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88155

Statutory exclusionGlobal n/a

Cytopath c/v index add-on

88155 is an add-on code — it is only payable alongside a primary procedure: 88142, 88143, 88147, 88148, 88150, 88152, 88153, 88164, 88165, 88166, 88167, 88174, 88175.

Statutory exclusion: Outside the statutory definition of physician services (e.g., lab, ambulance).

2026 Medicare payment

Estimated allowed amounts. Pick a locality or enter a ZIP; toggle modifiers to see how the payment rules change the number.

Show values as
LineQtyNon-facility (office)Facility (hospital/ASC)
881551$0.00$0.00
Conversion factor: Locality: national average GPCIs

How these numbers were computed

  • status=XThis code is not separately payable under the Physician Fee Schedule (status X) — amounts shown are $0.

RVU breakdown (national)

Relative value units before geographic adjustment. Payment = (work×GPCIw + PE×GPCIpe + MP×GPCImp) × CF

RowWork RVUPE RVU (office)PE RVU (facility)MP RVUTotal (office)
881550.000.000.000.000.00

Payment policy for 88155

CMS's indicator fields, translated. These control which modifiers are payable and how.

Professional/technical (PC/TC)

pctc=9

Not applicable

The professional/technical concept does not apply.

Multiple procedures

mult_surg=9

Not applicable

The multiple-procedure concept does not apply.

Bilateral (modifier 50)

bilt_surg=9

Not applicable

The bilateral concept does not apply.

Assistant surgeon (80/81/82)

asst_surg=9

Not applicable

The assistant-at-surgery concept does not apply.

Co-surgeons (modifier 62)

co_surg=9

Not applicable

The co-surgeon concept does not apply.

Team surgery (modifier 66)

team_surg=9

Not applicable

The team-surgery concept does not apply.

Source: pfs.data.cms.gov "Indicators for 2026", retrieved 2026-07-16; conversion factors $33.4009 / $33.5675 (QP) per CMS-1832-F. Estimated amounts — not billing or coding advice.

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