85007
No office rateBl smear w/diff wbc count
85007 represents a peripheral smear service with a manual white-cell differential. Use 85060 for the physician’s interpretive report, rather than for the count alone.
On this page
CMS RVU26D · Effective 2026-10-01
85060 Blood smear Medicare reimbursement rates in Maine
Reports a physician’s interpretation of a peripheral blood smear, often after abnormal blood counts or findings raise questions about blood-cell morphology. Compare 85060 office and facility rates across CMS payment localities in Maine.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 85060 in Maine?
Maine has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$18.49–$18.76
2 of 2 localities have a supported rate.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Clinical laboratory
About 85060: Peripheral blood smear interpretation
Reports a physician’s interpretation of a peripheral blood smear, often after abnormal blood counts or findings raise questions about blood-cell morphology.
A physician examines a peripheral blood film under a microscope and documents an interpretation of the blood-cell findings. Review may assess red-cell, white-cell, and platelet morphology when evaluating findings such as anemia, abnormal cell counts, or suspected blood disorders. Hematologists and pathologists commonly provide this interpretation in hospital laboratories and other clinical settings where a blood smear has been prepared for review.
Report 85060 for the physician’s interpretive service, supported by a written report describing the findings and clinical significance. The code represents physician interpretation; it is not a code for an automated blood count or simply for preparing a smear. The CMS fee schedule identifies it as a physician interpretation code, so payment is for that interpretive service rather than a separately identified technical component.
CMS billing rules for 85060
- Professional and technical components
- Physician interpretation code.
Where the value comes from
- Work RVU0.44 · 77%
- Practice expense (office) RVU0.11 · 19%
- Malpractice RVU0.02 · 4%
146.1K
Medicare services in 2024 · #457 by national volume
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.
85060 compared with similar codes
Office rates for Maine, from the same CMS release.
85008
No office rateBl smear w/o diff wbc count
85008 is the peripheral smear service without a white-cell differential. 85060 represents the physician’s interpretation of smear findings.
$64.34–$66.87
85097 is for interpretation of bone marrow findings. 85060 concerns a peripheral blood smear, not a marrow specimen.
Compare 85060 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
2 of 2 payment localities
Rest Of Maine →
Office / nonfacility
Unavailable
Facility
$18.49
Southern Maine →
Office / nonfacility
Unavailable
Facility
$18.76
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85060 billing questions
When should 85060 be reported instead of a manual differential?
Report 85060 for a physician’s documented interpretation of peripheral smear findings. A manual white-cell differential is a different service and should be selected when that count, rather than a physician interpretation, is performed.
Can 85060 be reported with a CBC?
A CBC may lead to a separate physician review of a peripheral smear. The record should support an actual interpretive service and report, not only the CBC result or analyzer output.
What documentation supports 85060?
Document the physician’s review and interpretation of the peripheral smear, including pertinent blood-cell findings and their significance. The written interpretation should be distinguishable from routine laboratory results.
Does 85060 include a technical component?
CMS identifies 85060 as a physician interpretation code. It represents the physician’s interpretive service, not a separately identified technical component.
Who typically performs the interpretation?
A physician, commonly a pathologist or hematologist, interprets the peripheral blood film and documents the findings.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
10,49185048,,Automated leukocyte count,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
10,49285049,,Automated platelet count,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
10,49385055,,Reticulated platelet assay,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
10,49485060,,Blood smear interpretation,A,,0.44,0.11,NA,0.11,,0.02,0.57,0.57,8,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10,49585097,,Bone marrow interpretation,A,,0.92,1.06,,0.20,,0.05,2.03,1.17,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10,49685130,,Chromogenic substrate assay,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
10,49785170,,Blood clot retraction,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00