CPT 88182 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 | • 22 - On Campus Outpatient Hospital • 21 - Inpatient Hospital |
| Common Modifiers | • None • 26 - Professional component • TC - Technical component |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 88182 |
National average reimbursement for CPT 88182 by major payers:
$172.17
$105.15
$136.73
$148.86
| 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 88182 | ||||||
United | 88182 | $84.23 | 1235344011 - CLINTON WAGGONER | 631185612 - (AL) SOUTHVIEW MEDICAL GROUP, P.C. | FL | Diagnostic Radiology Physician (2085R0202X) |
United | 88182 | $357.92 | 1073502985 - CHU CHEN | 42484572 - MERRIMACK VALLEY PEDIATRIC ASSOCIATES, INC. | MA | Pediatrics Physician (208000000X) |
United | 88182 | $62.31 | 1518301977 - JEFFERY OLSEN | 880161009 - (NV) NATHAN ADELSON HOSPICE INC | NV | Hospitalist Physician (208M00000X) |
United | 88182 | $100.48 | 1255478004 - CHRISTOPHER RAIO | 208243412 - SAMARITAN EMERGENCY MEDICAL SERVICES PC | NY | Emergency Medicine Physician (207P00000X) |
United | 88182 | $59.97 | 1770552150 - PREMAL JOSHI | 270525551 - (TX) PREMAL P JOSHI MD PA | TX | Nephrology Physician (207RN0300X) |
United | 88182 | $45.93 | 1790147874 - JENELLE FERNANDEZ | 834257679 | AL | Pediatric Gastroenterology Physician (2080P0206X) |
United | 88182 | $24.25 | 1801927876 - PEI-CHIN HSIEH | 954719255 - (CA) SOUTHERN CALIFORNIA HEART CENTERS, A MED. CORP. | AL | Cardiovascular Disease Physician (207RC0000X) |
United | 88182 | $84.23 | 1114975950 - KENT DICKSON | 752743591 - (TX) KENT F DICKSON MD PA | TX | Orthopaedic Hand Surgery Physician (207XS0106X) |
United | 88182 | $241.14 | 1255478004 - CHRISTOPHER RAIO | 111888924 - GOOD SAMARITAN HOSPTIAL MEDICAL CENTER | NY | Emergency Medicine Physician (207P00000X) |
United | 88182 | $158.99 | 1255478004 - CHRISTOPHER RAIO | 111635088 - MERCY MEDICAL CENTER | NY | Emergency Medicine Physician (207P00000X) |
United | 88182 | $3.15 | 1154449114 - PRITHVIRAJ BOSE | 760273984 | TX | Hematology & Oncology Physician (207RH0003X) |
United | 88182 | $59.97 | 1902987811 - THOMAS STASICHA | 300791563 | TX | Internal Medicine Physician (207R00000X) |
United | 88182 | $40.84 | 1336471606 - ROBERTO RUIZ | 451561780 - (TX) SCOTTY ORTEGA, M.D., P.A., LLP | TX | Internal Medicine Physician (207R00000X) |
United | 88182 | $88.68 | 1053774018 - SAMUEL WALING | 273920921 - (AL) CRESTWOOD PHYSICIAN SERVICES LLC | AL | Family Medicine Physician (207Q00000X) |
United | 88182 | $51.79 | 1427016203 - JEFFREY SCOTT | 261869328 | FL | Pulmonary Disease Physician (207RP1001X) |
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 88182 vs. Other Cytopathology Procedures Codes
The CPT 88182 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 88182 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 |
|---|---|---|
| 88182-CPT | Low | Flow Cytometry;Cell Cycle/Dna Analy |
| 88184-CPT | Low | Flow Cytometry, Cell Surface, Cytoplasmic, Or Nuclear Marker, Technical Component Only; First Marker |
| 88185-CPT | Low | Flow Cytometry, Cell Surface, Cytoplasmic, Or Nuclear Marker, Technical Component Only; Each Additional Marker (List Separately In Addition To Code For First Marker) |
| 88187-CPT | Low | Flow Cytometry, Interpretation; 2 To 8 Markers |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 88182. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 88182 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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