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85032 Manual cell count each

What 85032 is

CMS fee schedule short descriptor: Manual cell count each.

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 85032 (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.

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Medically Unlikely Edit (MUE)

Medicare caps 85032 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: Clinical: Data. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.

Billed with 85032? These codes are bundled into it

85032 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 codeShort descriptionModifier indicator
85008Bl smear w/o diff wbc count0 - no modifier bypassCheck pair
96523Irrig drug delivery device0 - no modifier bypassCheck pair

85032 is bundled into these codes

85032 appears as a Column 2 code in 10 active edits. Reported with one of these Column 1 codes on the same date of service, 85032 is the code that denies.

Column 1 codeShort descriptionModifier indicator
0018M1Check pair
80081Obstetric panel inc hiv tstg1Check pair
81560Trnsplj pd lvr&bwl cd154+cll0Check pair
85025Complete cbc w/auto diff wbc0Check pair
85027Complete cbc automated0Check pair
85041Automated rbc count0Check pair
85048Automated leukocyte count0Check pair
85049Automated platelet count0Check pair
G0306Cbc/diffwbc w/o platelet0Check pair
G0307Cbc without platelet0Check 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.