Cytopathology 88120 considered investigational

Effective for dates of service on or after August 1, 2016, Blue Cross and Blue Shield of Vermont (BCBSVT) considers CPT code 88120 cytopathology, in situ hybridization (eg, FISH), urinary tract specimen with morphometric analysis, 3-5 molecular probes, each specimen; manual as investigational. In Section 1 of their online provider manual located at www.bcbsvt.com/provider, BCBSVT provides guidance on the steps that need to occur for members to assume financial responsibility for investigational care. Otherwise, providers are held financially liable for the services.