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North Carolina Breast and Cervical Cancer Control Program <br /> 2015-2016 Services Fee Schedule(1) <br /> CPT 15-16 Office Fee <br /> Cervical Procedures(1) Code Fee Allowed <br /> Screening <br /> Pelvic Examination-Bimanual N/A Yes <br /> Cytopathology,cervical or vaginal, requiring interpretation 88141 $ 30.90 Yes <br /> by physician <br /> Cytopathology(liquid based Pap test)cervical or vaginal,collected 88142 $ 27.64 Yes <br /> in preservative fluid,automated thin layer preparation;manual <br /> screening under physician supervision <br /> Cytopathology(liquid based Pap test)cervical or vaginal,collected 88143 $ 27.57 Yes <br /> in preservative fluid,automated thin layer preparation;manual <br /> screening and rescreening under physician supervision <br /> Cytopathology(conventional Pap test),slides cervical or vaginal, 88164 $ 14.38 Yes <br /> manual screening under physician supervision <br /> Cytopathology(conventional Pap test),slides cervical or vaginal, 88165 $ 14.38 Yes <br /> manual screening and rescreening under physician supervision <br /> Cytopathology,cervical or vaginal,collected in preservative fluid, 88174 $ 29.08 Yes <br /> automated thin layer preparation,screening by automated system, <br /> under physician supervision <br /> Cytopathology,cervical or vaginal,collected in preservative fluid, 88175 $ 35.36 Yes <br /> automated thin layer preparation,screening by automated system <br /> and manual rescreening under physician supervision <br /> Human Papilloma Virus,high-risk types(5) 87624 $ 33.38 No <br /> Follow-Up (6) <br /> Colposcopy 57452 $ 105.76 Yes <br /> Colposcopy with Biopsy and endocervical curettage 57454 $ 148.66 Yes <br /> Colposcopy with Biopsy 57455 $ 138.32 Yes <br /> Colposcopy with endocervical curettage 57456 $ 130.43 Yes <br /> Surgical Pathology,gross and microscopic examination 88305 $ 69.69 No <br /> 88305-TC $ 31.57 <br /> 88305-26 $ 38.11 <br />