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See a sample rate comparisonCPT 88120 Fee Schedule
Last Verified: September 2026
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.
Cytp Urne 3 5 Probes Ea Spec, Cytopathology In Situ Hybridization Eg Fish Urinary Tract Specimen With Morphometric Analysis 3 5 Molecular Probes Each Specimen Manual
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Cytopathology Procedures |
| Common Place of Service | 11 - Office 81 - Independent Laboratory |
| Common Modifiers | None TC - Technical component 26 - Professional component |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 88120 |
| Medicaid Fee Schedule | View Medicaid rates for 88120 |
National average reimbursement for CPT 88120 by major payers:
$622.25
$477.05
$581.88
$612.13
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CPT 88120
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$1,529.15Published rateBaycare Home Care, Inc.
Baycare Home Care Inc
$756.29Published rateChristopher Raio
Mercy Medical Center
$638.87Published rateBaptist Health Care, Inc., Baptist Home Healt Care And Medical Equipment
Baptist Health Care Inc
$305.39Published rateChristopher Raio
St Francis Hospital
$60.02Published rate
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See a sample payer proposalCPT 88120 vs. Other Cytopathology Procedures Codes
The CPT 88120 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 88120 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 | Study Of Cells In Body Fluid, Cells Collected From Body Fluids Are Smeared Into A Thin Layer For Viewing Under A Microscope. The Study May Identify Signs Of Problems With Surgical Wounds And Certain Cancers. |
| 88106-CPT | Low | Study Of Cells In Body Fluid, Cells Collected From Body Fluids Are Smeared Into A Thin Layer For Viewing Under A Microscope. The Study May Identify Signs Of Problems With Surgical Wounds And Certain Cancers. |
| 88120-CPT | Moderate | Cytp Urne 3 5 Probes Ea Spec, Cytopathology In Situ Hybridization Eg Fish Urinary Tract Specimen With Morphometric Analysis 3 5 Molecular Probes Each Specimen Manual |
| 88121-CPT | Moderate | Cytp Urine 3 5 Probes Cmptr, Cytopathology In Situ Hybridization Eg Fish Urinary Tract Specimen With Morphometric Analysis 3 5 Molecular Probes Each Specimen Using Computer Assisted Technology |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 88120. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 88120 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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