85008 Bl smear w/o diff wbc count
What 85008 is
CMS fee schedule short descriptor: Bl smear w/o diff wbc count.
Full CPT long descriptions are licensed by the American Medical Association and are not published on this site; the short descriptor above is the one CMS prints in its own fee schedule file. See About CPT.
Medicare payment for 85008 (CY2026)
This code has no Physician Fee Schedule rate: Statutory exclusion - not payable under the Physician Fee Schedule. It may be paid under a different fee schedule (clinical laboratory, DMEPOS, anesthesia) or not paid at all - check the relevant CMS schedule.
Medically Unlikely Edit (MUE)
Medicare caps 85008 at 1 unit per date of service for practitioner claims (MAI 3 - date of service edit (clinical): units above the MUE may pay with documentation on appeal), rationale: Nature of Analyte. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.
Billed with 85008? These codes are bundled into it
85008 is a Column 1 code in 2 active NCCI PTP edits. When one of these Column 2 codes is reported on the same date of service, it is denied as bundled - unless the edit's modifier indicator is 1 and documentation supports a distinct service with an NCCI-associated modifier.
| Column 2 code | Short description | Modifier indicator | |
|---|---|---|---|
85007 | Bl smear w/diff wbc count | 0 - no modifier bypass | Check pair |
96523 | Irrig drug delivery device | 0 - no modifier bypass | Check pair |
85008 is bundled into these codes
85008 appears as a Column 2 code in 12 active edits. Reported with one of these Column 1 codes on the same date of service, 85008 is the code that denies.
| Column 1 code | Short description | Modifier indicator | |
|---|---|---|---|
0018M | 0 | Check pair | |
80081 | Obstetric panel inc hiv tstg | 1 | Check pair |
81560 | Trnsplj pd lvr&bwl cd154+cll | 0 | Check pair |
85004 | Automated diff wbc count | 0 | Check pair |
85018 | Hemoglobin | 1 | Check pair |
85025 | Complete cbc w/auto diff wbc | 0 | Check pair |
85027 | Complete cbc automated | 0 | Check pair |
85032 | Manual cell count each | 0 | Check pair |
85048 | Automated leukocyte count | 0 | Check pair |
85049 | Automated platelet count | 0 | Check pair |
G0306 | Cbc/diffwbc w/o platelet | 0 | Check pair |
G0307 | Cbc without platelet | 0 | Check pair |
Data: CMS CY2026 Physician Fee Schedule RVU file (October release, RVU26D) and Medicare NCCI PTP practitioner edits v32.3 (2026 Q4). Verify against the official files before billing or contracting decisions.