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CPT code 88187: Flow cytometry, 2–8 marker interpretation2026 Medicare rate & RVUs in Virginia

Report 88187 for the professional interpretation and written report of a flow-cytometry study evaluating 2 through 8 markers.

CMS RVU26DEffective Oct 1, 2026One payment locality23.3K Medicare services in 2024

In Virginia, Medicare pays $34.61 for 88187 in the office and $34.61 when it’s performed in a hospital or facility.

$34.61Office (non-facility)
$34.61Hospital or facility
−1.3%vs the national office rate ($35.07)

Check a contract rate as a % of Medicare · 88187 nationwide

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

We’ll open 88187 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Virginia
  2. What 88187 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 88187 covers

Code 88187 represents the professional interpretation and written report of a flow-cytometry study evaluating 2 through 8 markers. Hematopathologists commonly perform this work to characterize abnormal cell populations in peripheral blood, bone marrow, lymph-node specimens, or body-cavity fluids when evaluating suspected leukemia, lymphoma, or another hematologic disorder. The service is the analysis and report, not specimen collection or instrument acquisition.

Select the code level based on the number of markers evaluated in the interpretation: 2 through 8 for 88187. The report should identify the specimen, describe the flow-cytometry findings, and support the interpretation and marker count. CMS identifies 88187 as professional-component-only; the technical portion is reported separately using the applicable technical code or codes, such as 88184 for the first marker and 88185 for additional markers.

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 Virginia compares for 88187

Across 109 of 109 payment localities, the office rate for 88187 runs from $33.17 in Arkansas to $47.30 in Alaska. Virginia pays $34.61. The RVUs are the same everywhere; the geographic indexes change the dollars.

88187 in Virginia vs other payment areas
  1. Virginia · this page$34.61
  2. Los Angeles, CA · California$37.55+$2.94
  3. Washington, DC area · District of Columbia$38.27+$3.66
  4. Miami, FL · Florida$37.01+$2.40
  5. Chicago, IL · Illinois$36.59+$1.98
  6. Manhattan, NY · New York$38.82+$4.21
  7. Alaska · Alaska$47.30+$12.69

Other areas in Virginia first, then benchmark localities. Bars start at $0.

Every other payment area

88187 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$33.38$33.38
ArkansasArkansas$33.17$33.17
ArizonaArizona$34.62$34.62
Bakersfield, CACalifornia$36.10$36.10
Chico, CACalifornia$35.98$35.98
El Centro, CACalifornia$35.98$35.98
Fresno, CACalifornia$35.98$35.98
Hanford, CACalifornia$35.98$35.98

88187 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$33.17

$47.30

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
88187 office rate range by state
State / territoryOffice rate rangeLocalities
AK$47.301
AL$33.381
AR$33.171
AZ$34.621
CA$35.98–$41.6829
CO$35.781
CT$36.531
DC$38.271
DE$34.971
FL$35.13–$37.013
GA$34.18–$35.502
GU$36.021
HI$36.021
IA$33.611
ID$33.741
IL$34.76–$36.594
IN$33.821
KS$33.611
KY$33.871
LA$33.88–$34.622
MA$35.78–$37.892
MD$35.35–$38.273
ME$33.89–$34.612
MI$34.33–$35.412
MN$34.661
MO$33.66–$34.593
MS$33.421
MT$35.071
NC$34.041
ND$34.481
NE$33.681
NH$35.361
NJ$37.05–$38.262
NM$34.441
NV$34.911
NY$34.27–$39.365
OH$34.211
OK$33.781
OR$34.73–$36.312
PA$34.19–$36.112
PR$35.171
RI$35.751
SC$34.161
SD$34.411
TN$33.701
TX$34.10–$35.598
UT$34.371
VA$34.61–$38.272
VI$35.171
VT$34.481
WA$35.68–$38.362
WI$33.961
WV$34.191
WY$34.811

See 88187 in every payment locality

How the 88187 rate is calculated

Each of 88187’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.

