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See a sample rate comparisonCPT 88028 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.
Full Autopsy Of Infant, Infant Autopsy Is An Examination Of The Infants 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.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Anatomic Pathology Procedures |
| Common Place of Service | 22 - On Campus Outpatient Hospital |
| Common Modifiers | None |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 88028 |
National average reimbursement for CPT 88028 by major payers:
$245.97
$170.51
$225.44
$235.17
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CPT 88028
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$542.78Published rateMatthew Lilley
Bend Memorial Clinic, PC
$207.15Published rateChristopher Raio
St Francis Hospital
$150.89Published rateSunrise Home Health Care Inc.
Sunrise Home Health Care Inc
$79.88Published rateDa Pediatric Rehabilitation
$35.00Published rate
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See a sample payer proposalCPT 88028 vs. Other Anatomic Pathology Procedures Codes
The CPT 88028 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 88028 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 |
|---|---|---|
| 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. |
| 88025-CPT | Moderate | Full Autopsy Of Body And Brain, 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 And The Brain With The Naked Eye And With A Microscope. |
| 88027-CPT | Moderate | Full Autopsy With Cns Exam, Autopsy Is An Examination Of A Deceased Persons Body To Determine Cause Of Death. This Full Autopsy Examines The Exterior And Interior Of The Body Brain And Spinal Cord With The Naked Eye And With A Microscope. |
| 88028-CPT | Moderate | Full Autopsy Of Infant, Infant Autopsy Is An Examination Of The Infants 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 88028. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 88028 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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