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See a sample rate comparisonHealthcare 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 | 81 - Independent Laboratory 11 - Office |
| Common Modifiers | None 90 - Reference Laboratory 33 - Preventive Services |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 88175 |
| Medicaid Fee Schedule | View Medicaid rates for 88175 |
National average reimbursement for CPT 88175 by major payers:

$26.62

$25.59

$31.28

$38.99
Choose a payer to see a sample of rates for CPT 88175.
Mcv Associated Physicians
Etx Successor Athens
Uhs Of Texoma Inc
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Rate Benchmarking
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See a sample payer proposalCPT 88175 vs. Other Cytopathology Procedures Codes
The CPT 88175 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 88175 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 |
|---|---|---|
| 88142-CPT | Low | Cytopathology Cervical Or Vag, Cytopathology Cervical Or Vaginal (Any Reporting System)Collected In Preservative Fluid Automatedthin Layer Preparation Manual Screening Under P Hysician Supervision |
| 88143-CPT | Low | Cytopath C V Thin Layer Redo, Cytopathology Cervical Or Vaginal Any Reporting System Collected In Preservative Fluid Automated Thin Layer Preparation With Manual Screening And Rescreening Under Physician Supervision |
| 88147-CPT | Low | Pap Test, Routine Pap Smear Screened By An Automated System Under Physician Supervision. If A Follow-Up Screen Is Needed It Is Evaluated Manually By A Physician. |
| 88175-CPT | Low | Cytopath C V Auto Fluid Redo, Cytopathology Cervical Or Vaginal Any Reporting System Collected In Preservative Fluid Automated Thin Layer Preparation With Screening By Automated System And Manual Rescreening Or Review Under Physician Supervision |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 88175. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 88175 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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