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See a sample rate comparisonCPT 88299 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Genetic Study Of Cells, Genetic Study Of Cells Done To Aid Diagnosis And Treatment Of Disease As Well As To Identify Genetic Traits And Disorders.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Cytogenetic Studies |
| Common Place of Service | 81 - Independent Laboratory 11 - Office |
| Common Modifiers | GA - Required ABN issued and on file Q1 - Routine clinical service provided in a clinical research study TC - Technical component |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 88299 |
| Medicaid Fee Schedule | View Medicaid rates for 88299 |
National average reimbursement for CPT 88299 by major payers:
$1,320.30
$19.04
$170.86
$79.65
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CPT 88299
5 of 25 sample ratesHigher to lower in this preview
Cumberland Surgical Hospital Of San Antonio LLC, Legent Orthopedic & Spine
$92.87Published rateColumbia Plaza Medical Center Of Fort Worth Subsidiary Lp, Medical City Fort Worth
Columbia Plaza Medical Center Of Fort Worth Subsidiary Lp
$49.75Published rateResolute Hospital Company, LLC, Resolute Health Hospital
Resolute Hospital Company LLC
$49.75Published rateNatchitoches Parish Hospital Service District, Natchitoches Regional Medical Center
Natchitoches Regional Medical Center
$9.05Published rateTyler County Hospital District
$2.13Published rate
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See a sample payer proposalCPT 88299 vs. Other Cytogenetic Studies Codes
The CPT 88299 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 88299 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 |
|---|---|---|
| 88285-CPT | Low | Additional Cell Count In Study, Additional Cells Counted Beyond The Base Chromosome Analysis. The Study Uses Traditional Microscopic Techniques To Check For Genetic Anomalies And Recessive Traits. Additional Cell Counts May Be Necessary To Pinpoint A Diagnosis For Certain Cancers. |
| 88289-CPT | Low | Study For Inherited Condition, The Study Analyzes Chromosomes To Find Out If They Contain Any Genetic Traits Associated With Inherited Conditions. The Study Involves Several High-Resolution Examinations. |
| 88291-CPT | Low | Cytogentic & Molecular Cytogentic Interpret & Rport, Cytogenetics And Molecular Cytogenetics Interpretation And Report |
| 88299-CPT | High | Genetic Study Of Cells, Genetic Study Of Cells Done To Aid Diagnosis And Treatment Of Disease As Well As To Identify Genetic Traits And Disorders. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 88299. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 88299 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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