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 2026Q3-Jul. 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 2026Q3.
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
Questions about P7001
What is HCPCS code P7001?
P7001 is a HCPCS Level II code for culture, bacterial, urine; quantitative, sensitivity study. It sits in the Pathology and Laboratory Services section.
Does Medicare cover P7001?
The CMS HCPCS file marks P7001 as "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.
How is P7001 paid under the physician fee schedule?
P7001 carries PFS status code I. Not valid for Medicare purposes. Medicare uses another code.