 is billed in addition to routine urinalysis codes 5-81000 or 5-81001, procedure code 5-81015 will be denied as part of 5-81000 or 5-81001. If procedure code 5-81015 is billed with urinalysis codes 5-81002 or 5-81003, both codes will be denied requiring paneling into either 5-81000 or 5-81001.

When performing bacterial urine culture with antibiotic sensitivities, use procedure code 5-87086.


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