CPT 88108 Fee Schedule
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
| Key Fact | Detail |
|---|---|
| Service Type | • Pathology and Laboratory Procedures • Cytopathology Procedures |
| Common Place of Service | • 21 - Inpatient Hospital • 22 - On Campus Outpatient Hospital |
| Common Modifiers | • None • 26 - Professional component • 59 - Distinct Procedural Service |
| Complexity Level | Low |
| CMS | $46.90 Physician Fee Schedule |
National average reimbursement for CPT 88108 by major payers:
$76.82
$55.26
$78.89
$69.97
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 88108 | ||||||
United | 88108 | $15.60 | 1538691365 - HE QIU | 204667826 - (NY) AE & LY MEDICAL ASSOCIATES, PLLC | NY | Gastroenterology Physician (207RG0100X) |
United | 88108 | $31.42 | 1932121456 - GEORGE SURLA | 200049072 - (NY) GREATER NEW YORK GASTROENTEROLOGY, LLP | NY | Gastroenterology Physician (207RG0100X) |
United | 88108 | $29.54 | 1003899261 - BRADLEY SKLAR | 161503382 - (NY) DIGESTIVE DISEASE MEDICINE OF CNY, LLP | NY | Gastroenterology Physician (207RG0100X) |
United | 88108 | $33.75 | 1679677868 - SANTA NANDI | 562323112 - (NY) SANTA NANDI MD, PC | NY | Gastroenterology Physician (207RG0100X) |
United | 88108 | $56.79 | 1205009958 - YPE DE JONG | 131623978 | NY | Gastroenterology Physician (207RG0100X) |
United | 88108 | $52.70 | 1457658445 - WHITE PLAINS HOSPITAL MEDICAL CENTER, WHITE PLAINS GASTROENTEROLOGY | 131740130 - WHITE PLAINS HOSPITAL MEDICAL CENTER | NY | Gastroenterology Physician (207RG0100X) |
United | 88108 | $133.77 | 1487640652 - KRISTIN NASO | 208853938 - (NY) MEETING HOUSE LANE MEDICAL PRACTICE PC | NY | Gastroenterology Physician (207RG0100X) |
United | 88108 | $48.84 | 1447242649 - CHRIS LASCARIDES | 111639818 - (NY) JOHN T MATHER MEMORIAL HOSPITAL | NY | Gastroenterology Physician (207RG0100X) |
United | 88108 | $139.41 | 1619395746 - PRATIMA DIBBA | 453023019 - (NY) NORTH SHORE-LIJ MEDICAL PC | NY | Gastroenterology Physician (207RG0100X) |
United | 88108 | $21.95 | 1083814982 - ANOOP PRABHU | 263328413 - (OH) UNION COUNTY PHYSICIAN CORPORATION | OH | Gastroenterology Physician (207RG0100X) |
United | 88108 | $287.32 | 1770683286 - ARNOLD MARKOWITZ | 133278574 - (NY) MEMORIAL GASTROENTEROLOGY GROUP | NY | Gastroenterology Physician (207RG0100X) |
United | 88108 | $25.96 | 1649251885 - JAY MEHLMAN | 113577139 | NY | Gastroenterology Physician (207RG0100X) |
United | 88108 | $13.78 | 1962655753 - ROCHESTER GENERAL HOSPITAL, WMG GI SPECIALTY | 160743134 - ROCHESTER GENERAL HOSPITAL | NY | Gastroenterology Physician (207RG0100X) |
United | 88108 | $79.61 | 1215460019 - ALANA PERSAUD | 831871064 | PA | Gastroenterology Physician (207RG0100X) |
United | 88108 | $64.59 | 1982659181 - AARON WALFISH | 800756169 | NY | Gastroenterology Physician (207RG0100X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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CPT 88108 vs. Other Cytopathology Procedures Codes
The CPT 88108 code is part of the Pathology and Laboratory Procedures services used for Cytopathology Procedures. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 88108 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 88104-CPT | Low | Cytopathology, Fluids, Washings Or Brushings, With Centrifugation Except Cervical Or Vaginal; Smears With Interpret |
| 88106-CPT | Low | Cytopath Not Cerv/Vag; Filter Intrp |
| 88108-CPT | Low | Cytopathology, Fluids, Washings Or Brushings, With Centrifugation Except Cervical Or Vaginal; Concentration Techniq |
| 88112-CPT | Low | Cytopathology, Selective Cellular Enhancement Technique With Interpretation (Eg, Liquid Based Slide Preparation Method), Except Cervical Or Vaginal |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 88108. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 88108 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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