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See a sample rate comparisonCPT 88005 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 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.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Anatomic Pathology Procedures |
| Common Place of Service | 21 - Inpatient Hospital 24 - Ambulatory Surgical Center 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 88005 |
National average reimbursement for CPT 88005 by major payers:
$280.72
$201.79
$248.83
$275.11
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CPT 88005
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$633.56Published rateBaycare Home Care, Inc.
Baycare Home Care Inc
$306.55Published rateAaron Askew
Praxis Health, P.C.
$290.16Published rateBaptist Health Care, Inc., Baptist Home Healt Care And Medical Equipment
Baptist Health Care Inc
$140.08Published rateAll Ways Homecare Inc
$60.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 88005 vs. Other Anatomic Pathology Procedures Codes
The CPT 88005 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 88005 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.
| Code | Complexity | Description |
|---|---|---|
| 88000-CPT | Moderate | 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. |
| 88005-CPT | Moderate | Autopsy 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-CPT | Moderate | Autopsy 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-CPT | Moderate | Infant 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 88005. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 88005 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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