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See a sample rate comparisonHealthcare 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.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Anatomic Pathology Procedures |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | None |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 88037 |
National average reimbursement for CPT 88037 by major payers:

$120.05

$76.56

$108.79

$105.95
Choose a payer to see a sample of rates for CPT 88037.
Merrimack Valley Pediatric Associates, Inc.
Charleston Radiologists, P.A.
Progressive Medical Center, S.C.
The Orthopedic And Neurosurgical Center Of The Cascades
E And A Medical On The Go Healthcare Of South Florida LLC
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Rate Benchmarking
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See a sample rate comparisonPayer Contract Negotiation
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See a sample payer proposalCPT 88037 vs. Other Anatomic Pathology Procedures Codes
The CPT 88037 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 88037 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 |
|---|---|---|
| 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. |
| 88036-CPT | Low | Necropsy,Lmtd,Gross/Microsc;Regionl |
| 88037-CPT | Low | Necropsy (Autopsy) Lmtd Gross &/Or Microscop; Sngle Organ, Necropsy (Autopsy) Limited Gross And/Or Microscopic; Single Organ |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 88037. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 88037 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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