How To Use CPT Code 81007

CPT 81007 describes the procedure for a nonculture, nondipstick method of screening for bacteriuria in a urine sample. This article will cover the description, official description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, similar codes and billing examples.

1. What is CPT Code 81007?

CPT 81007 can be used to describe the procedure for screening for bacteriuria in a urine sample using a nonculture, nondipstick method. This code is used when a lab analyst tests a random clean catch urine specimen using a commercial kit that indicates the presence of bacteriuria through a positive reaction.

2. Official Description

The official description of CPT code 81007 is: ‘Urinalysis; bacteriuria screen, except by culture or dipstick.’

3. Procedure

1. The lab analyst collects a random clean catch urine specimen from the patient.
2. The analyst tests the urine specimen using a commercial kit that does not involve a culture or dipstick method.
3. The kit indicates a positive reaction if bacteriuria is present in the urine.
4. This procedure is used to screen patients for urinary tract infections that may not be symptomatic.

4. Qualifying circumstances

Patients who may require CPT 81007 are those who need to be screened for bacteriuria, which is a significant number of bacteria in the urine and may indicate a urinary tract infection. This procedure is typically used for patients who are at risk for a urinary tract infection or who display symptoms or lab results indicative of a urinary tract infection.

5. When to use CPT code 81007

CPT code 81007 should be used when a nonculture, nondipstick method is used to screen for bacteriuria in a urine sample. It is appropriate to bill this code when the lab analyst performs the procedure using a commercial kit and the urine specimen is a random clean catch sample.

6. Documentation requirements

To support a claim for CPT 81007, the lab analyst must document the following information:

• Details of the urine specimen collection, including whether it was a random clean catch sample
• The use of a commercial kit for the screening procedure
• The presence or absence of bacteriuria indicated by the kit

7. Billing guidelines

When billing for CPT 81007, ensure that the procedure involves a nonculture, nondipstick method of screening for bacteriuria. This code should not be reported if a urine culture or dipstick method is used. There are no specific guidelines regarding reporting this code with other codes.

8. Historical information

CPT 81007 was added to the Current Procedural Terminology system on January 1, 1990. The code was later changed on January 1, 2001 to specify that it involves a nonculture technique using a commercial kit.

9. Examples

1. A lab analyst performs a nonculture, nondipstick screening for bacteriuria in a random clean catch urine sample.
2. A patient with symptoms of a urinary tract infection provides a urine sample for screening using a nonculture, nondipstick method.
3. A physician orders a screening for bacteriuria in a urine sample using a nonculture, nondipstick procedure for a patient at risk for a urinary tract infection.
4. A lab analyst uses a commercial kit to screen for bacteriuria in a random clean catch urine specimen.
5. A patient with lab results indicative of a urinary tract infection undergoes a nonculture, nondipstick screening for bacteriuria in a urine sample.
6. A urine sample from a patient displaying symptoms of a urinary tract infection is tested using a nonculture, nondipstick method for screening bacteriuria.
7. A lab analyst performs a nonculture, nondipstick screening for bacteriuria in a random clean catch urine sample collected from a patient at risk for a urinary tract infection.
8. A physician orders a screening for bacteriuria in a urine sample using a nonculture, nondipstick procedure for a patient with symptoms of a urinary tract infection.
9. A lab analyst uses a commercial kit to screen for bacteriuria in a random clean catch urine specimen from a patient displaying symptoms of a urinary tract infection.
10. A patient with lab results indicative of a urinary tract infection undergoes a nonculture, nondipstick screening for bacteriuria in a urine sample using a commercial kit.