CPT 88300 Fee Schedule
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.
| Key Fact | Detail |
|---|---|
| Service Type | Surgical Pathology Procedures Pathology and Laboratory Procedures |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | None 26 - Professional component 59 - Distinct Procedural Service |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 88300 |
National average reimbursement for CPT 88300 by major payers:
$19.86
$15.17
$21.94
$17.79
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
United | 88300 | $9.52 | 1598837684 - RICHARD ROGERS | 471158090 - (TX) CITIZENS MEDICAL CENTER COUNTY OF VICTORIA | TX | Gastroenterology Physician (207RG0100X) |
United | 88300 | $15.88 | 1558705814 - JESSICA GARNER | 752616977 - CHRISTUS TRINITY CLINIC | TX | Gastroenterology Physician (207RG0100X) |
United | 88300 | $2.65 | 1942685409 - ADVANCED GASTROENTEROLOGY OF TEXAS PLLC | 474543923 - (TX) ADVANCED GASTROENTEROLOGY OF TEXAS PLLC | TX | Gastroenterology Physician (207RG0100X) |
United | 88300 | $5.84 | 1306264130 - DANIEL ZHANG | 760386391 - KELSEY-SEYBOLD MEDICAL GROUP PLLC | TX | Gastroenterology Physician (207RG0100X) |
United | 88300 | $23.36 | 1053548891 - AMIT MORI | 450226711 - ST ALEXIUS MEDICAL CENTER | TX | Gastroenterology Physician (207RG0100X) |
United | 88300 | $30.56 | 1447546379 - RAJA KOTESWAR DHANEKULA | 742958277 - SCOTT & WHITE CLINIC | TX | Gastroenterology Physician (207RG0100X) |
United | 88300 | $41.86 | 1386791705 - MARCEL LAUFER | 135562308 - NEW YORK UNIVERSITY | NY | Gastroenterology Physician (207RG0100X) |
United | 88300 | $11.14 | 1861514929 - ROBERT ANDERSON | 752005254 - TEXAS DIGESTIVE DISEASE CONSULTANTS | TX | Gastroenterology Physician (207RG0100X) |
United | 88300 | $17.20 | 1700226693 - JONELLE GEORGE | 364015560 - LOYOLA UNIVERSITY MEDICAL CENTER | TX | Gastroenterology Physician (207RG0100X) |
United | 88300 | $11.39 | 1083617534 - JONATHAN WARMAN | 461583163 | NY | Gastroenterology Physician (207RG0100X) |
United | 88300 | $19.88 | 1851390637 - BAYCARE HOME CARE, INC. | 593582520 - (FL) BAYCARE HOME CARE INC | FL | Home Health Agency (251E00000X) |
United | 88300 | $47.97 | 1770739211 - DZIFAA LOTSU | 390818682 - (WI) ST MARYS HOSPITAL MEDICAL CENTER OF GREEN BAY INC-HOSPITAL SISTERS | OH | Gastroenterology Physician (207RG0100X) |
United | 88300 | $21.47 | 1518184365 - THOMAS VAN DINTER | 752536818 - HEALTHTEXAS PROVIDER NETWORK | TX | Gastroenterology Physician (207RG0100X) |
United | 88300 | $8.69 | 1598845349 - MICHAEL AMMIRATI | 134064568 - (NY) SCHWARZ & AMMIRATI MEDICAL ASSOCIATES PLLC | NY | Gastroenterology Physician (207RG0100X) |
United | 88300 | $14.38 | 1043445588 - SAJNEET KHANGURA | 741967809 - (TX) GASTROENTEROLOGY CONSULTANTS OF SAN ANTONIO, P.A. | TX | Gastroenterology Physician (207RG0100X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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CPT 88300 vs. Other Pathology and Laboratory Procedures Codes
The CPT 88300 code is part of the Surgical Pathology Procedures services used for Pathology and Laboratory 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 88300 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 |
|---|---|---|
| 88300-CPT | Low | Pathology Exam Of Body Tissue, A Laboratory Study Of Tissue Organs Or Fluid Samples. A Pathology Study Detects Disease If It Is Present. The Sample May Be Removed During Surgery Or Another Procedure. |
