CPT code 81002: Urinalysis, manual, no microscopy2026 Medicare lab fee · Clinical Laboratory Fee Schedule
Manual reagent-based urinalysis checks selected urine chemical constituents without microscopy and is reported when that manual, nonmicroscopic test is performed.
Medicare pays $3.48 for 81002 under the 2026 Clinical Laboratory Fee Schedule: one national amount, the same in every state and setting.
Medicare lab fee · CLFS 2026 Q4
National CLFS amount
$3.48
In effect since Jan 1, 2026. The same amount in every state, payment locality and setting.
- Geographic adjustment
- None
- Office vs facility
- Same
- Since 2020
- Unchanged
- CMS updates
- Quarterly
Medicare pays the lesser of the lab’s charge and this amount. Patients usually owe no Part B deductible or coinsurance for covered clinical lab tests.
On this page 8 sections
What 81002 covers
This service is a manual reagent-based urinalysis of a urine specimen, using a dipstick or tablet reagent to check one or more chemical constituents, such as bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, or urobilinogen. It does not include microscopic examination. It is distinct from automated reagent testing and from manual testing that includes microscopy.
Report one service for the manual test rather than a separate unit for each constituent checked. When microscopy is included, choose the urinalysis code that matches the method and includes microscopy; do not report this nonmicroscopic code for that service. Medicare pays the test only through the CLFS. The 2026 national CLFS amount is $3.48 and has been unchanged from 2020 through 2026. One amount applies across states and localities, with no office-versus-facility difference.
This summary was written with AI assistance from CMS Clinical Laboratory Fee Schedule data. Amounts on this page come directly from CMS files.
How Medicare pays 81002
Clinical lab tests aren’t priced like physician services. They’re paid from their own fee schedule, with its own rules. See the whole lab fee schedule.
One national amount
CMS sets a single Clinical Laboratory Fee Schedule amount for 81002. There’s no geographic (GPCI) adjustment, so it pays the same in every state and payment locality.
No office or facility rate
Lab tests aren’t built from relative value units, so there’s no office and facility split: the place of service doesn’t change the CLFS amount.
Updated every quarter
CMS republishes the CLFS each quarter. New tests, often proprietary laboratory analyses (PLA codes), join during the year; existing amounts are updated each January.
Excluded from the physician fee schedule
The physician fee schedule lists 81002 with status X (excluded by statute), so the test itself is paid only from the CLFS.
81002 on the lab fee schedule since 2020
81002 · CLFS 2026 Q4 (current)
$3.48
Unchanged since Jan 1, 2020
27 quarterly CLFS releases on file, first CLFS 2020 Q1. A code missing from a quarter wasn’t on that release.
81002 compared with similar tests
- 81000UrinalysisManual, with microscopy$4.02
- Choose 81000 for a manual urinalysis that includes microscopy. Choose 81002 when the manual chemical test is performed without microscopy.
- 81001UrinalysisAutomated with microscopy$3.17
- 81001 is for automated urinalysis with microscopy. This code is for manual testing without microscopy.
- 81003UrinalysisAutomated, without microscopy$2.25
- Both codes describe urinalysis without microscopy; report 81002 for the manual method and 81003 for the automated method.
81002 billing questions
How does this differ from 81003?
81002 describes a manual reagent test without microscopy. Use 81003 when the urinalysis is automated and performed without microscopy.
Can this code include urine microscopy?
No. This service is the manual chemical test without microscopic examination. Codes 81000 and 81001 include microscopy, with the method distinguishing which code applies.
Should each reagent finding be counted as a separate unit?
No. Report the urinalysis service once, rather than billing a separate unit for each constituent checked.
How does Medicare pay for this test?
Medicare pays it through the CLFS only. One national amount applies across localities and does not differ between office and facility settings.
Does the manual method determine which code to report?
Yes. Distinguish manual from automated testing, and separately determine whether microscopy was performed; those factors separate 81002 from nearby urinalysis codes.
Where this amount comes from
FeeBase reads lab amounts directly from the CMS Clinical Laboratory Fee Schedule file for the quarter: one row per code, with its payment indicator and national amount. Contractor-priced tests are labeled, never given a made-up amount. Amounts are Medicare payment limits, not a patient’s bill or a commercial rate.
CMS CLFS 2026 Q4 · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file line behind this amount
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