CPT code 83069: Urine hemoglobin, urine specimen2026 Medicare lab fee · Clinical Laboratory Fee Schedule
Urine hemoglobin testing measures hemoglobin in a urine specimen and is reported when that specific laboratory analyte is tested.
Medicare pays $3.95 for 83069 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
$3.95
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 83069 covers
Code 83069 identifies laboratory measurement of hemoglobin in urine. It distinguishes urine hemoglobin testing from plasma hemoglobin testing (83051), urine hemosiderin testing (83070), and broader urinalysis. Report it when the laboratory test performed and reported is specifically urine hemoglobin. A clinical laboratory performs and reports the assay using a urine specimen. The reported result concerns urine hemoglobin, not hemoglobin measured in another specimen or a different urinary analyte.
Medicare pays 83069 only through CLFS. The 2026 national CLFS amount is $3.95 and has remained unchanged from 2020 through 2026. One national amount applies across all states and localities, without geographic or office/facility adjustment. The physician fee schedule excludes the test by statute, so Medicare payment for this test is through CLFS alone; there is no separate physician interpretation payment under the physician fee schedule.
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 83069
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 83069. 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 83069 with status X (excluded by statute), so the test itself is paid only from the CLFS.
83069 on the lab fee schedule since 2020
83069 · CLFS 2026 Q4 (current)
$3.95
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.
83069 compared with similar tests
- 83070Hemosiderin assayQualitative$4.75
- 83069 measures urine hemoglobin; 83070 tests for urine hemosiderin. Select the code for the analyte actually tested.
- 83051Plasma hemoglobinHemoglobin in plasma$7.31
- 83051 is for plasma hemoglobin, while 83069 is for hemoglobin in urine. The specimen determines the applicable code.
- 81003UrinalysisAutomated, without microscopy$2.25
- 81003 describes automated urinalysis without microscopy. Use 83069 when the specific laboratory test is urine hemoglobin rather than a broader urinalysis.
83069 billing questions
When should 83069 be reported instead of a urinalysis code?
Report 83069 when the laboratory test performed and reported is specifically urine hemoglobin. Code 81003 describes automated urinalysis without microscopy, a broader test.
How does 83069 differ from urine hemosiderin testing?
83069 measures hemoglobin in urine; 83070 tests for urinary hemosiderin. Choose the code for the analyte tested.
What specimen should the record identify?
The test is performed on urine. Documentation should identify the urine hemoglobin test performed and the clinical reason for testing.
Can modifier 26 be billed with 83069?
Medicare pays 83069 only through the CLFS. The physician fee schedule excludes the test, so it has no separate physician interpretation payment under that schedule.
How does Medicare pay for 83069?
Medicare pays one national CLFS amount across states and localities, with no geographic or office/facility adjustment.
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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