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    v1.0.28
    OpenPayerBilling CodesDiagnostic/Screening Processes or ResultsCPT cpt-3061f-negative-microalbuminuria-test-urine
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    CPT 3061F: Negative Microalbuminuria Test Documented

    CPT code 3061F documents a negative microalbuminuria test — a urine test measuring albumin to indicate absence of albuminuria and low likelihood of kidney damage often related to diabetes; the service is laboratory testing with provider review and documentation of results, typically performed in an ambulatory clinic or outpatient laboratory setting.

    For related coverage guidance, see recent payer policy updates: Venous and Arterial Thrombosis Risk Testing, Drug Screen Testing - Professional, Gamma-glutamyl Transferase (GGT) Testing in Adults.

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    Table of contents

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    Clinical & Coding Specifications

    Clinical Context

    A 54-year-old patient with type 2 diabetes presents for routine chronic disease monitoring. At the clinic visit the provider orders a urine microalbumin (albumin-to-creatinine ratio) to screen for early diabetic nephropathy. The sample is collected in the outpatient clinic laboratory or provided by the patient at a primary care or endocrinology visit. The laboratory performs the urine albumin measurement and reports a negative result (no albumin detected above the assay threshold). The provider reviews and documents the negative microalbuminuria test in the chart, reinforcing that there is no current evidence of albuminuria and that routine surveillance will continue. Typical site of service is outpatient clinic or outpatient laboratory; service type is diagnostic laboratory testing performed as part of chronic disease management. Common scenario modifiers include telehealth review of results (95) or point-of-care collection and testing (PO).

    Related CPT Codes

    CPT CodeDescriptionRelationship to This Procedure
    82043Albumin; quantitative, urine (eg, microalbumin)Directly describes quantitative urine albumin testing and may be reported when specific laboratory testing is performed
    84156Urine albumin; reagent stripAlternative method for detecting urine albumin (qualitative/semiquantitative) used at point of care
    81001Urinalysis, by dip stick or tablet reagent, non-automated, with microscopy if performedMay be performed alongside microalbumin testing for routine urine assessment
    81003Urinalysis, by dip stick or tablet reagent, automated, with microscopy if performedAutomated urinalysis often ordered with urine albumin to assess concentration and abnormal findings
    36415Collection of venous blood by venipunctureMay be performed in the same encounter for concurrent laboratory monitoring (e.g., serum creatinine, A1c)
    82043-POAlbumin; quantitative, urine (eg, microalbumin) — point of care (modifier applied as appropriate)Indicates the same test performed at point of care when PO modifier is used

    Related Modifiers

    5 rows

    ModifierDescriptionWhen to Use
    95Modifier 95 indicates that a service was provided via synchronous, real‑time audio‑video telehealth rather than in‑person. Per CMS, AAPC and professional associations, append modifier 95 to claim…- Use modifier 95 to indicate a service was furnished via synchronous, real‑time audiovisual telehealth (a live audio‑video conference between patient and provider) rather than in‑person. - Pair…
    26Modifier 26 (Professional Component) identifies and bills only the professional portion of a split service — the physician’s interpretation, report, and medical judgment — when the technical…- Use CPT Modifier -26 when you are billing only the professional component (PC) of a split‑bill eligible service—i.e., you performed the physician interpretation, medical judgment and prepared a…
    59Modifier 59 indicates a distinct procedural service when two procedures that are not normally billed together are clinically and procedurally separate. The CPT definition (as reiterated by CMS)…- Use modifier -59 to report a distinct procedural service when documentation supports that the procedure reported is not normally billed together with another service on the same day because of a…
    25CPT modifier 25 indicates that on the same day as another procedure or service, the same physician or other qualified health care professional provided a significant, separately identifiable…- When to apply: Use modifier 25 only on an E/M code to indicate the same provider delivered a significant, separately identifiable E/M service on the same day as another procedure or service — i.e.,…
    82Modifier 82 is appended to a surgical CPT code to indicate that an attending physician acted as an assistant because a qualified resident surgeon was unavailable. In teaching hospitals it documents…- When to use: Append modifier 82 in teaching-hospital settings to indicate a physician served as an assistant surgeon because a qualified resident surgeon was unavailable (includes situations where…

