CPT code 85097: Marrow interpretation, aspirate or biopsy review2026 Medicare rate & RVUs in Mississippi

In Mississippi, Medicare pays $62.45 for 85097 in the office and $37.71 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 85097 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 85097 covers

A physician, commonly a pathologist or hematopathologist, examines bone marrow material and documents findings that help diagnose or classify conditions such as leukemia, myelodysplastic syndromes, plasma cell disorders, and unexplained cytopenias. The material may include aspirate smears or a marrow biopsy. The interpretation is a diagnostic service, not the collection of the specimen.

Report 85097 for the physician’s marrow interpretation when that service is separately performed and documented. The record should identify the material reviewed, the clinical question, and the physician’s interpretive findings in a signed report. If aspiration, biopsy, and smear interpretation are reported together under 38222, the interpretation is included in that combined service; do not separately report 85097 for the same interpretation. A separately examined core biopsy may also have a surgical pathology service reported when supported by the work performed.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Mississippi compares for 85097

Across 109 of 109 payment localities, the office rate for 85097 runs from $62.00 in Arkansas to $86.06 in San Benito County, CA. Mississippi pays $62.45. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

85097 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 85097 in every payment locality

How the 85097 rate is calculated

Each of 85097’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

Payment rules and modifiers for 85097

85097 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.

Codes related to 85097

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 85097 has changed in Mississippi

Price 85097 for an earlier date of service

Where the Mississippi rate applies

Mississippi is a Medicare payment area, not a city. Our Census mapping connects it to 427 cities and communities in Mississippi. Some span more than one payment area; confirm with the service ZIP.

• Abbeville
• Aberdeen
• Ackerman
• Agricola
• Alcorn State University
• Algoma
• Alligator
• Amory

Browse all communities in Mississippi

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates