Effective 4/1/2018, Medi-Cal is adding ISH code 88365 to their fee schedule. This addition fills a glaring gap in a fee schedule that prices all other ISH family codes. The following CPT service codes can be split billed with the global reimbursement rates as follows:
|88364||INSITU HYBRIDIZATION (FISH)||$87.58|
|88366||INSITU HYBRIDIZATION (FISH)||$133.38|
|88367||INSITU HYBRIDIZATION AUTO||$96.64|
|88368||INSITU HYBRIDIZATION MANUAL||$75.41|
The payment rate for 88365 is not yet known. Medi-Cal updates its fee schedules on the 15th of each month, with effective dates of the first of the month. The updates are then published on the Medi-Cal website on the 16th. APS will continue to monitor any and all changes to payment and reimbursement policies for Medi-Cal and all payors. If you have any additional questions, please contact your Practice Manager.