CPT code 87102: Fungal culture, other source, not blood2026 Medicare lab fee · Clinical Laboratory Fee Schedule
Fungal culture from a nonblood source recovers mold or yeast and provides presumptive identification when a fungal infection is being evaluated.
Medicare pays $8.41 for 87102 under the 2026 Clinical Laboratory Fee Schedule: one national amount, the same in every state and setting.
Medicare lab fee · CLFS 2026 Q4
National CLFS amount
$8.41
In effect since Jan 1, 2026. The same amount in every state, payment locality and setting.
- Geographic adjustment
- None
- Office vs facility
- Same
- Since 2020
- Unchanged
- CMS updates
- Quarterly
Medicare pays the lesser of the lab’s charge and this amount. Patients usually owe no Part B deductible or coinsurance for covered clinical lab tests.
On this page 8 sections
What 87102 covers
This service cultures fungi from a source other than blood, recovering mold or yeast and providing presumptive identification. Clinical microbiology laboratories perform it on specimens submitted by clinicians evaluating a suspected fungal infection. Code selection follows the specimen source: use 87102 for other sources, 87101 for skin fungi culture, and 87103 for blood fungal culture.
Report 87102 for the isolation culture with presumptive identification. When an isolate requires further identification, yeast identification is reported with 87106 and mold identification with 87107 when those distinct services are performed. Medicare pays 87102 only through the CLFS. The 2026 national CLFS amount is $8.41, unchanged since 2020; the same amount applies in every state and locality, with no geographic or office-versus-facility adjustment.
This summary was written with AI assistance from CMS Clinical Laboratory Fee Schedule data. Amounts on this page come directly from CMS files.
How Medicare pays 87102
Clinical lab tests aren’t priced like physician services. They’re paid from their own fee schedule, with its own rules. See the whole lab fee schedule.
One national amount
CMS sets a single Clinical Laboratory Fee Schedule amount for 87102. There’s no geographic (GPCI) adjustment, so it pays the same in every state and payment locality.
No office or facility rate
Lab tests aren’t built from relative value units, so there’s no office and facility split: the place of service doesn’t change the CLFS amount.
Updated every quarter
CMS republishes the CLFS each quarter. New tests, often proprietary laboratory analyses (PLA codes), join during the year; existing amounts are updated each January.
Excluded from the physician fee schedule
The physician fee schedule lists 87102 with status X (excluded by statute), so the test itself is paid only from the CLFS.
87102 on the lab fee schedule since 2020
87102 · CLFS 2026 Q4 (current)
$8.41
Unchanged since Jan 1, 2020
27 quarterly CLFS releases on file, first CLFS 2020 Q1. A code missing from a quarter wasn’t on that release.
87102 compared with similar tests
- 87101Fungal cultureSkin, hair, or nail$7.71
- Use 87101 for a fungal culture of a skin specimen. Use 87102 for another source, excluding blood.
- 87103Blood cultureFungi: mold or yeast$20.46
- Use 87103 for a fungal blood culture; 87102 is for a nonblood source.
- 87106Yeast identificationDefinitive culture identification$10.32
- 87106 is for yeast identification, not the isolation culture itself. The culture code includes presumptive identification.
- 87107Mold identificationEach organism$10.32
- 87107 is for mold identification, not the isolation culture itself. The culture code includes presumptive identification.
87102 billing questions
When should 87102 be selected instead of 87101?
Use 87102 for fungal culture from a source other than blood when the skin fungi culture code does not apply. Use 87101 for a skin fungal culture.
How does 87102 differ from a blood fungal culture?
87102 is for a fungal culture from a source other than blood. Use 87103 for a blood fungal culture.
Does 87102 include definitive yeast or mold identification?
87102 includes presumptive identification with the isolation culture. Further yeast or mold identification is reported with 87106 or 87107, respectively, when that distinct work is performed.
How does Medicare pay 87102?
Medicare pays 87102 only through the CLFS, at one national amount that applies across localities and settings.
Where this amount comes from
FeeBase reads lab amounts directly from the CMS Clinical Laboratory Fee Schedule file for the quarter: one row per code, with its payment indicator and national amount. Contractor-priced tests are labeled, never given a made-up amount. Amounts are Medicare payment limits, not a patient’s bill or a commercial rate.
CMS CLFS 2026 Q4 · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file line behind this amount
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