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HCPCS P9615 · Level II · P code

P9615: Catheterization for collection of specimen(s) (multiple patients), HCPCS Level II P code

Compiled from CMS files by the QuickIntell RCM Editorial Team · Data effective · Method: reference methodology · Report a data correction

Data currency: HCPCS Level II file: October 2026 (effective October 1, 2026); PFS relative value file: RVU26D, released August 26, 2026 (effective October 1, 2026); Clinical Laboratory Fee Schedule: 26CLABQ4 (CY2026 Q4) (effective October 1, 2026); NCCI MUE tables: 2026 Q4 (effective October 1, 2026); NCCI PTP edits: v323r0 (2026 Q4) (effective October 1, 2026); OPPS Addendum B: October 2026 (effective October 1, 2026). Next CMS release: January 1, 2027 (quarterly update) for the HCPCS Level II file and Clinical Laboratory Fee Schedule and NCCI MUE tables and NCCI PTP edits and OPPS Addendum B; RVU27A with the CY2027 PFS final rule, effective January 1, 2027 for the PFS relative value file.

Key facts for P9615

Medicare payment
$9.34
CLFS national limitation amount
Coverage code
D
special coverage instructions apply
Practitioner MUE
1
MAI 3
OPPS status
SI N
Items and Services packaged into APC rates
NCCI PTP pairs
4
4 hospital outpatient
LCDs and articles
0 / 0

TL;DR

CMS describes HCPCS P9615, added in 1985, as "Catheterization for collection of specimen(s) (multiple patients)". The 2026 Q4 clinical laboratory fee schedule pays P9615 $9.34 (national limitation amount). MUE limits for P9615: practitioner 1 (MAI 3, Code Descriptor / CPT Instruction); hospital outpatient 1 (MAI 3, Code Descriptor / CPT Instruction). In the NCCI PTP files v323r0 P9615 appears in 4 practitioner pairs as column 2 and 0 as column 1 (most often with 51701, G0162, G0471), and in 4 hospital outpatient pairs as column 2 and 0 as column 1. P9615 appears in no active LCD or billing and coding article, so coverage follows HCPCS coverage code D (special coverage instructions apply) and any NCD. OPPS status indicator N: Items and Services packaged into APC rates. HCPCS record: BETOS T1H (lab tests - other (non-Medicare fee schedule)); pricing indicator 57/21; type of service 5 (diagnostic laboratory). 1 other active code opens with "Catheterization for collection of specimen"; related codes: P9612, P9604, P9603, P9073.

P9615 descriptor and code status

The October 2026 HCPCS Level II file describes P9615 as “Catheterization for collection of specimen(s) (multiple patients)”. It sits in the P section (pathology and laboratory services), listed with the other P codes.

HCPCS file attributes of P9615
FieldValue
Short descriptorUrine specimen collect mult
Added to HCPCS1985-01-01
Last actionN (no maintenance), effective 2014-01-01
Coverage codeD: special coverage instructions apply
Pricing indicator57: other contractor-priced; 21: clinical lab fee schedule, subject to the national limitation amount
BETOS categoryT1H: lab tests - other (non-Medicare fee schedule)
Type of service5: diagnostic laboratory

Medicare payment for P9615

The 2026 Q4 clinical laboratory fee schedule pays P9615 $9.34 (national limitation amount). The amounts below are national figures from the October 2026 CMS files; the contractor applies the locality, rural or state adjustment and the beneficiary's cost sharing.

Physician fee schedule (RVU26D)

Status X: statutory exclusion: not a physician service under the fee schedule. Global period XXX (global surgery concept does not apply); PC/TC indicator 9 (professional/technical concept does not apply).

Clinical Laboratory Fee Schedule (26CLABQ4)

P9615 is paid at $9.34 (national limitation amount). Laboratory fee schedule payments carry no beneficiary coinsurance or deductible.

Hospital outpatient (OPPS Addendum B)

Status indicator N (Items and Services packaged into APC rates), with no separate OPPS payment rate.

Medically Unlikely Edits for P9615

MUE limits for P9615: practitioner 1 (MAI 3, Code Descriptor / CPT Instruction); hospital outpatient 1 (MAI 3, Code Descriptor / CPT Instruction). The practitioner MUE is a date-of-service clinical edit: units above the limit deny but can be paid on appeal with documentation.

MUE values for P9615 by setting
SettingMUE (units/DOS)MAICMS rationale
Practitioner services13 Date of Service Edit: ClinicalCode Descriptor / CPT Instruction
Facility outpatient hospital13 Date of Service Edit: ClinicalCode Descriptor / CPT Instruction

The MUE lookup for P9615 shows every setting next to any other code on the same claim.

NCCI edits and add-on rules

In the practitioner PTP file v323r0, P9615 is the column-2 (bundled) code in 4 active pairs, 25% of which allow a modifier and the column-1 code in 0; 4 earlier pairs have been deleted. CMS's most frequent rationale for the bundled pairs: Mutually exclusive procedures.

Column-1 codes most often paired with P9615 (practitioner)
Column-1 codePairs
51701 (CPT; descriptor licensed by AMA)1
G0162 Hhc rn e&m plan svs, 15 min1
G0471 Ven blood coll snf/hha1
P9612 Catheterize for urine spec1

In the hospital outpatient PTP file v323r0, P9615 is the column-2 (bundled) code in 4 active pairs, 25% of which allow a modifier and the column-1 code in 0; 4 earlier pairs have been deleted. CMS's most frequent rationale for the bundled pairs: Mutually exclusive procedures.

Column-1 codes most often paired with P9615 (hospital outpatient)
Column-1 codePairs
51701 (CPT; descriptor licensed by AMA)1
G0162 Hhc rn e&m plan svs, 15 min1
G0471 Ven blood coll snf/hha1
P9612 Catheterize for urine spec1

P9615 is neither an add-on code nor a designated primary code in the 2026 Q4 NCCI add-on edit file.

Pair counts show exposure, not the answer for one claim. Check P9615 against a second code to see whether the pair bundles and whether a modifier can separate the services.

Medicare coverage policies for P9615

No current LCD or billing and coding article lists P9615. The HCPCS coverage code D means special coverage instructions apply, and any National Coverage Determination for the service still applies.

Denials to expect on P9615

CARC 50 · N115

the service is not reasonable and necessary for the diagnosis on the claim

CARC 151 · N362

units of P9615 exceed the practitioner MUE of 1 per date of service

CARC 4

the modifier reported is inconsistent with the code

CARC 16

the claim lacks the description, invoice or pricing detail a contractor-priced code needs

Where QuickIntell fits for P9615 claims

QuickCode supports qualified coder review of units, modifiers and NCCI pairs for P9615 before the claim leaves, and QuickRCM carries claim readiness and the denial follow-up when an edit or coverage policy is missed.

See QuickCode for coder reviewSee QuickRCM for denial follow-upBook a meeting

Frequently asked questions: HCPCS P9615

What does HCPCS code P9615 describe?

"Catheterization for collection of specimen(s) (multiple patients)" (short descriptor "Urine specimen collect mult"), in the P section (pathology and laboratory services). Added 1985-01-01; last action N (no maintenance) effective 2014-01-01.

Is P9615 a CPT code?

No: CMS maintains P9615 in HCPCS Level II, while the AMA maintains CPT. It goes in the same procedure-code field.

What does Medicare pay for P9615?

The 2026 Q4 clinical laboratory fee schedule pays P9615 $9.34 (national limitation amount).

How many units of P9615 can be billed per day?

MUE limits for P9615: practitioner 1 (MAI 3, Code Descriptor / CPT Instruction); hospital outpatient 1 (MAI 3, Code Descriptor / CPT Instruction). For the practitioner MUE (MAI 3), units above 1 deny for the day but can be paid on appeal with documentation; denials arrive as CARC 151.

Does Medicare cover P9615?

P9615 appears in no active LCD or billing and coding article, so coverage follows HCPCS coverage code D (special coverage instructions apply) and any NCD.

Sources

Every figure on this page is taken from the CMS publications below, as released by the Centers for Medicare & Medicaid Services. Projection built 2026-10-10. Verify against the primary file before billing or contracting decisions. The reference methodology explains how each figure is computed from these files.

Disclaimer

This page is an operational reference compiled from CMS publications: the HCPCS Level II file, the physician, DMEPOS and clinical laboratory fee schedules, OPPS and ASC addenda, NCCI MUE, PTP and add-on edit tables and the Medicare Coverage Database. Amounts are Medicare national figures before locality and state adjustment; Medicaid and commercial payers set their own. CPT codes are shown as numbers only; CPT descriptors are copyright AMA. Nothing here is legal, clinical or billing advice.

Found a figure that does not match the CMS file? Report a data correction with the CMS file and the value you expected; the request reaches the editorial team through the contact form.