CPT 88237 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 | Cytogenetic Studies Pathology and Laboratory Procedures |
| Common Place of Service | 81 - Independent Laboratory 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 91 - Repeat Lab Test PO - Services, procedures and/or surgeries furnished at off-campus provider-based outpatient departments |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 88237 |
National average reimbursement for CPT 88237 by major payers:
$132.88
$122.54
$147.41
$206.62
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
United | 88237 | $179.69 | 1255750527 - ANTHONY BRADLEY | 593238640 - H LEE MOFFITT CANCER CTR & RES INST LIFE TIME CANCER SCRN CTR INC | FL | Anesthesiology Physician (207L00000X) |
United | 88237 | $152.72 | 1750905691 - ASHLEY FELLOWS | 593238640 - H LEE MOFFITT CANCER CTR & RES INST LIFE TIME CANCER SCRN CTR INC | FL | Family Nurse Practitioner (363LF0000X) |
United | 88237 | $152.72 | 1144668518 - HEIDI RUTH | 593238640 - H LEE MOFFITT CANCER CTR & RES INST LIFE TIME CANCER SCRN CTR INC | FL | Anesthesiologist Assistant (367H00000X) |
United | 88237 | $179.69 | 1164861167 - JAD CHAHOUD | 593238640 - H LEE MOFFITT CANCER CTR & RES INST LIFE TIME CANCER SCRN CTR INC | FL | Medical Oncology Physician (207RX0202X) |
United | 88237 | $212.94 | 1821097627 - BAYCARE HOME CARE, INC. | 593582520 - (FL) BAYCARE HOME CARE INC | FL | Home Health Agency (251E00000X) |
United | 88237 | $179.69 | 1962543389 - ROBERTO DIAZ | 593238640 - H LEE MOFFITT CANCER CTR & RES INST LIFE TIME CANCER SCRN CTR INC | FL | Radiation Oncology Physician (2085R0001X) |
United | 88237 | $179.69 | 1134757206 - DAVID SCHOENFELD | 593238640 - H LEE MOFFITT CANCER CTR & RES INST LIFE TIME CANCER SCRN CTR INC | FL | Internal Medicine Physician (207R00000X) |
United | 88237 | $179.69 | 1265669410 - KRISTEN OTTO | 593238640 - H LEE MOFFITT CANCER CTR & RES INST LIFE TIME CANCER SCRN CTR INC | FL | Otolaryngology Physician (207Y00000X) |
United | 88237 | $103.23 | 1174078281 - DERMATOLOGY AND SKIN CANCER SURGERY CENTER, LLC, ORLANDO DERMATOLOGY CENTER | 208048424 - (FL) DERMATOLOGY AND SKIN CANCER SURGERY CENTER LLC | FL | Dermatology Physician (207N00000X) |
United | 88237 | $152.72 | 1588033831 - NICOLE DRAGO | 593238640 - H LEE MOFFITT CANCER CTR & RES INST LIFE TIME CANCER SCRN CTR INC | FL | Nurse Practitioner (363L00000X) |
United | 88237 | $152.72 | 1003466525 - FRANCES BERNARDO MERCADO | 593238640 - H LEE MOFFITT CANCER CTR & RES INST LIFE TIME CANCER SCRN CTR INC | TX | Physician Assistant (363A00000X) |
United | 88237 | $35.00 | 1588756076 - ALL WAYS HOMECARE INC | 202696236 | FL | Home Health Agency (251E00000X) |
United | 88237 | $179.69 | 1982165700 - KAREEM RAYN | 593238640 - H LEE MOFFITT CANCER CTR & RES INST LIFE TIME CANCER SCRN CTR INC | NY | Student in an Organized Health Care Education/Training Program (390200000X) |
United | 88237 | $152.72 | 1568932747 - RACHEL BROOKER | 593238640 - H LEE MOFFITT CANCER CTR & RES INST LIFE TIME CANCER SCRN CTR INC | FL | Primary Care Nurse Practitioner (363LP2300X) |
United | 88237 | $179.69 | 1437576394 - ROHIT SHARMA | 593238640 - H LEE MOFFITT CANCER CTR & RES INST LIFE TIME CANCER SCRN CTR INC | FL | Hematology (Pathology) Physician (207ZH0000X) |
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 88237 vs. Other Pathology and Laboratory Procedures Codes
The CPT 88237 code is part of the Cytogenetic Studies services used for Pathology and Laboratory 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 88237 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 88237. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 88237 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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