    Related Provider Taxonomies

    8 rows

    Taxonomy CodeSpecialtyNotes
    207Q00000XFamily Medicine PhysicianFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadt…
    207R00000XInternal Medicine PhysicianA physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults…
    207RH0000XHematology (Internal Medicine) PhysicianAn internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, cl…
    207K00000XAllergy & Immunology PhysicianAn allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Select…
    332U00000XHome Delivered MealsHome-delivered meals are those services or activities designed to prepare and deliver one or more meals a day to an individual's residence in order to…
    207ZC0006XClinical Pathology PhysicianA pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the labora…
    2085D0003XDiagnostic Neuroimaging (Radiology) PhysicianA licensed physician, who has completed a residency program in Neurology, and who has additional training, experience, and competence in the standards…
    261QP2000XPhysical Therapy Clinic/CenterAn entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy i…

    Related ICD-10-CM Codes

    26 rows

    ICD-10-CM CodeDescription
    E10.21Type 1 diabetes mellitus with diabetic nephropathy
    E10.22Type 1 diabetes mellitus with diabetic chronic kidney disease
    E10.9Type 1 diabetes mellitus without complications
    E11.21Type 2 diabetes mellitus with diabetic nephropathy
    E11.22Type 2 diabetes mellitus with diabetic chronic kidney disease
    E11.29Type 2 diabetes mellitus with other diabetic kidney complication
    E66.9Obesity, unspecified
    E78.5Hyperlipidemia, unspecified
    F17.210Nicotine dependence, cigarettes, uncomplicated
    I10Essential (primary) hypertension

    Showing 1–10 of 26

    Related Payer Policy Updates

    Specialty: Laboratory/Pathology1 / 3

    10 rows

    PolicyPayerEffective Date
    Venous and Arterial Thrombosis Risk TestingOscar Health2026-10-01
    Drug Screen Testing - ProfessionalBlue Cross Blue Shield - Maine2026-10-01
    Gamma-glutamyl Transferase (GGT) Testing in AdultsOscar Health2026-10-01
    Diagnostic Testing Of Iron Homeostasis & MetabolismOscar Health2026-10-01
    Prescription Medication and Illicit Drug Testing in the Outpatient SettingOscar Health2026-10-01
    Serum Tumor Markers for MalignanciesOscar Health2026-10-01
    Micronutrient TestingOscar Health2026-10-01
    Metabolite Markers of Thiopurines TestingOscar Health2026-10-01
    Identification of Microorganisms using Nucleic Acid ProbesOscar Health2026-10-01
    In Vitro Chemoresistance and Chemosensitivity AssaysOscar Health2026-10-01

    Related Codes

    CPT-3006F-CLINICAL-QUALITY-MEASURE

    CPT 3006F: Respiratory Assessment or Therapy Note

    CPT-3008F-NO-SUMMARY-AVAILABLE

    CPT 3008F: No Summary available

    CPT-3011F-CLINICAL-REPORTING-ELEMENT

    CPT 3011F: Clinical Quality Measure Documentation

    CPT-3014F-SCREENING-MAMMOGRAPHY-ASYMPTOMATIC-WOMEN-40-PLUS

    CPT 3014F: Screening Mammography for Asymptomatic Women 40+

    CPT-3015F-PERFORMANCE-MEASURE

    CPT 3015F: Airway Management/Intubation Assessment

    CPT-3016F-ALCOHOL-USE-SCREENING-ANNUAL

    CPT 3016F: Alcohol Screening for Unhealthy Use in Adults

    CPT-3017F-COLORECTAL-CANCER-SCREENING

    CPT 3017F: Colorectal Cancer Screening

    CPT-3018F-SPECIFIC-CLINICAL-REPORTING-ITEM

    CPT 3018F: Oxygen Therapy Assessment or Documentation

    CPT-3019F-UNSPECIFIED-SERVICE

    CPT 3019F: No Summary Found

    CPT-3020F-NO-SUMMARY-AVAILABLE

    CPT 3020F: Clinical Quality Performance Measure

    Showing 1–10 of 199

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    Frequently Asked Questions

    References

    1. 1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
    2. 2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
    3. 3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.
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