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See a sample rate comparisonCPT 0885T Fee Schedule
CPT 0885T is classified under Category III Codes, in the Transendoscopic Mechanical Dilation Procedures subgroup.
Colsc Flx 1st Tndsc Dilat, Colonoscopy Flexible With Initial Transendoscopic Mechanical Dilation (Eg Nondrug-Coated Balloon) Followed By Therapeutic Drug Delivery By Drug-Coated Balloon Catheter For Colonic Stricture Including Fluoroscopic Guidance When Performed
| Key Fact | Detail |
|---|---|
| Service Type | Category III Codes Transendoscopic Mechanical Dilation Procedures |
| Hospital Outpatient Group (APC) | APC 5331 - Complex GI Procedures |
| Surgery Center Payment (ASC) | J8 - Device-intensive procedure, paid at an adjusted rate |
| Common Revenue Codes | 03600361Sign up to view all 18 |
| Medicare Fee Schedule | View Medicare rates for 0885T |
| Medicaid Fee Schedule | $352.655 median of the 2 states in the free previewView Medicaid rates for 0885T |
National average reimbursement for CPT 0885T by major payers:
$N/A
BCBS / Anthem
$N/A
UnitedHealthcare
$N/A
Aetna
$N/A
Cigna
Compare published rates across providers.
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CPT 0885T
5 of 25 sample ratesHigher to lower in this preview
Vhs Harlingen Hospital Company LLC, Valley Baptist Medical Center
$23,917.00Published rateMemorial Hermann Health System, Memorial Hermann Memorial City Cicd
Memorial Hermann Health System
$10,122.00Published rateMethodist Healthcare System Of San Antonio, Ltd., LLP, Methodist Hospital Atascosa
$8,448.00Published rateBaylor University Medical Center
$5,369.00Published rateAlexandria Ambulatory Surgery Center Lp, Alexandria Heart & Vascular Surgery Center
$1,759.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 0885T vs. Other Transendoscopic Mechanical Dilation Procedures Codes
| Code | Description |
|---|---|
| 0885T-CPT | Colsc Flx 1st Tndsc Dilat, Colonoscopy Flexible With Initial Transendoscopic Mechanical Dilation (Eg Nondrug-Coated Balloon) Followed By Therapeutic Drug Delivery By Drug-Coated Balloon Catheter For Colonic Stricture Including Fluoroscopic Guidance When Performed |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 0885T. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 0885T fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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Frequently Asked Questions
What APC is CPT 0885T assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 0885T to APC 5331 (Complex GI Procedures). An APC groups outpatient services that Medicare pays at the same base rate.
How does Medicare pay for CPT 0885T in an ambulatory surgery center?
CMS lists CPT 0885T with ASC payment indicator J8: Device-intensive procedure, paid at an adjusted rate.
Which revenue codes are billed with CPT 0885T?
Hospital price transparency files list CPT 0885T under these revenue codes: including 0360, 0361, 0450, 0490 and 0510. A revenue code names the hospital department or charge category for the line; it does not change what the service is.