P9615 HCPCS code: Catheterization for collection of specimen(s) (multiple patients)
P9615 is the HCPCS Level II code for catheterization for collection of specimen(s) (multiple patients). In 2024 Medicare paid an average of $8.29 per service for P9615 across 4,871 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 117% from 2022 to 2024 (2,248 to 4,871 services). In 2024, about 75 clinicians billed Medicare for P9615 for 1,907 beneficiaries; Delaware, Nevada, Florida accounted for 92% 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 | 1985-01-01 |
| Last action effective | 2014-01-01 |
Who bills P9615 (2024)
| Measure | Value |
|---|---|
| Clinicians billing (by place of service) | 75 |
| Medicare beneficiaries | 1,907 |
| States with claims | 10 |
| Share of services in top 3 states (Delaware, Nevada, Florida) | 92% |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for P9615, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 2,248 | 1,608 | $2.95 | $2.95 |
| 2023 | 3,934 | 2,211 | $7.50 | $7.50 |
| 2024 | 4,871 | 1,907 | $8.29 | $8.29 |
States with the most P9615 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| Delaware | 2,143 | $8.65 |
| Nevada | 2,024 | $8.65 |
| Florida | 255 | $6.93 |
| Mississippi | 183 | $3.89 |
| New York | 50 | $8.65 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| outpatient hospital claims | 1 | Code Descriptor / CPT Instruction |
| practitioner claims | 1 | Code Descriptor / CPT Instruction |
What changed for P9615
- 1985-01-01: P9615 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 P9615?
P9615 is the HCPCS Level II code for catheterization for collection of specimen(s) (multiple patients). Short descriptor: "Urine specimen collect mult".
How much does Medicare pay for P9615?
In 2024, the average Medicare payment was $8.29 per service (average allowed $8.29).
Does Medicare cover P9615?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
How many units of P9615 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
- P9612 — Catheterization for collection of specimen, single patient, all places of service
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 P9615
- Watch P9615 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for P9615
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.