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See a sample rate comparisonCPT 88125 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.
Lab Testing Related To A Crime, Material From A Body Such As Hair Skin Or Blood Is Collected From A Crime Scene And Tested In A Laboratory. The Purpose Is To Identify Or Exclude A Persons Involvement In The Crime.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Cytopathology Procedures |
| Common Place of Service | 11 - Office 81 - Independent Laboratory |
| Common Modifiers | None QW - CLIA Waived Tests 26 - Professional component |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 88125 |
| Medicaid Fee Schedule | View Medicaid rates for 88125 |
National average reimbursement for CPT 88125 by major payers:
$32.83
$20.59
$25.54
$26.88
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CPT 88125
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$67.45Published rateChristopher Raio
Good Samaritan Hosptial Medical Center
$23.57Published rateChristopher Raio
Good Samaritan Hosptial Medical Center
$15.77Published rateChristopher Raio
St Francis Hospital
$9.90Published rateChristopher Raio
Mercy Medical Center
$3.95Published rate
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See a sample payer proposalCPT 88125 vs. Other Cytopathology Procedures Codes
The CPT 88125 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 88125 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. |
| 88108-CPT | Low | Laboratory Study Of Cells, Examination Of A Cell Sample Using Techniques To Identify If A Disease Is Present Or Not (Cytopathology). Results Are Interpreted For A Report. |
| 88125-CPT | Low | Lab Testing Related To A Crime, Material From A Body Such As Hair Skin Or Blood Is Collected From A Crime Scene And Tested In A Laboratory. The Purpose Is To Identify Or Exclude A Persons Involvement In The Crime. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 88125. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 88125 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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