P9612 HCPCS code: Catheterization for collection of specimen, single patient, all places of service
P9612 is the HCPCS Level II code for catheterization for collection of specimen, single patient, all places of service. In 2024 Medicare paid an average of $8.14 per service for P9612 across 19,044 services. Its Medicare coverage code is D (Special coverage instructions apply): Medicare covers it when its national or local coverage criteria are met. The NCCI unit limit is 1 per day on outpatient hospital claims. Medicare volume rose 3% from 2022 to 2024 (18,577 to 19,044 services). In 2024, about 1,667 clinicians billed Medicare for P9612 for 13,684 beneficiaries; New York, Oklahoma, Florida accounted for 43% of services.
Code details
| Field | Value |
|---|---|
| Section | P codes — Pathology and laboratory services |
| Coverage code | D — Special coverage instructions apply |
| Pricing indicator | 57 |
| BETOS category | T1H |
| Added | 1999-01-01 |
| Last action effective | 2014-01-01 |
Who bills P9612 (2024)
| Measure | Value |
|---|---|
| Clinicians billing (by place of service) | 1,667 |
| Medicare beneficiaries | 13,684 |
| States with claims | 41 |
| Share of services in top 3 states (New York, Oklahoma, Florida) | 43% |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for P9612, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 18,577 | 13,724 | $2.95 | $2.95 |
| 2023 | 17,784 | 13,214 | $7.54 | $7.54 |
| 2024 | 19,044 | 13,684 | $8.14 | $8.14 |
States with the most P9612 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| New York | 3,786 | $8.55 |
| Oklahoma | 2,695 | $8.55 |
| Florida | 1,744 | $7.77 |
| Texas | 1,390 | $8.27 |
| Virginia | 1,299 | $8.24 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| outpatient hospital claims | 1 | Clinical: Data |
| practitioner claims | 1 | Clinical: Data |
What changed for P9612
- 1999-01-01: P9612 added to HCPCS Level II
- Next scheduled CMS quarterly update (HCPCS and DMEPOS fee schedule): 2027-01-01
Frequently asked questions
What is HCPCS code P9612?
P9612 is the HCPCS Level II code for catheterization for collection of specimen, single patient, all places of service. Short descriptor: "Catheterize for urine spec".
How much does Medicare pay for P9612?
In 2024, the average Medicare payment was $8.14 per service (average allowed $8.14).
Does Medicare cover P9612?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
How many units of P9612 can be billed per day?
1 on outpatient hospital claims; 1 on practitioner claims (NCCI medically unlikely edits).
Related P96 codes
- P9603 — Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled
- P9604 — Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge
- P9615 — Catheterization for collection of specimen(s) (multiple patients)
Building a device that would bill under a code like this? Caduvo matches a device description to HCPCS/CPT codes, Medicare coverage and payment, and the FDA pathway in one report.
Next steps
- Run a reimbursement report for a device billed under P9612
- Watch P9612 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for P9612
Sources: CMS HCPCS Level II release October 2025; CMS DMEPOS fee schedule; CMS NCCI MUE tables; CMS Medicare utilization (physician and DME supplier files); CMS Medicare Coverage Database articles. Fees are Medicare allowables, not commercial rates. Not billing or legal advice.