Health Information Management

Q&A: Report HCPCS code P9612 for specimens obtained using a straight catheter

APCs Insider, June 13, 2008

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Q: Can we code bladder catheterizations when the urine specimen is obtained for an analysis and the catheter is “in and out?”

A: Reimbursement policies may vary by payer, but Medicare instructs providers to report HCPCS code P9612 for catheterization for collection of specimen, single patient, all places of service. Report this code when a clinician obtains the specimen with a straight catheter.

However, it is not appropriate to report CPT code 51701, Insertion of nondwelling bladder catheter (e.g., straight catheterization for residual urine), if the urine is obtained by catheterization for urine analysis. National Correct Coding Initiative (NCCI) edits dictate that when CPT code 51701 is comprehensive or a Column 1 code, P9612 cannot be reported. When the catheter insertion is a component of another procedure, do not report the straight catheterization separately.

Please see Coding Clinic for HCPCS, vol 7, no.3, third quarter 2007, and CPT Assistant, October 2003 and January 2007 for more information.

(The above Q&A was adapted with correction from the May issue of APC Answer Letter)



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