P7001: Culture, bacterial, urine; quantitative, sensitivity study
P7001 is a HCPCS Level II code for culture, bacterial, urine; quantitative, sensitivity study. It belongs to the Pathology and Laboratory Services section. Medicare does not pay it: see the coverage note below before you bill it.
Medicare coverage: Not payable by Medicare
Medicare does not pay this code. It may still be valid for another payer, but a Medicare claim carrying it will not be reimbursed.
From the coverage field of the CMS Alpha-Numeric HCPCS File, release 2026Q4-Oct. This states Medicare’s position on the code, not on your particular claim.
Physician fee schedule statusI
Not valid for Medicare purposes. Medicare uses another code.
Global period: XXX
Want the dollar amount for your locality? The fee calculator applies your GPCI and the current conversion factor.
Medically Unlikely Edits: units per day
The most units of P7001 Medicare will pay on one date of service. Bill more on a single line and it is denied. The limit is not the same in every setting, so the row that matters is the one matching the claim you are building.
- practitioner
- 0, never payable MAI 3: Date of Service Edit: Clinical · CMS Policy
- outpatient
- 0, never payable MAI 3: Date of Service Edit: Clinical · CMS Policy
The adjudication indicator decides whether exceeding the limit is worth appealing at all: MAI 1 is a line edit you can support with documentation, MAI 3 is a date-of-service edit that is also appealable, and MAI 2 is absolute, no documentation overrides it. CMS MUE 2026Q4.
The CMS record for P7001
- Long descriptor
- Culture, bacterial, urine; quantitative, sensitivity study
- Short descriptor
- Culture bacterial urine
- Added
- January 1, 1986
- BETOS
- T1H
- Pricing indicator
- 00: Not priced by Part B
The official wording. This is what the code means.
CMS's 28-character form, which is what shows up on a remittance advice.
When CMS introduced the code.
Berenson-Eggers Type of Service: CMS's own analytic grouping.
Service not separately priced by Part B, not covered, bundled into another service, or used by Part A only.
Codes adjacent to P7001
HCPCS has no hierarchy: related items simply sit next to each other in the numbering. If P7001 is not quite right, the correct code is very often within a few positions of it.
- M1503Vascular surgery mips value pathway
- P2028Cephalin floculation, blood
- P2029Congo red, blood
- P2031Hair analysis (excluding arsenic)
- P2033Thymol turbidity, blood
- P2038Mucoprotein, blood (seromucoid) (medical necessity procedure)
- P3000Screening papanicolaou smear, cervical or vaginal, up to three smears, by technician under physician supervision
- P3001Screening papanicolaou smear, cervical or vaginal, up to three smears, requiring interpretation by physician
- P9010Blood (whole), for transfusion, per unit
- P9011Blood, split unit
- P9012Cryoprecipitate, each unit
- P9016Red blood cells, leukocytes reduced, each unit
- P9017Fresh frozen plasma (single donor), frozen within 8 hours of collection, each unit
- P9019Platelets, each unit
- P9020Platelet rich plasma, each unit
- P9021Red blood cells, each unit