CPT 88184 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 | • 81 - Independent Laboratory • 11 - Office |
| Common Modifiers | • None • 59 - Distinct Procedural Service • 90 - Reference Laboratory |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 88184 |
National average reimbursement for CPT 88184 by major payers:
$88.10
$59.36
$78.29
$138.14
| 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 88184 | ||||||
United | 88184 | $49.38 | 1740523794 - DEREK LIN | 752005254 - TEXAS DIGESTIVE DISEASE CONSULTANTS | TX | Gastroenterology Physician (207RG0100X) |
United | 88184 | $40.93 | 1811972896 - ORESTES MOLDES-RODRIGUEZ | 742748792 - (TX) ORESTES MOLDES RODRIGUEZ, MD PA | TX | Gastroenterology Physician (207RG0100X) |
United | 88184 | $37.00 | 1760769699 - OLAKUMBI OTULANA | 202935692 - MCLEOD PHYSICIAN ASSOCIATES II | TX | Gastroenterology Physician (207RG0100X) |
United | 88184 | $68.20 | 1821001116 - RICHARD SEIDEL | 752616977 - CHRISTUS TRINITY CLINIC | TX | Gastroenterology Physician (207RG0100X) |
United | 88184 | $43.43 | 1083674832 - PAUL TARNASKY | 752966610 - (TX) PHYSICIAN ASSOCIATES OF SOUTHWEST DALLAS | TX | Gastroenterology Physician (207RG0100X) |
United | 88184 | $47.34 | 1255494746 - REENA CHOKSHI | 300791563 | TX | Gastroenterology Physician (207RG0100X) |
United | 88184 | $78.19 | 1346343837 - CHAIM ANFANG | 453023019 - (NY) NORTH SHORE-LIJ MEDICAL PC | NY | Gastroenterology Physician (207RG0100X) |
United | 88184 | $40.99 | 1306230362 - HAMZA AZIZ | 204923281 - MEMORIAL HERMANN MEDICAL GROUP | TX | Gastroenterology Physician (207RG0100X) |
United | 88184 | $44.65 | 1801822820 - JOSEPH GOLYAN | 812089001 | NY | Gastroenterology Physician (207RG0100X) |
United | 88184 | $252.36 | 1548689409 - AMMAR NASSRI | 42807148 - MASS GENERAL BRIGHAM INCORPORATED | MA | Gastroenterology Physician (207RG0100X) |
United | 88184 | $76.26 | 1023467198 - SANJANA LUTHER | 742978480 - (TX) AUSTIN GASTROENTEROLOGY, P.A. | TX | Gastroenterology Physician (207RG0100X) |
United | 88184 | $27.17 | 1386791705 - MARCEL LAUFER | 134188335 - 425 MEDICAL ASSOCIATES, P.C. | NY | Gastroenterology Physician (207RG0100X) |
United | 88184 | $68.20 | 1427293075 - MUHAMMAD ZAFAR | 741181532 - (TX) MEDICAL CLINIC OF HOUSTON, LLP | TX | Gastroenterology Physician (207RG0100X) |
United | 88184 | $61.72 | 1083001655 - UMAIR MINHAS | 205392766 - COMMUNITY PHYSICIANS OF INDIANA INC | IN | Gastroenterology Physician (207RG0100X) |
United | 88184 | $43.43 | 1518046341 - GLENN YOUNG | 752005254 - TEXAS DIGESTIVE DISEASE CONSULTANTS | TX | 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 88184 vs. Other Cytopathology Procedures Codes
The CPT 88184 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 88184 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 88184. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 88184 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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