| 88302-CPT | Low | Tissue Exam By Pathologist, Level Ii Surgical Pathology Gross And Microscopic Examination Appendix Incidental Fallopian Tube Sterilization Fingers Toes Amputation Traumatic Foreskin Newborn Hernia Sac Any Location Hydrocele Sac Nerve Skin Plastic Repair Sympathetic Ganglion Testis Castration Vaginal Mucosa Incidental Vas Deferens Sterilization |
| 88304-CPT | Low | Tissue Exam By Pathologist, Level Iii Surgical Pathology Gross And Microscopic Examination Abortion Induced Abscess Aneurysm Arterial Ventricular Anus Tag Appendix Other Than Incidental Artery Atheromatous Plaque Bartholin S Gland Cyst Bone Fragment S Other Than Pathologic Fracture Bursa Synovial Cyst Carpal Tunnel Tissue Cartilage Shavings Cholesteatoma Colon Colostomy Stoma Conjunctiva Biopsy Pterygium Cornea Diverticulum Esophagus Small Intestine Dupuytren S Contracture Tissue Femoral Head Other Than Fracture Fissure Fistula Foreskin Other Than Newborn Gallbladder Ganglion Cyst Hematoma Hemorrhoids Hydatid Of Morgagni Intervertebral Disc Joint Loose Body Meniscus Mucocele Salivary Neuroma Morton S Traumatic Pilonidal Cyst Sinus Polyps Inflammatory Nasal Sinusoidal Skin Cyst Tag Debridement Soft Tissue Debridement Soft Tissue Lipoma Spermatocele Tendon Tendon Sheath Testicular Appendage Thrombus Or Embolus Tonsil And Or Adenoids Varicocele Vas Deferens Other Than Sterilization Vein Varicosity |
| 88305-CPT | Low | Tissue Exam By Pathologist, Level Iv Surgical Pathology Gross And Microscopic Examination Abortion Spontaneous Missed Artery Biopsy Bone Marrow Biopsy Bone Exostosis Brain Meninges Other Than For Tumor Resection Breast Biopsy Not Requiring Microscopic Evaluation Of Surgical Margins Breast Reduction Mammoplasty Bronchus Biopsy Cell Block Any Source Cervix Biopsy Colon Biopsy Duodenum Biopsy Endocervix Curettings Biopsy Endometrium Curettings Biopsy Esophagus Biopsy Extremity Amputation Traumatic Fallopian Tube Biopsy Fallopian Tube Ectopic Pregnancy Femoral Head Fracture Fingers Toes Amputation Non Traumatic Gingiva Oral Mucosa Biopsy Heart Valve Joint Resection Kidney Biopsy Larynx Biopsy Leiomyoma S Uterine Myomectomy Without Uterus Lip Biopsy Wedge Resection Lung Transbronchial Biopsy Lymph Node Biopsy Muscle Biopsy Nasal Mucosa Biopsy Nasopharynx Oropharynx Biopsy Nerve Biopsy Odontogenic Dental Cyst Omentum Biopsy Ovary With Or Without Tube Non Neoplastic Ovary Biopsy Wedge Resection Parathyroid Gland Peritoneum Biopsy Pituitary Tumor Placenta Other Than Third Trimester Pleura Pericardium Biopsy Tissue Polyp Cervical Endometrial Polyp Colorectal Polyp Stomach Small Intestine Prostate Needle Biopsy Prostate Tur Salivary Gland Biopsy Sinus Paranasal Biopsy Skin Other Than Cyst Tag Debridement Plastic Repair Small Intestine Biopsy Soft Tissue Other Than Tumor Mass Lipoma Debridement Spleen Stomach Biopsy Synovium Testis Other Than Tumor Biopsy Castration Thyroglossal Duct Brachial Cleft Cyst Tongue Biopsy Tonsil Biopsy Trachea Biopsy Ureter Biopsy Urethra Biopsy Urinary Bladder Biopsy Uterus With Or Without Tubes And Ovaries For Prolapse Vagina Biopsy Vulva Labia Biopsy |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 88300. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 88300 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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