ICD10 CPT codes 87086 and 87088 Urine Culture Bacterial Code A02.1 A18.14 A34 A40.0 A40.1 A40.3 A40.8 A40.9 A41.01 A41.02 A41.1 A41.2 A41.3 A41.4 A41.50 A41.51 A41.52 A41.53 A41.59 A41.81 A41.89 A41.9 A42.7 A56.01 A56.02 A56.11 D65 D70.0 D70.1 D70.2 D70.3 D70.4 D70.8 D70.9 D72.10 D72.110 D72.111 D72.118 D72.119 D72.12 D72.18 D72.19 D72.89 E09.21
change the criteria that are used to reflex urines to a urine culture “if indicated”. This only concerns the order “URINALYSIS WITH MICROSCOPIC WITH CULTURE IF INDICATED“ (LAB2480). In the future, urine will only be reflexed to a urine culture if Ø Both WBC are ≥ 10/high power field AND Ø Bacteria are ≥ 1+.
Urinary tract infection, site not specified
Urinary obstruction, unspecified (599.60) ICD-9 code 599.60 for Urinary obstruction, unspecified is a medical classification as listed by WHO under the range -OTHER DISEASES OF URINARY SYSTEM (590-599).
Unspecified abnormal findings in urine R82. 90 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM R82. 90 became effective on October 1, 2021.
If culture is positive, CPT code(s): 87088 (each isolate) will be added with an additional charge. Identification will be performed at an additional charge (CPT code(s): 87077 or 87140 or 87143 or 87147 or 87149).
The 2022 edition of ICD-10-CM R82. 79 became effective on October 1, 2021. This is the American ICD-10-CM version of R82.
From ICD-10: For encounters for routine laboratory/radiology testing in the absence of any signs, symptoms, or associated diagnosis, assign Z01. 89, Encounter for other specified special examinations.
Urine cultures are not part of routine urinalysis tests. Like a urinalysis, a urine culture sample must be obtained by the clean catch method or by inserting a catheter through the urethra into the bladder.
Urinalysis is the analysis of urine for the diagnosis and monitoring of several medical conditions such as urinary tract infections, bleeding in the urinary system, or kidney or liver disease as well as diabetes, some diseases of the blood, and bladder stone.
Testing for asymptomatic bacteriuria as part of a prenatal evaluation may be medically appropriate but is considered screening and, therefore, not covered by Medicare.
CMS (Medicare) has determined that Bacterial Culture, Urine (CPT Codes 87086, 87088) is only medically necessary and, therefore, reimbursable by Medicare when ordered for patients with any of the diagnostic conditions listed below in the “ICD-9-CM Codes Covered by Medicare Program.” If you are ordering this test for a ...
9: Fever, unspecified.
9.
Z12.11. Encounter for screening for malignant neoplasm of colon.
Encounter for screening for other metabolic disorders The 2022 edition of ICD-10-CM Z13. 228 became effective on October 1, 2021.
CMS (Medicare) has determined that Thyroid Testing (CPT Codes 84436, 84439, 84443, 84479) is only medically necessary and, therefore, reimbursable by Medicare when ordered for patients with any of the diagnostic conditions listed below in the “ICD-9-CM Codes Covered by Medicare Program.”
If a clean catch urine cannot be obtained from an infant, obtain a bagged specimen: clean area as for a clean catch, attach U-bag, and put collected urine into a sterile container.
A single culture is about 80% accurate in the female; two containing the same organism with a count of 100,000 cfu/mL or more represent a 95% chance of true bacteriuria; three such specimens mean virtual certainty of true bacteriuria.
Catheterized specimen: Refers to an “in and out” catheter that is placed into the bladder solely for collection of the specimen and then withdrawn. Do not collect urine from the drainage bag when an indwelling catheter is in place because growth of bacteria can occur in the bag itself.
4 mL random, clean catch, midstream urine collection in gray-top urine transport tube
Indwelling catheter collected urine, unpreserved specimens less than 3 mL or from pediatric or from patients with renal abnormalities are acceptable when placed in a sterile, leak-proof container. (Specimens from long term care and/or pediatric difficult collections only)
4 mL gray-top urine transport tube Sterile container: Only for specimens less than 3 mL from pediatric specimens or from patients with renal abnormalities.
Preserved: Room temperature or refrigerated (cold packs) Unpreserved: Refrigerated (cold packs) only
Preserved urine >48 hours old • Unpreserved urine >3 mL with exception of pediatric specimens or from patients with renal abnormalities • Unpreserved refrigerated urine >24 hours old • Unpreserved, not refrigerated urines • Urine tube not filled to minimum fill-line • Foley tips • Received frozen • Specimens from catheter bag • Urine in urinalysis transport tube • Requests for anaerobic culture • Expired transport devices • 24-hour urine collections • Leaking samples • Swabs • Uricult devices.
Indwelling catheter collected urine, unpreserved specimens less than 3 mL or from pediatric or from patients with renal abnormalities are acceptable when placed in a sterile, leak-proof container.