Find policies, billing codes, payers, states, and providers
CPT 87088: Urine Culture Presumptive Identification
CPT code 87088 represents a laboratory procedure in which a microbiologist or lab analyst examines a urine culture with unknown organism(s) and provides a presumptive identification of each organism that requires identification. This code captures an early, interpretive laboratory step that informs clinical decision-making and downstream testing such as definitive identification or antimicrobial susceptibility.
Key national payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. The publication outlines payer coverage patterns, coding and billing considerations, and where CPT code 87088 fits in clinical workflows and service lines for microbiology laboratories.
Readers will learn the clinical context for use of CPT code 87088, typical sites of service, common modifiers used with laboratory claims, and what data is available or missing from the input. The summary highlights operational and billing touchpoints relevant to laboratories and revenue cycle teams and provides a reference for benchmarking utilization and policy implications affecting reimbursement and claims processing for presumptive organism identification from urine cultures.
Customize your policy alerts
Sign up for cpt 87088 policy alerts
Get alerted when payer policies referencing 87088 are released or updated.
Monitor payer policy activity
Billing Code Overview
CPT code 87088 describes a laboratory service in which a clinical lab analyst or microbiologist observes a urine culture containing an unknown organism or organisms and makes a presumptive identification of each organism that requires identification. This service is a presumptive identification of organisms from a urine culture rather than definitive identification or susceptibility testing.
-
Service type: Laboratory identification (presumptive) of organisms from urine culture
-
Typical site of service: Clinical laboratory or hospital laboratory performing microbiology testing