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See a sample rate comparisonCPT 88099 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Unlisted Necropsy (Autopsy) Proc, Unlisted Necropsy (Autopsy) Procedure
| 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 | High |
| Medicare Fee Schedule | View Medicare rates for 88099 |
National average reimbursement for CPT 88099 by major payers:
$1,113.24
$2,758.73
$5.77
$153.80
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CPT 88099
5 of 25 sample ratesHigher to lower in this preview
All Ways Homecare Inc
$60.00Published rateAll Ways Homecare Inc
$55.00Published rateAll Ways Homecare Inc
$40.00Published rateRestorative Health Rehabilitation Inc
$35.00Published rateAll Ways Homecare Inc
$35.00Published rate
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See a sample payer proposalCPT 88099 vs. Other Anatomic Pathology Procedures Codes
The CPT 88099 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 88099 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 |
|---|---|---|
| 88036-CPT | Low | Necropsy,Lmtd,Gross/Microsc;Regionl |
| 88040-CPT | Moderate | Autopsy Related To A Crime, Exam Of A Person To Determine The Cause Of Death. This Type Of Autopsy Is Performed In The Context Of A Crime Investigation. |
| 88045-CPT | Low | Coroners Autopsy, A Coroners Autopsy Is An Examination Of The Body After Death To Determine The Unnatural Cause Of Death. |
| 88099-CPT | High | Unlisted Necropsy (Autopsy) Proc, Unlisted Necropsy (Autopsy) Procedure |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 88099. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 88099 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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