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See a sample rate comparisonCPT 88233 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.
Tissue Culture, This Is A Lab Analysis Of A Sample Of Skin Muscle Bone Or Other Tissue That Has Been Surgically Removed. The Sample Is Placed Into A Growing Medium That Enables It To Create New Cells (Culture). Usually This Is Related To Genetic Studies.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Cytogenetic Studies |
| Common Place of Service | 81 - Independent Laboratory 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 90 - Reference Laboratory 26 - Professional component |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 88233 |
| Medicaid Fee Schedule | View Medicaid rates for 88233 |
National average reimbursement for CPT 88233 by major payers:
$138.61
$129.42
$152.37
$203.05
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CPT 88233
5 of 25 sample ratesHigher to lower in this preview
Charleston Radiologists PA
Charleston Radiologists, P.A.
$410.96Published rateChristopher Raio
Good Samaritan Hosptial Medical Center
$202.65Published rateNevada Eye Care Professionals Little & Stein, Ltd.
Nevada Eye Care Professionals
$117.40Published rateDayan Gandhi
Renal Consultants Medical Group
$84.44Published rateChristopher Raio
Mercy Medical Center
$14.12Published rate
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See a sample payer proposalCPT 88233 vs. Other Cytogenetic Studies Codes
The CPT 88233 code is part of the Pathology and Laboratory Procedures services used for Cytogenetic Studies. 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 88233 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 |
|---|---|---|
| 88230-CPT | Low | White Blood Cell Culturing, Tissue Culture Of White Blood Cells (Wbcs) Or Lymphocytes For Routine Chromosome Analysis. Wbcs Are Taken From A Blood Sample And Placed Into A Material That Encourages The Cells To Multiply. These Are Used To Analyze Genetic Information. |
| 88233-CPT | Low | Tissue Culture, This Is A Lab Analysis Of A Sample Of Skin Muscle Bone Or Other Tissue That Has Been Surgically Removed. The Sample Is Placed Into A Growing Medium That Enables It To Create New Cells (Culture). Usually This Is Related To Genetic Studies. |
| 88235-CPT | Low | Fetal Cell Genetic Test, Culture Test Using Amniotic Fluid Or A Tissue Sample From The Placenta Surface. The Culture Encourages The Cells To Multiply So They Can Be Analyzed For Potential Fetal Genetic Disorders. |
| 88237-CPT | Low | Bone Marrow Culture, Laboratory Culture Of Bone Marrow (Cells Taken From Inside The Bone) And Blood Cells. The Cultured Cells Multiply And Are Then Evaluated For Impact On New Tumors. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 88233. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 88233 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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