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2025 Office Fee <br />Code Fee Allowed <br />Pelvic examination - Bimanual N/A Yes <br />Cytopathology, cervical or vaginal, any reporting system, requiring 88141 23.00$ <br />Cytopathology (liquid-based Pap test) cervical or vaginal, collected 88142 20.26$ <br /> in preservative fluid, automated thin layer preparation; manual <br /> screening under physician supervision <br />Cytopathology, cervical or vaginal, collected in preservative fluid,88143 23.04$ <br /> automated thin layer preparation; manual screening and rescreening <br /> under physician supervision <br />Cytopathology (conventional Pap test), slides cervical or vaginal 88164 18.19$ <br /> reported in Bethesda System, manual screening under physician <br /> supervision <br />Cytopathology (conventional Pap test), slides cervical or vaginal 88165 42.22$ <br /> reported in Bethesda System, manual screening and rescreening under <br /> physician supervision <br />Cytopathology, cervical or vaginal, collected in preservative fluid,88174 25.37$ <br /> automated thin layer preparation; screening by automated system, <br /> under physician supervision <br />Cytopathology, cervical or vaginal, collected in preservative fluid,88175 26.61$ <br /> automated thin layer preparation; screening by automated system and <br /> manual rescreening, under physician supervision <br />Human Papillomavirus, high-risk types (9)87624 35.09$ No <br />Human Papillomavirus, genotyping (9)87625 40.55$ No <br />Human Papillomavirus, reported high-risk types separately and pooled (9)87626 70.20$ No <br />Colposcopy of the cervix 57452 115.39$ Yes <br />Colposcopy of the cervix, with biopsy and endocervical curettage 57454 154.15$ Yes <br />Colposcopy of the cervix, with biopsy 57455 147.46$ Yes <br />Colposcopy of the cervix, with endocervical curettage 57456 138.27$ Yes <br />Surgical pathology, gross and microscopic examination 88305 66.03$ No <br />88305TC 31.97$ No <br />88305-26 34.06$ No <br />Surgical pathology, gross and microscopic examination; requiring 88307 260.81$ No <br /> microscopic evaluation of surgical margins 88307TC 186.27$ No <br />88307-26 74.54$ No <br />Immunohistochemistry or immunocytochemistry, per specimen; 88342 102.06$ <br /> initial single antibody stain procedure 88342TC 70.60$ <br />88342-26 31.46$ <br />Immunohistochemistry or immunocytochemistry, per specimen;88341 87.51$ <br /> each additional single antibody stain procedure (List separately 88342TC 62.00$ <br /> in addition to code for primary procedure)88341-26 25.51$ <br />Anesthesia for vaginal procedures (including biopsy of cervix) (7)00940 19.63$ <br />Cervical Cancer Screening and Diagnostic Procedures <br /> interpretation by physician <br />Follow-Up <br />Screening <br />2025 Services Fee Schedule (1) <br />North Carolina Breast and Cervical Cancer Control Program <br />Docusign Envelope ID: 5E743756-FAB9-4264-90BB-2E7F1176312C