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CPT 88000 Fee Schedule

Last Verified: September 2026

Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.

Autopsy, Autopsy Is An Examination Of A Deceased Persons Body To Determine Cause Of Death. The Gross Examination Is The Process By Which The Exterior And Interior Body Is Inspected With The Naked Eye.
Key FactDetail
Service Type

Pathology and Laboratory Procedures

Anatomic Pathology Procedures

Common Place of Service

11 - Office

22 - On Campus Outpatient Hospital

72 - Rural Health Clinic

Common Modifiers

None

TC - Technical component

Complexity LevelModerate
Medicare Fee ScheduleView Medicare rates for 88000

National average reimbursement for CPT 88000 by major payers:

bcbs

$242.61

uhc

$173.90

aetna

$216.97

cigna

$236.21

Compare published rates across providers.

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CPT 88000
5 of 25 sample ratesHigher to lower in this preview
  1. Chu Chen

    Merrimack Valley Pediatric Associates, Inc.

    MAPediatrics PhysicianNPI 1073502985Tax ID 42-484572

    $542.78Published rate
  2. Christopher Raio

    Mercy Medical Center

    NYEmergency Medicine PhysicianNPI 1255478004Tax ID 11-1635088

    $325.93Published rate
  3. Christopher Raio

    Good Samaritan Hosptial Medical Center

    NYEmergency Medicine PhysicianNPI 1255478004Tax ID 11-1888924

    $251.49Published rate
  4. Nevada Eye Care Professionals Little & Stein, Ltd.

    Nevada Eye Care Professionals

    NVOphthalmology PhysicianNPI 1730106824Tax ID 88-0316581

    $121.89Published rate
  5. Sunrise Home Health Care Inc.

    Sunrise Home Health Care Inc

    FLHome Health AgencyNPI 1366400376Tax ID 65-0307774

    $86.70Published rate

National sample. Rates vary by location, specialty, and contract.

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CPT 88000 vs. Other Anatomic Pathology Procedures Codes

The CPT 88000 code is part of the Pathology and Laboratory Procedures services used for Anatomic Pathology Procedures. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.

The CPT 88000 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.

CodeComplexityDescription
88000-CPTModerateAutopsy, Autopsy Is An Examination Of A Deceased Persons Body To Determine Cause Of Death. The Gross Examination Is The Process By Which The Exterior And Interior Body Is Inspected With The Naked Eye.
88005-CPTModerateAutopsy With Brain Exam, Autopsy Is An Examination Of A Deceased Persons Body To Determine Cause Of Death. The Gross Examination Is The Process By Which The Exterior And Interior Body Is Inspected With The Naked Eye. Test Includes Brain Examination.
88007-CPTModerateAutopsy With Cns Exam, Autopsy Is An Examination Of A Deceased Persons Body To Determine Cause Of Death. The Gross Examination Is The Process By Which The Exterior And Interior Body Is Inspected With The Naked Eye. Test Includes Brain And Spinal Cord Examination.
88012-CPTModerateInfant Autopsy With Brain Exam, Infant Autopsy Is An Examination Of The Deceased Infants Body To Determine Cause Of Death. The Gross Examination Is The Process By Which The Exterior And Interior Body Is Inspected With The Naked Eye. Test Includes Brain Examination.

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 88000. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 88000 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.

Factors that affect fee schedules


Medicare & Medicaid Rates

Government-set reimbursement amounts


Private Insurance Rates

Negotiated rates between providers and insurance companies


Geographic Location

Costs may be higher in urban areas.


Provider Type

Hospital providers may have different rates than private practice.

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