Provider-performed Microscopy Procedures
Q0111 - Wet mounts, including preparations of vaginal, cervical or skin specimens
Q0112 - All potassium hydroxide (KOH) preparations
Q0113 - Pinworm examinations
Q0114 - Fern test
Q0115 - Post-coital direct, qualitative examinations of vaginal or cervical mucous
81015 - Urinalysis; microscopic only
81000 - Urinalysis, by dipstick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automated, with microscopy
81001 - Urinalysis, by dipstick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, with microscopy (NOTE: May only be used when the lab is using an automated dipstick urinalysis instrument approved as waived.)
81020 - Urinalysis; two or three glass test
89055 - Fecal leukocyte examination (Effective: January 1, 2004)
G0027 - Semen analysis; presence and/or motility of sperm excluding Huhner
89190 - Nasal smears for eosinophils
Contact: Kathy Todd, E-mail: ktodd@cms.hhs.gov
