HCPCS code P9612 — Catheterize for urine spec.
Status: Active.
Effective Jan 1, 2014.
Source: CMS HCPCS Level II.
P9612
ActiveCatheterize for urine spec
Catheterization for collection of specimen, single patient, all places of service
Category:
Pathology & Lab
Section:
P-codes: Pathology and Laboratory
Effective:
Jan 1, 2014
Code type:
alphanumeric
OPPS Status:
A
— Paid under a separate fee schedule (not OPPS)
MUE — Medically Unlikely Edits
Maximum units of P9612 Medicare will pay for one beneficiary on one date of service. Claims exceeding the MUE are denied or returned for review.
| Service Type | Max Units / Day |
|---|---|
| Outpatient Hospital | 1 |
| Practitioner Services | 1 |
Source: CMS Medicare NCCI Medically Unlikely Edits
NCCI Edits
The following codes cannot be billed together with P9612 without appropriate documentation.
| Column 2 Code | Modifier |
|---|---|
| P9615 | Modifier cannot bypass edit |
Source: CMS National Correct Coding Initiative (NCCI)
NCCI Edits — Reverse Direction
P9612 cannot be billed together with the following column 1 codes without appropriate documentation.
| Column 1 Code | Modifier |
|---|---|
| C9738 | Modifier cannot bypass edit |
| C9739 | Modifier cannot bypass edit |
| C9740 | Modifier cannot bypass edit |
| C9761 | Modifier may bypass edit |
| G0162 | Modifier may bypass edit |
| G0458 | Modifier cannot bypass edit |
| G0471 | Modifier cannot bypass edit |
Source: CMS National Correct Coding Initiative (NCCI)