{
    "code": "88189",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/88189/2016/A",
    "release_specific_url": "https://localishealth.com/cpt/88189/2016/B",
    "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 Q2 2016?",
        "text": "Medicare paid $114.22 for CPT 88189 in the office (non-facility) setting and $114.22 in a facility under the Q2 2016 Physician Fee Schedule, effective April 2016. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2016, when it increased 0.3%."
    },
    "release": {
        "schedule": "pfs",
        "year": 2016,
        "quarter": "B",
        "label": "Q2 2016",
        "effective": "April 1 – June 30, 2016",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 114.22,
        "facility": 114.22,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 2.23,
        "practice_expense_non_facility": 0.86,
        "practice_expense_facility": 0.86,
        "malpractice": 0.1
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 35.8043,
    "source": {
        "label": "Physician relative value file (Q2 2016)",
        "cms_url": "https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu16b.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2016/B",
        "file": "PPRRVU16_April_V0202.csv",
        "row": 14463,
        "sha256": "a6f009bac8359a1f7d870e6b668dd2e69d1658423373dbb0ca0c267cdae773b9"
    },
    "modified_at": "2026-08-04T03:06:42+00:00"
}