HCPCS Level II › P codes P9612 Catheterize for urine specCatheterization for collection of specimen, single patient, all places of service
Medicare coverage: Special coverage instructions apply Status: active (October 2026 file) Medically Unlikely Edits (effective October 1, 2026) Practitioner: max 1 units per day (clinical), rationale: Clinical: Data Outpatient hospital: max 1 units per day (clinical), rationale: Clinical: Data Medicare pricing for P9612 Physician Fee Schedule (CY 2026, RVU26D) Status X: statutory exclusion, not paid under the PFS.
Payer policies and prior authorization for P9612 Medicaid fee-for-service AZ: $9.34 (lab), effective Oct 1, 2026 CO: $3.15 (lab_cdl), effective Oct 1, 2025 IN: $7.73 (professional, Advanced Practice Nurse (85%), non-facility), effective Jan 1, 2026 KY: $9.34 (lab), effective Jan 1, 2026 ND: $0.00 (physician), effective Aug 1, 2026 OH: $7.01 (lab), effective Apr 1, 2026 OK: $8.31 (physician, non-facility), effective Jul 1, 2026 VA: $3.00 (medical), effective Jan 1, 2005 VT: $8.86 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $7.47 (physician, facility), effective Jul 1, 2026 WY: $2.54 (professional), effective Jan 1, 2021 From payers' published prior-auth lists, coverage policies and state Medicaid fee schedules, updated Oct 16, 2026. The role is what the policy's own code table or text says about the code. Not a guarantee of coverage or payment; verify with the payer. CPT® is a registered trademark of the American Medical Association.