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See a sample rate comparisonCPT 81025 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Urine Pregnancy Test By Visua, Urine Pregnancy Test By Visual Color Comparison Methodsurine Pregnancy Test By Visual Color Comparison Methods
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Urinalysis Procedures |
| Common Place of Service | 11 - Office 20 - Urgent Care Facility |
| Common Modifiers | None 26 - Professional component QW - CLIA Waived Tests |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 81025 |
| Medicaid Fee Schedule | View Medicaid rates for 81025 |
National average reimbursement for CPT 81025 by major payers:
$8.11
$6.81
$9.08
$10.92
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CPT 81025
5 of 25 sample ratesHigher to lower in this preview
Jessica Kingston
Healing The Soul
$28.17Published rateKinan Hawasly
Mymichigan Medical Center Midland
$8.67Published rateAzka Ashraf
Pristine Ob-Gyn Care LLC
$7.18Published rateMario Nutis
Nutis Medical, PLLC
$5.17Published rateAmie Leaverton
Tuality Healthcare
$5.17Published rate
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See a sample payer proposalCPT 81025 vs. Other Urinalysis Procedures Codes
The CPT 81025 code is part of the Pathology and Laboratory Procedures services used for Urinalysis Procedures. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 81025 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 80434-CPT | Low | Acth Insufficiency Test, This Test Uses A Pretest Blood Sample As A Baseline To Compare A Fasting Blood Sample After Taking Insulin. The Test Measures Acth To Evaluate Interaction Between The Hypothalamus And Pituitary Gland In The Brain And The Adrenal Glands. |
| 80435-CPT | Low | Insulin Growth Factor Test, Insulin-Like Growth Factor (Igf-1) Is Often Tested Along With One Of The Growth Hormone (Hgh) Tests. Hgh Levels Change During The Day But Igf-1 Stays Steady. The Test Can Be Used To Monitor Average Hgh Levels And It May Reveal Damage To The Pituitary Gland. |
| 81020-CPT | Low | Urine Analysis, Urine Test That Checks Ph And Looks For Substances Such As Blood Crystals Bile And White Blood Cells (Antibodies). These May Be Viewed Under A Microscope Or Detected With Dip Sticks Or Colorizing Tablets. A Computer Analysis May Be Done As Well. |
| 81025-CPT | Low | Urine Pregnancy Test By Visua, Urine Pregnancy Test By Visual Color Comparison Methodsurine Pregnancy Test By Visual Color Comparison Methods |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 81025. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 81025 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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