How the rate is built · 88187

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.72

0.72 RVUs× 1.000 GPCI

Practice expense0.30

0.30 RVUs× 1.000 GPCI

Malpractice0.03

0.03 RVUs× 1.000 GPCI

Adjusted RVUs

1.0500

Conversion factor

$33.4009

Medicare rate

$35.07

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Virginia inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

11,164

Code
88187
Physician work
0.72
Practice expense
0.30
Malpractice
0.03

GPCI2026.csv

106

Locality
Virginia
Physician work
1.000
Practice expense
0.983
Malpractice
0.706
Office calculation for 88187 in Virginia
ComponentRVULocality factorAdjusted
Physician work0.72× 1.0000.7200
Practice expense0.30× 0.9830.2949
Malpractice0.03× 0.7060.0212
Total RVUs1.0361
Conversion factor× 33.4009

Office rate, Virginia$34.61

Office: (0.72 × 1 + 0.3 × 0.983 + 0.03 × 0.706) × $33.4009 = $34.61

Facility: (0.72 × 1 + 0.3 × 0.983 + 0.03 × 0.706) × $33.4009 = $34.61

Open 88187 in the RVU calculator

Payment rules and modifiers for 88187

The CMS indicators that decide how 88187 is paid alongside other services.

CMS payment indicators · 88187

Flow cytometry, 2–8 marker interpretation

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical2Professional component only.

Codes related to 88187

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

Codes related to 88187
CodeHow it relatesOffice range, Virginia
Often billed with
88184Flow cytometry, first marker, technical componentTechnical portion for the first marker, commonly reported with the professional interpretation.$79.60
88185Flow cytometry add-on, technical work, each additional markerTechnical portion for additional markers, reported as applicable with the professional interpretation.$22.65
Same family
88188Flow cytometry, 9–15 markersProfessional interpretation level for studies evaluating 9 through 15 markers.$57.57
88189Flow cytometry, 16 or more markersProfessional interpretation level for studies evaluating 16 or more markers.$78.11

How 88187 has changed in Virginia

88187 · Office / nonfacility

$34.61

Effective 2026-10-01

The base rate is $0.66 higher than on 2025-10-01, moving from $33.95 to $34.61 (1.9%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $33.95changed to$34.61

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.74 changed to 0.72
    • Practice expense RVU 0.29 changed to 0.30
    • Work GPCI 1.002 changed to 1.000
    • Practice expense GPCI 0.984 changed to 0.983
    • Malpractice GPCI 0.755 changed to 0.706

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $34.61changed to$33.95

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 0.28 changed to 0.29

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $34.04changed to$34.61

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $34.92changed to$34.04

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 0.26 changed to 0.28
    • Malpractice RVU 0.04 changed to 0.03
    • Work GPCI 1.000 changed to 1.002
    • Practice expense GPCI 0.990 changed to 0.984
    • Malpractice GPCI 0.826 changed to 0.755

  5. January 1, 2023

    RVU23A

    $35.80changed to$34.92

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense GPCI 0.995 changed to 0.990
    • Malpractice GPCI 0.897 changed to 0.826

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $36.45changed to$35.80

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 0.27 changed to 0.26

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $39.07changed to$36.45

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.30 changed to 0.27
    • Malpractice RVU 0.05 changed to 0.04
    • Practice expense GPCI 0.991 changed to 0.995
    • Malpractice GPCI 0.903 changed to 0.897

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $38.67changed to$39.07

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 0.31 changed to 0.30
    • Malpractice RVU 0.03 changed to 0.05
    • Practice expense GPCI 0.986 changed to 0.991
    • Malpractice GPCI 0.908 changed to 0.903

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $47.82changed to$38.67

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 0.56 changed to 0.31
    • Malpractice RVU 0.04 changed to 0.03

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $58.56changed to$47.82

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 0.87 changed to 0.56
    • Practice expense GPCI 0.985 changed to 0.986
    • Malpractice GPCI 0.866 changed to 0.908

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $72.23changed to$58.56

    • Conversion factor 35.8043 changed to 35.8887
    • Work RVU 1.36 changed to 0.74
    • Practice expense RVU 0.61 changed to 0.87
    • Malpractice RVU 0.07 changed to 0.04
    • Practice expense GPCI 0.983 changed to 0.985
    • Malpractice GPCI 0.824 changed to 0.866

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $71.84changed to$72.23

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 0.60 changed to 0.61
    • Malpractice RVU 0.06 changed to 0.07

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $71.48changed to$71.84

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $70.61changed to$71.48

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 0.56 changed to 0.60
    • Malpractice RVU 0.08 changed to 0.06
    • Practice expense GPCI 0.980 changed to 0.983
    • Malpractice GPCI 0.778 changed to 0.824

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $67.54changed to$70.61

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.58 changed to 0.56
    • Practice expense GPCI 0.977 changed to 0.980
    • Malpractice GPCI 0.731 changed to 0.778

