$83.91
88104 is selected for the applicable non-gynecologic smear service without the concentration method that distinguishes 88108.
On this page
CMS RVU26D · Effective 2026-10-01
88108 Concentrated cytology Medicare reimbursement rates in Wyoming
Reports cytologic evaluation of a non-gynecologic specimen prepared by concentration, with microscopic examination and interpretation of the resulting slides. Compare 88108 office and facility rates across CMS payment localities in Wyoming.
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 88108 in Wyoming?
Wyoming 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
$68.63
1 of 1 localities have a supported rate.
Payment area: Wyoming**
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 88108: Non-gynecologic concentrated cytology examination
Reports cytologic evaluation of a non-gynecologic specimen prepared by concentration, with microscopic examination and interpretation of the resulting slides.
The laboratory concentrates cells from a non-gynecologic specimen and prepares material for microscopic examination. Sputum processed by a concentration method such as the Saccomanno technique is a classic example; urine, bronchial washings, and body-cavity fluids may also be evaluated this way. A pathologist or other qualified physician interprets the prepared slides for cellular abnormalities, including evidence of malignancy.
Choose this service when the documented preparation uses a concentration technique, rather than basing code selection on the specimen source alone. The record should identify the specimen and support the preparation and interpretive work performed. The global service includes the technical work and interpretation. Report modifier 26 for the professional interpretation alone or modifier TC for the technical work, including equipment and staff.
CMS billing rules for 88108
- 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 RVU0.43 · 21%
- Practice expense (office) RVU1.61 · 78%
- Malpractice RVU0.02 · 1%
172.9K
Medicare services in 2024 · #411 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.
88108 compared with similar codes
Office rates for Wyoming, from the same CMS release.
$67.21
88106 is tied to filter preparation; 88108 is appropriate when the specimen is prepared using a concentration technique.
$65.29
88112 covers cell-enhancement preparation, including cell-block methods. Choose 88108 when the documented method is concentration instead.
Compare 88108 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
Wyoming** →
Office / nonfacility
$68.63
Facility
Unavailable
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
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 88108 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
11,109
- Code
- 88108
- Physician work
- 0.43
- Practice expense
- 1.61
- Malpractice
- 0.02
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.43 | × 1.000 | 0.4300 |
| Practice expense | 1.61 | × 1.000 | 1.6100 |
| Malpractice | 0.02 | × 0.740 | 0.0148 |
| Total RVUs | 2.0548 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Wyoming**$68.63
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.43 | 1 |
| Practice expense | 1.61 | 1 |
| Malpractice | 0.02 | 0.74 |
(0.43 × 1 + 1.61 × 1 + 0.02 × 0.74) × $33.4009 = $68.63
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.
88108 billing questions
How does 88108 differ from 88104?
Use 88108 when the laboratory concentrates the specimen before preparing material for examination. Use 88104 for the applicable non-gynecologic smear service when the preparation is not by concentration.
When should 88106 be considered instead?
88106 describes a filter-based preparation. Select between it and 88108 according to the documented laboratory preparation method, not just the specimen type.
Which modifiers identify the professional and technical work?
Modifier 26 reports the professional interpretation, and modifier TC reports the technical work. Without either modifier, the claim represents the global service.
What documentation supports reporting 88108?
Document the non-gynecologic specimen source and the concentration preparation performed, along with the resulting cytologic interpretation. The preparation method helps distinguish this service from a direct smear or another enhanced preparation.
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.
11,10688106,,Cytopath fl nongyn filter,A,,0.36,1.63,,1.63,NA,0.03,2.02,2.02,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,10788106,26,Cytopath fl nongyn filter,A,,0.36,0.16,,0.16,,0.01,0.53,0.53,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,10888106,TC,Cytopath fl nongyn filter,A,,0.00,1.47,,1.47,NA,0.02,1.49,1.49,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,10988108,,Cytopath concentrate tech,A,,0.43,1.61,,1.61,NA,0.02,2.06,2.06,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,11088108,26,Cytopath concentrate tech,A,,0.43,0.20,,0.20,,0.01,0.64,0.64,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,11188108,TC,Cytopath concentrate tech,A,,0.00,1.41,,1.41,NA,0.01,1.42,1.42,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,11288112,,Cytopath cell enhance tech,A,,0.55,1.39,,1.39,NA,0.02,1.96,1.96,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,
115*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.,,,,,,