CPT code 84560: Urine uric acid, urine specimen2026 Medicare lab fee · Clinical Laboratory Fee Schedule
Measures uric acid in urine, commonly as part of evaluating urinary stone risk or abnormal uric acid handling.
Medicare pays $5.08 for 84560 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
$5.08
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 84560 covers
84560 reports measurement of uric acid in urine. Clinicians order urine uric acid testing during evaluation of urinary stone disease or suspected abnormal renal uric acid excretion; the result is interpreted with other findings in the patient's stone or metabolic workup. A clinical laboratory performs the assay on a urine specimen submitted by the ordering practice. The specimen source distinguishes this service from blood uric acid testing reported with 84550.
Report 84560 for urine and 84550 for blood. Medicare pays 84560 under the CLFS, which uses one national amount across localities and does not vary by office or facility setting. The 2026 national amount is $5.08, unchanged from 2020 through 2026.
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 84560
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 84560. 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 84560 with status X (excluded by statute), so the test itself is paid only from the CLFS.
84560 on the lab fee schedule since 2020
84560 · CLFS 2026 Q4 (current)
$5.08
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.
84560 compared with similar tests
- 84550Uric acidBlood specimen$4.52
- Both measure uric acid, but 84560 is for urine and 84550 is for blood.
- 84540Urine urea nitrogenUrine specimen$5.56
- This code measures urea nitrogen in urine, not uric acid.
- 84545Urea clearanceClearance calculation$7.20
- This code represents a urea nitrogen clearance test, not a urine uric acid assay.
84560 billing questions
When should I report 84560 instead of 84550?
Use 84560 when uric acid is measured in urine. Use 84550 for a blood uric acid assay.
Can 84560 be reported with urine stone-risk tests?
Yes, when those tests are separately performed and documented. Urine calcium and citrate testing may also be part of a metabolic stone evaluation.
Which Medicare payment schedule applies to 84560?
Medicare pays 84560 under the CLFS at one national amount, with no locality or office-versus-facility adjustment.
What should the order and report identify?
They should identify urine uric acid testing, distinguishing it from a blood uric acid assay reported with 84550.
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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