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
Last Modified on Thursday, September 16, 2004
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