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North Carolina Breast and Cervical Cancer Control Program <br /> 2018 Services Fee Schedule (1) <br /> 2018 Office Fee <br /> Cervical Cancer Screening and Diagnostic Procedures Cade Fee Allowed <br /> Screening <br /> Pelvicexamination - Bimauual N/A Yes <br /> Cytopathology, cervical or vaginal, any reporting system, rerc� 88141 $ 31.33 <br /> Interpretation by physician <br /> Cywpathology(liquid-based Pap test) cervical or vaginal, collected 88142 $ 25.01 <br /> in preservative fluid, automated thin layer preparation; manual <br /> screening under physician supervision <br /> Cytopathology, cervical or vaginal, collected in preservative fluid, 88143 $ 25.01 <br /> automated thin layer preparation; manual screening and rescreening <br /> under physician supervision <br /> Cytopathology (conventional Pap tes ), slides cervical or vaginal 88164 $ 14.65 <br /> reported in Bethesda System, manual screening under physician <br /> supervision <br /> Cytopathology (conventional Pap test), slides cervical or vaginal 88165 S 42.22 <br /> reported in Bethesda System, manual screening and rescreening under <br /> physician supervision <br /> Cytopathology, cmical or vaginal, collected in preservative fluid, 88174 $ 26.38 <br /> automated thin layer preparation; screening by automated system, <br /> under physician supervision <br /> Cytopathology, cervical or vaginal, collected in preservative fluid, 88175 $ 32.71 <br /> automated thin layer preparation; screening by automated system and <br /> manual rescreening, under physician supervision <br /> Human Papillomavirus, high-risk types (7) 87624 $ 43.33 No <br /> Human Papillomavims, types 16 and 18 only(7) 87625 $ 43.33 No <br /> Follow-Up <br /> Colposcopy of the cervix 57452 $ 104.24 Yes <br /> Colpowapy of the cervix, with biopsy and endocervical curettage 57454 $ 145.85 Yes <br /> Colposcopy of the cervix, with biopsy 57455 $ 136.43 Yes <br /> Culposcopy of the cervix, with endoccrvical curettage 57456 $ 128.67 Yes <br /> Surgical pathology, gross and microscopic examination 88305 $ 66.29 No <br /> 88305CC $ 28.07 No <br /> 88305-26 $ 38.22 No <br /> Surgical pathology, gross and microscopic examination; requiring 88307 $ 253.38 No <br /> microscopic evaluation of surgical margins 88307TC S 169.42 No <br /> 88307-26 $ 83.96 No <br />