CPT 88309 Fee Schedule

Last Verified: July 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.

Tissue Exam By Pathologist, Level Vi Surgical Pathology Gross And Microscopic Examination Bone Resection Breast Mastectomy With Regional Lymph Nodes Colon Segmental Resection For Tumor Colon Total Resection Esophagus Partial Total Resection Extremity Disarticulation Fetus With Dissection Larynx Partial Total Resection With Regional Lymph Nodes Lung Total Lobe Segment Resection Pancreas Total Subtotal Resection Prostate Radical Resection Small Intestine Resection For Tumor Soft Tissue Tumor Extensive Resection Stomach Subtotal Total Resection For Tumor Testis Tumor Tongue Tonsil Resection For Tumor Urinary Bladder Partial Total Resection Uterus With Or Without Tubes And Ovaries Neoplastic Vulva Total Subtotal Resection

Key Fact	Detail
Service Type	Surgical Pathology Procedures Pathology and Laboratory Procedures
Common Place of Service	21 - Inpatient Hospital 22 - On Campus Outpatient Hospital
Common Modifiers	None 26 - Professional component TC - Technical component
Complexity Level	Moderate
Medicare Fee Schedule	View Medicare rates for 88309

National average reimbursement for CPT 88309 by major payers:

$434.45

$325.89

$468.49

$434.56

Preview provider-level rates for...

For billing codeCPT 88309

Payer	Code	Rate	NPI	Tax ID	State	Specialty
United	88309	$274.07	1780846329 - GAURAV MALHOTRA	232743545	PA	Anesthesiology Physician (207L00000X)
United	88309	$468.22	1740257492 - IKENNA OBIOMA	251881378	PA	Anesthesiology Physician (207L00000X)
United	88309	$518.17	1730472838 - MAYA GALPERIN AIZENBERG	232865181	PA	Diagnostic Radiology Physician (2085R0202X)
United	88309	$510.75	1790364248 - TYLER MCCARDELL	232743545	PA	Emergency Medicine Physician (207P00000X)
United	88309	$411.10	1942732722 - ADAM BRESLIN	250815795 - GUTHRIE MEDICAL GROUP PC	PA	Emergency Medicine Physician (207P00000X)
United	88309	$407.14	1235798307 - MATTHEW HEARD	232380812 - ST LUKES PHYSICIAN GROUP INC	PA	Emergency Medicine Physician (207P00000X)
United	88309	$80.27	1669422754 - SCOTT MIEKLEY	231401561 - (PA) FULTON COUNTY MEDICAL CENTER	PA	Emergency Medicine Physician (207P00000X)
United	88309	$127.30	1154380384 - ST CLAIR ANESTHESIOLOGY ASSOCIATES INC	710875076 - (PA) ST CLAIR HEALTH CORPORATION	PA	Anesthesiology Physician (207L00000X)
United	88309	$561.53	1144510603 - AHMED FADL	251838458 - HIGHMARK HEALTH	PA	Diagnostic Radiology Physician (2085R0202X)
United	88309	$575.29	1437189024 - QIN ZHANG	251838458 - HIGHMARK HEALTH	PA	Anesthesiology Physician (207L00000X)
United	88309	$407.14	1982611323 - JED SEITZINGER	861057582 - (PA) PINNACLE HEALTH EMERGENCY DEPARTMENT SERVICES LLC	PA	Emergency Medicine Physician (207P00000X)
United	88309	$227.16	1972594935 - STEPHEN NICHOLS	231365353 - (PA) LANCASTER GENERAL HOSPITAL	PA	Anesthesiology Physician (207L00000X)
United	88309	$206.11	1245435940 - BRENDAN MULLEN	251838458 - HIGHMARK HEALTH	PA	Diagnostic Radiology Physician (2085R0202X)
United	88309	$223.08	1033647227 - LAURA ROPER	232275991 - (PA) ALBERT EINSTEIN HEALTHCARE NETWORK	PA	Emergency Medicine Physician (207P00000X)
United	88309	$439.91	1346479813 - MICHELLE DARYANANI	232449454 - (PA) UPMC	PA	Anesthesiology Physician (207L00000X)
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 88309 vs. Other Pathology and Laboratory Procedures Codes

The CPT 88309 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 88309 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
88309-CPT	Moderate	Tissue Exam By Pathologist, Level Vi Surgical Pathology Gross And Microscopic Examination Bone Resection Breast Mastectomy With Regional Lymph Nodes Colon Segmental Resection For Tumor Colon Total Resection Esophagus Partial Total Resection Extremity Disarticulation Fetus With Dissection Larynx Partial Total Resection With Regional Lymph Nodes Lung Total Lobe Segment Resection Pancreas Total Subtotal Resection Prostate Radical Resection Small Intestine Resection For Tumor Soft Tissue Tumor Extensive Resection Stomach Subtotal Total Resection For Tumor Testis Tumor Tongue Tonsil Resection For Tumor Urinary Bladder Partial Total Resection Uterus With Or Without Tubes And Ovaries Neoplastic Vulva Total Subtotal Resection

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 88309. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 88309 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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