Proposed LCD DL40380: Urine-based Biomarkers in Patients with Microhematuria — First Coast
Urology · LCD-DL40380
Government source· CMS / MACverify ↗Full analysis available with a CLV subscription.
View alertCPT procedure code
$542.10
2026 Physician Fee Schedule · non-facility
Source: CMS Physician Fee Schedule (PPRRVU 2026). CMS fee schedules ↗ · PFS status indicator A
National amount before geographic adjustment. Your MAC's locality rate will differ.
Code definition
Code
88120
Code system
CPT (Current Procedural Terminology)
This CPT code is not in our curated reference. CPT codes are maintained by the American Medical Association (AMA). Full descriptions require an AMA license.
Category
—
Short description sourced from CMS publicly available fee schedule data. Full CPT descriptions are copyright AMA. Not a substitute for the official CPT codebook.
CLV Intelligence is tracking 5 policy changes that cite CPT 88120 most recently on 2026-06-05, drawn from 3 LCD/NCD coverage updates and 2 proposed LCDs. The changes span Oncology and Urology. 2 are flagged critical or high priority.
Counts reflect the source documents CLV has matched to CPT 88120 to date; each links to the government publication that is authoritative. Monitored daily from CMS, the Federal Register, and Medicare Administrative Contractor publications.
Policy changes matched to 88120
Matched to this code by CLV analysis of each policy. The linked source document is authoritative.
Urology · LCD-DL40380
Government source· CMS / MACverify ↗Full analysis available with a CLV subscription.
View alertUrology · LCD-L36975
Government source· CMS / MACverify ↗Full analysis available with a CLV subscription.
View alertUrology · LCD-DL40378
Government source· CMS / MACverify ↗Full analysis available with a CLV subscription.
View alertOncology · LCD-L36678
Government source· CMS / MACverify ↗Full analysis available with a CLV subscription.
View alertOncology · LCD-L36680
Government source· CMS / MACverify ↗Full analysis available with a CLV subscription.
View alertAudit documentation
The Tripwire Audit Pack exports 12 months of single-specialty policy-change history — every alert with a link to its government source document, as a formatted PDF for compliance distribution plus a machine-readable CSV. Delivered automatically after payment. No account, no call.
Related CPT codes (881xx)
88104PathologyCytopathology, fluids, washings or brushings
88108PathologyCytopathology, concentration technique
88112PathologyCytopathology, selective cellular enhancement
88141PathologyCytopathology, cervical or vaginal, physician interpretation
88142PathologyCytopathology, cervical or vaginal, thin layer preparation
88160PathologyCytopathology, smears, any source, screening
88175PathologyCytopathology, cervical or vaginal, automated thin layer
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