PPM Spun Urine

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Hi,

My POL originally requested to start performing PPM spun urine. After doing all the footwork and providing the Epic order, which shows all the formed elements that are required to be reported out, the providers have come back to say they are only interested in reporting RBC casts and dismorphic RBCs. 



Can an order even be created for this when the cpt code is for an entire urine microscopic test? 

Does anyone have experience with this type of request?


This is for a specialized pediatric nephrology and lupus clinic. 



Any help is greatly appreciated! 🔬 🩸

4 Replies

Hi Falynn,
Nephrology is the only service for us which perform the PPM spun urine/urine sediments. We didn't give them a choice (to only report one of the sediment 'results') because, as you state, we had to build the test results/code based on available CPT code.

Hi Peggy. 

Thanks for commenting. Can the CPT code for a microscopic be used because that is what’s being performed no matter the number of elements reported? In other words, do you have to report all the elements to use the cpt code? 

Just based on whether or not you could legitimately use the CPT, I don't see why you could not use the CPT and build a result shell that includes all formed element components and the performing physician could simply enter Not Reported.  No different than if the laboratory were required to result a single test or tests within a profile represented by a single CPT as "Not Reported" due to some technical issue.  The single CPT would still be used for that work.

I agree with James.

I was not suggesting that the build be only to report as a single element, the RBCs.

We had to build the manual entry testing results as if all the elements would be resulted. But it's up to the providers, since they are the testing personnel on what is reported. And the patient will be billed per the CPT code which the providers also are aware of.

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Falynn Florane
about 2 months ago
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