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $67.54

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$34.61$34.61RVU26D
2026-07-01$34.61$34.61RVU26C
2026-04-01$34.61$34.61RVU26B
2026-01-01$34.61$34.61RVU26A
2025-10-01$33.95$33.95RVU25D
2025-07-01$33.95$33.95RVU25C
2025-04-01$33.95$33.95RVU25B
2025-01-01$33.95$33.95RVU25A
2024-10-01$34.61$34.61RVU24D
2024-07-01$34.61$34.61RVU24C
2024-04-01$34.61$34.61RVU24B
2024-03-09$34.61$34.61RVU24AR
2024-01-01$34.04$34.04RVU24A
2023-10-01$34.92$34.92RVU23D
2023-07-01$34.92$34.92RVU23C
2023-04-01$34.92$34.92RVU23B
2023-01-01$34.92$34.92RVU23A
2022-10-01$35.80$35.80RVU22D
2022-07-01$35.80$35.80RVU22C
2022-04-01$35.80$35.80RVU22B
2022-01-01$35.80$35.80RVU22A
2021-10-01$36.45$36.45RVU21D
2021-07-01$36.45$36.45RVU21C
2021-04-01$36.45$36.45RVU21B
2021-01-01$36.45$36.45RVU21A
2020-10-01$39.07$39.07RVU20D
2020-07-01$39.07$39.07RVU20C
2020-04-01$39.07$39.07RVU20B
2020-01-01$39.07$39.07RVU20A
2019-10-01$38.67$38.67RVU19D
2019-07-01$38.67$38.67RVU19C
2019-04-01$38.67$38.67RVU19B
2019-01-01$38.67$38.67RVU19A
2018-10-01$47.82$47.82RVU18D
2018-07-01$47.82$47.82RVU18C
2018-04-01$47.82$47.82RVU18B
2018-01-01$47.82$47.82RVU18AR1
2017-10-01$58.56$58.56RVU17D
2017-07-01$58.56$58.56RVU17C
2017-04-01$58.56$58.56RVU17B
2017-01-01$58.56$58.56RVU17A
2016-10-01$72.23$72.23RVU16D
2016-07-01$72.23$72.23RVU16C
2016-04-01$72.23$72.23RVU16B
2016-01-01$72.23$72.23RVU16A
2015-10-01$71.84$71.84RVU15D
2015-07-01$71.84$71.84RVU15C
2015-04-01$71.48$71.48RVU15B
2015-01-01$71.48$71.48RVU15A
2014-10-01$70.61$70.61RVU14D
2014-07-01$70.61$70.61RVU14C
2014-04-01$70.61$70.61RVU14B
2014-01-01$70.61$70.61RVU14A
2013-10-01$67.54$67.54RVU13D
2013-07-01$67.54$67.54RVU13C
2013-04-01$67.54$67.54RVU13B
2013-01-01$67.54$67.54RVU13AR

Price 88187 for an earlier date of service

Where the Virginia rate applies

Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 628 cities and communities in Virginia. Some span more than one payment area; confirm with the service ZIP.

  • Abbs Valley
  • Abingdon
  • Accomac
  • Adwolf
  • Afton
  • Alberta
  • Aldie
  • Allison Gap

Browse all communities in Virginia

88187 billing questions

How does 88187 differ from 88188?

88187 applies when the interpretation evaluates 2 through 8 markers. Use 88188 for an interpretation involving 9 through 15 markers.

How does 88187 differ from 88189?

88189 is the higher marker-count interpretation level, for 16 or more markers. Choose among these interpretation codes according to the marker count documented for the study.

Does 88187 include the technical flow-cytometry work?

No. 88187 represents the professional interpretation and report; the technical portion is separately coded, typically with 88184 and any applicable units of 88185.

Should modifier 26 be appended to 88187?

CMS identifies 88187 as a professional-component-only code, so the code itself represents the interpretation and report. Do not add modifier 26 solely to identify that component.

What documentation supports reporting 88187?

Document the specimen, markers evaluated, flow-cytometry findings, and the professional interpretation. The record should support that the interpretation falls within the 2-through-8-marker range.

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

Show the CMS file lines behind this rate
RVUs for 88187PPRRVU2026_Oct_nonQPP.csv, line 11,164 (RVU26D)
Geographic factors for VirginiaGPCI2026.csv, line 106 (RVU26D)

Open CMS sourceHow we calculate rates

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