88162 describes automated screening of an other-source smear. 88160 is used for screening by a cytotechnologist under physician supervision.
On this page
CMS RVU26D · Effective 2026-10-01
88162 Cytopathology smear Medicare reimbursement rates in Oklahoma
Reports automated screening of a cytopathology smear from a non-cervical, non-vaginal source under physician supervision. Compare 88162 office and facility rates across CMS payment localities in Oklahoma.
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 88162 in Oklahoma?
Oklahoma has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$116.43
1 of 1 localities have a supported rate.
Payment area: Oklahoma
One mapped payment locality.
Facility setting
No 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.
Cytopathology
About 88162: Automated non-gynecologic smear screening
Reports automated screening of a cytopathology smear from a non-cervical, non-vaginal source under physician supervision.
This service covers automated screening of cytology smears from sources other than the cervix or vagina. A cytology laboratory uses an automated system to screen the prepared smear under physician supervision; a physician provides the professional interpretation component. Specimens may include non-gynecologic cytology materials such as sputum or urine when submitted and evaluated as smears.
Select this code when the smear is screened by an automated system, rather than by a cytotechnologist or physician manually. Documentation should identify the specimen source, the automated screening performed, and the physician’s interpretation. CMS recognizes separately priced professional and technical components: report modifier 26 for interpretation, modifier TC for equipment and staff, or neither modifier for the global service.
CMS billing rules for 88162
- Professional and technical components
- Diagnostic test with a professional component (modifier 26, interpretation) and a technical component (modifier TC, equipment and staff); billing without a modifier is the global service.
Where the value comes from
- Work RVU0.74 · 19%
- Practice expense (office) RVU3.04 · 80%
- Malpractice RVU0.04 · 1%
337
Medicare services in 2024 · #3898 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.
88162 compared with similar codes
Office rates for Oklahoma, from the same CMS release.
Use 88162 for automated screening; 88161 describes manual screening by a physician.
Cytopath c/v thin layer
88142 is for cervical or vaginal cytology using a thin-layer preparation. 88162 is for automated screening of smears from other sources.
88104 covers cytopathology evaluation of fluids, washings, or brushings. 88162 applies when the service is automated screening of an other-source smear.
Compare 88162 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.
1 of 1 payment localities
Oklahoma →
Office / nonfacility
$116.43
Facility
Unavailable
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How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 88162 in Oklahoma.
PPRRVU2026_Oct_nonQPP.csv
11,141
- Code
- 88162
- Physician work
- 0.74
- Practice expense
- 3.04
- Malpractice
- 0.04
GPCI2026.csv
86
- Locality
- Oklahoma
- Physician work
- 1.000
- Practice expense
- 0.893
- Malpractice
- 0.777
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.74 | × 1.000 | 0.7400 |
| Practice expense | 3.04 | × 0.893 | 2.7147 |
| Malpractice | 0.04 | × 0.777 | 0.0311 |
| Total RVUs | 3.4858 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Oklahoma$116.43
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.74 | 1 |
| Practice expense | 3.04 | 0.893 |
| Malpractice | 0.04 | 0.777 |
(0.74 × 1 + 3.04 × 0.893 + 0.04 × 0.777) × $33.4009 = $116.43
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
88162 billing questions
How does 88162 differ from 88160 and 88161?
The screening method distinguishes these codes: 88162 is for automated screening, while 88160 and 88161 describe other screening workflows. Use the code matching the documented method.
Which modifier reports only the physician’s interpretation?
Use modifier 26 for the professional component. Modifier TC identifies the technical component, and reporting without either modifier represents the global service.
Can the technical and professional components be billed separately?
Yes. CMS identifies separately priced components for this diagnostic test: modifier TC represents equipment and staff, and modifier 26 represents interpretation.
Does the specimen source affect code selection?
Yes. This code is for smears from sources other than the cervix or vagina. Cervical or vaginal cytology has its own code family.
What documentation supports reporting 88162?
The record should identify the non-gynecologic specimen, document automated smear screening, and support the physician’s interpretation when the professional component is billed.
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.
