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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 Surgical Pathology Procedures |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | 26 - Professional component 59 - Distinct Procedural Service |
| Complexity Level | Low |
| Medicare Fee Schedule | $53.78 national non-facility rate (2026) · View Medicare rates for 88334 |
| Medicaid Fee Schedule | $44.865 median of the 8 states in the free preview · View Medicaid rates for 88334 |
National average reimbursement for CPT 88334 by major payers:

$61.93

$48.08

$63.53

$68.59
Choose a payer to see a sample of rates for CPT 88334.
Sepideh Mokhtari
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
Jon Boettger
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
Allison Koblitz
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
Randa Perkins
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
Zaixiu Hutchinson
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
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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 88334 vs. Other Surgical Pathology Procedures Codes
The CPT 88334 code is part of the Pathology and Laboratory Procedures services used for Surgical 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 88334 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 |
|---|---|---|
| 88333-CPT | Low | Surgical Pathology Consult, A Consultation During Surgery Involving A Simple Visual Or Physical Exam Of The Tissue In Question. The Operating Physician Requests An Opinion Or Advice From Another Physician In Order To Make An Immediate Decision On How To Proceed With The Surgery. |
| 88334-CPT | Low | Surgical Pathology Consult, A Consultation During Surgery Involving A Simple Visual Or Physical Exam Of The Tissue In Question. The Operating Physician Requests An Opinion Or Advice From Another Physician In Order To Make An Immediate Decision On How To Proceed With The Surgery. |
| 88341-CPT | Low | Immunohistochemistry Or Immuno, Immunohistochemistry Or Immunocytochemistry Per Specimen Each Additional Single Antibody Stain Procedure (List Separately In Addition To Code For Primary Procedure) |
| 88342-CPT | Low | Immunohistochemistry Or Immuno, Immunohistochemistry Or Immunocytochemistry Each Separately Identifiable Antibody Per Block Cytologic Preparation Or Hematologic Smear First Separately Identifiable Antibody Per Slide |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 88334. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 88334 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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