Urinalysis Lab Tests
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What's Changed?
We updated the improper payment rate and denial reasons for the 2024 reporting period.
Affected Providers
Physicians and non-physician practitioners who write prescriptions or orders for urinalysis lab tests.
HCPCS & CPT Codes
National Coverage Determination (NCD): Urine Culture, Bacterial (190.12) has the current HCPCS and CPT codes.
Background
According to the 2024 Medicare Fee-for-Service Supplemental Improper Payment Data, the improper payment rate for urinalysis lab tests is 11.5%, with a projected improper payment amount of $5.6 million.
Preventing Denials
You must meet specific requirements when ordering diagnostic lab tests.
Disclaimers
Page Last Modified:
11/25/2025 12:26 PM