Semiquantitative urine albumin test using reagent strip

Description

This test measures the level of albumin in urine, providing important information about kidney function. It is typically performed using a reagent strip that allows for quick assessment without the need for complex laboratory equipment.

Medicare Hospital Outpatient Reimbursement (OPPS)

OPPS Payment Rate

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Patient Copayment / Coinsurance

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Top Modifiers

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HCPCS/CPT QWCLIA waived laboratory tests(62.7%)

HCPCS/CPT 59Distinct procedural service for non-E/M services(8.62%)

HCPCS/CPT GWService unrelated to hospice patient's terminal condition(6.33%)

HCPCS/CPT GAWaiver of liability statement issued per payer policy(4.27%)

HCPCS/CPT GVAttending physician not employed by hospice provider(3.05%)

HCPCS/CPT GCServices performed by a resident under the supervision of a teaching physician(2.21%)

HCPCS/CPT 91Repeat clinical diagnostic laboratory test performed on the same day(0.69%)

HCPCS/CPT GZItem or service expected to be denied as not reasonable and necessary(0.69%)

HCPCS/CPT X1Continuous patient care services without planned endpoint(0.61%)

HCPCS/CPT Q6Service provided by a locum tenens physician(0.61%)

Code Crosswalks

No crosswalks found.

Alternate Codes

No alternates found.

Billed With Codes

No codes found here.

Sources

We make no claims to ownership of the coding systems referenced on this platform. Codes and descriptions are produced from claims and chargemaster data available through the CMS-9915-F Transparency in Coverage Final Rule and via state or federal datasets. This service is provided solely as a reference to encourage use of these codes in our chargemaster review and automated billing tools, so that healthcare professionals can understand and correctly report these codes in their claims.

Federal and State Datasets

List of CPT/HCPCS Codes, Centers for Medicare & Medicaid Services (CMS)
I/OCE Quarterly Release Files, Centers for Medicare & Medicaid Services (CMS)
Physician Fee Schedule Relative Value Files, Centers for Medicare & Medicaid Services (CMS)
OPPS Addendum B, Centers for Medicare & Medicaid Services (CMS)
ASC Payment Addenda, Centers for Medicare & Medicaid Services (CMS)