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See a sample rate comparisonCPT 88016 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 Of Stillborn Infant, Exam Of The Body Of A Macerated Stillborn Infant To Determine Cause Of Death. This Condition Usually Occurs During Pregnancy In Which One Twin Dies Or A Single Infant Is Born But There Was No Suspected Twin.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Anatomic Pathology Procedures |
| Common Place of Service | 11 - Office |
| Common Modifiers | None |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 88016 |
| Medicaid Fee Schedule | View Medicaid rates for 88016 |
National average reimbursement for CPT 88016 by major payers:
$299.60
$216.22
$263.69
$293.52
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CPT 88016
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$694.08Published rateBaycare Home Care, Inc.
Baycare Home Care Inc
$335.66Published rateCatherine Lee
Columbus Arthritis Center
$222.51Published rateAaron Askew
The Orthopedic And Neurosurgical Center Of The Cascades
$158.94Published rateAll Ways Homecare Inc
$55.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 88016 vs. Other Anatomic Pathology Procedures Codes
The CPT 88016 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 88016 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 |
|---|---|---|
| 88014-CPT | Moderate | Necropsy (Autopsy) Gross Exam Only; Stillborn Or Newborn W/, Necropsy (Autopsy) Gross Examination Only; Stillborn Or Newborn With |
| 88016-CPT | Moderate | Autopsy Of Stillborn Infant, Exam Of The Body Of A Macerated Stillborn Infant To Determine Cause Of Death. This Condition Usually Occurs During Pregnancy In Which One Twin Dies Or A Single Infant Is Born But There Was No Suspected Twin. |
| 88020-CPT | Moderate | Full Autopsy, Autopsy Is An Examination Of A Deceased Persons Body To Determine Cause Of Death. A Full Autopsy Examines The Exterior And Interior Of The Body With The Naked Eye And With A Microscope. |
| 88029-CPT | Moderate | Full Autopsy Of Newborn, Newborn Autopsy Is An Examination Of The Body To Determine Cause Of Death. A Full Autopsy Includes A Gross Examination Of The Exterior And Interior Body With The Naked Eye And Microscopic Examination. Test Also Includes Brain Exam. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 88016. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 88016 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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