Lab & pathology
82043 — Albumin; urine, microalbumin, quantitative
A urine test that measures tiny amounts of the protein albumin to detect early kidney damage, particularly in patients with diabetes or high blood pressure.
- Typical setting: Hospital lab, reference lab, doctor's office
- National avg charge (illustrative): $5–$15 Medicare allowed (CMS CLFS); $10–$50 commercial; varies by region
- Most-disputed reason: Confusing 82043 (quantitative microalbumin) with 82044 (semiquantitative microalbumin) — different methodologies require the correct code
What it means
What 82043 actually means
A urine test that measures tiny amounts of the protein albumin to detect early kidney damage, particularly in patients with diabetes or high blood pressure. Small amounts of albumin leaking into urine is one of the first signs of diabetic kidney disease.
Common errors with this code
What goes wrong on real bills.
Most bills that look correct still contain at least one of these issues. Up to 49% of medical bills contain errors (CFPB).
- Confusing 82043 (quantitative microalbumin) with 82044 (semiquantitative microalbumin) — different methodologies require the correct code
- Billing 82043 and 82570 (creatinine, urine) separately when a urine albumin-to-creatinine ratio (UACR) is ordered — both may be appropriate but bundling rules vary by payer
- Using modifier 91 for repeat testing on the same day without clear documentation that a repeat test was medically necessary
If you see 82043 on your bill
Three steps before paying.
1. Get the itemized bill. If your statement only shows a summary, request the CPT-level itemized bill before paying. Generate the request language →
2. Cross-check against the EOB. Compare what your insurer's Explanation of Benefits says you owe versus what the hospital is asking. They disagree more often than people think. Read the bill-vs-EOB guide →
3. Run a free Bill Scan. Upload the bill (and EOB if you have it) and BillBusted will flag the most likely issues with this specific code in your specific state. Run free scan →
Related codes
Other codes in this category.
People who land on 82043 often also see these adjacent codes on the same bill.
CPT
80050 — General health panel; includes CBC w/diff, CMP, TSH
Lab — check for unbundling and duplicate billing.
CPT
80051 — Electrolyte panel; CO2, chloride, potassium, sodium
Lab — check for unbundling and duplicate billing.
CPT
80053 — Comprehensive metabolic panel
If individual blood tests are also on your bill, you may have an unbundling error.
CPT
80055 — Obstetric panel; CBC w/diff, HBsAg, rubella Ab, syphilis, RBC Ab screen, ABO/Rh
Lab — check for unbundling and duplicate billing.
CPT
80061 — Lipid panel (cholesterol)
If you see HDL or LDL listed separately next to 80061, that's unbundling.
Related BillBusted guides
Plain-English reads if you see 82043 on a bill.
82043 FAQ
Plain-English answers.
What does 82043 usually cost?
$5–$15 Medicare allowed (CMS CLFS); $10–$50 commercial; varies by region. Costs vary by region, payer contract, and whether the service was performed in a hospital outpatient department (which adds a facility fee) versus a free-standing clinic.
What's the most common billing error on 82043?
Confusing 82043 (quantitative microalbumin) with 82044 (semiquantitative microalbumin) — different methodologies require the correct code
What should I do if I see 82043 on my bill?
Request the itemized bill and the matching EOB from your insurer. Compare the units/quantity billed against what you actually received. Run a free BillBusted scan to flag the most likely errors specific to 82043 before paying.
Don't pay 82043 blindly.
The free scan tells you in under 60 seconds whether this charge looks reasonable for your situation.