88104 Insurance Policy Changes

CPT 88104, in plain terms, covers Lab examination of cell samples from non-reproductive areas to check for abnormalities or disease. CPT 88104 is referenced in 3 tracked payer policy changes from Aetna. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 88104 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Official descriptor: CPT 88104 on AAPC