{
    "code": "88189",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/88189/2015/A",
    "release_specific_url": "https://localishealth.com/cpt/88189/2015/C",
    "description": "The pathologist's read of a flow cytometry study, where cells from blood, bone marrow, or a lymph node are tagged with fluorescent antibodies and sorted one at a time by a laser instrument. This code covers the physician work of interpreting the resulting pattern of cell-surface markers and writing the diagnostic report; the laboratory work of running the samples is captured by separate codes. It sits at the top of a graded family split by how many markers were examined, and applies to the largest panels, sixteen markers or more, rather than the smaller panels covered by its two sibling codes.",
    "answer": {
        "question": "How much did Medicare pay for CPT 88189 in Q3 2015?",
        "text": "Medicare paid $113.34 for CPT 88189 in the office (non-facility) setting and $113.34 in a facility under the Q3 2015 Physician Fee Schedule, effective July 2015. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2015, when it increased 2.4%."
    },
    "release": {
        "schedule": "pfs",
        "year": 2015,
        "quarter": "C",
        "label": "Q3 2015",
        "effective": "July 1 – September 30, 2015",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 113.34,
        "facility": 113.34,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 2.23,
        "practice_expense_non_facility": 0.84,
        "practice_expense_facility": 0.84,
        "malpractice": 0.1
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 35.7547,
    "source": {
        "label": "Physician relative value file (Q3 2015)",
        "cms_url": "https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu15c.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2015/C",
        "file": "PPRRVU15_UP0.V0515.csv",
        "row": 14250,
        "sha256": "f1b114a70a3e0897273d46b1bfe0eca991d563f8c35c7a652e9f0c8472b2862a"
    },
    "modified_at": "2026-08-04T03:06:00+00:00"
}
