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See a sample rate comparisonCPT 88749 Fee Schedule
Last Verified: October 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.
Unlisted In Vivo (Eg Transcutaneous) Laboratory Svc, Unlisted In Vivo (Eg Transcutaneous) Laboratory Service
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures In Vivo (eg, Transcutaneous) Laboratory Procedures |
| Common Place of Service | 11 - Office 81 - Independent Laboratory 21 - Inpatient Hospital |
| Common Modifiers | 26 - Professional component |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 88749 |
National average reimbursement for CPT 88749 by major payers:
$4.66
$45.00
$10.20
$1,372.55
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CPT 88749
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See a sample payer proposalCPT 88749 vs. Other In Vivo (eg, Transcutaneous) Laboratory Procedures Codes
The CPT 88749 code is part of the Pathology and Laboratory Procedures services used for In Vivo (eg, Transcutaneous) 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 88749 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 |
|---|---|---|
| 88720-CPT | Low | Blood Test For Bilirubin, Bilirubin Is A Byproduct Created When Red Blood Cells Break Down. Tests Measure All Bilirubin Or The Amount Absorbed Into The Liver And Assess Liver And Gall Bladder Function. |
| 88738-CPT | Low | Blood Oxygen Capacity Test, Blood Or Urine Is Tested For Hemoglobin (Hb) A Protein That Carries Oxygen In Red Blood Cells. Excessive Amounts Of The Various Types Of Hb Are Linked To Anemia And Premature Cell Death. |
| 88740-CPT | Low | Carbon Monoxide Blood Test, This Test Measures The Amount Of Carbon Monoxide (Co) Present In A Blood Sample. The Test Is Given To Individuals Suspected To Have Co Poisoning. |
| 88749-CPT | Low | Unlisted In Vivo (Eg Transcutaneous) Laboratory Svc, Unlisted In Vivo (Eg Transcutaneous) Laboratory Service |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 88749. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 88749 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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