CPT 88341 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 | • Pathology and Laboratory Procedures • Surgical Pathology Procedures |
| Common Place of Service | • 22 - On Campus Outpatient Hospital • 81 - Independent Laboratory |
| Common Modifiers | • None • 26 - Professional component • 59 - Distinct Procedural Service |
| Complexity Level | Low |
| CMS | $93.48 Physician Fee Schedule |
National average reimbursement for CPT 88341 by major payers:
$98.32
$71.33
$96.19
$100.27
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 88341 | ||||||
United | 88341 | $140.33 | 1043217367 - CHRISTOPHER ASHLEY | 135596796 - MARY IMOGENE BASSETT HOSPITAL | NY | Gastroenterology Physician (207RG0100X) |
United | 88341 | $61.33 | 1225458003 - NATASHA MCMILLAN | 453023019 - (NY) NORTH SHORE-LIJ MEDICAL PC | NY | Gastroenterology Physician (207RG0100X) |
United | 88341 | $46.72 | 1679992036 - RUSSELL WEG | 844396327 | NY | Gastroenterology Physician (207RG0100X) |
United | 88341 | $34.81 | 1093866386 - INNA GORDIN | 113620583 | NY | Gastroenterology Physician (207RG0100X) |
United | 88341 | $144.30 | 1508884842 - JAMES KOHLROSER | 113613997 - (NY) CHS PHYSICIAN PARTNERS PC | NY | Gastroenterology Physician (207RG0100X) |
United | 88341 | $239.74 | 1851566095 - CARL CRAWFORD | 131623978 | NY | Gastroenterology Physician (207RG0100X) |
United | 88341 | $47.24 | 1598711459 - MICHEL-JOSE CHARLES | 202828257 - (NY) SEL MEDICAL PC | NY | Gastroenterology Physician (207RG0100X) |
United | 88341 | $148.49 | 1427043942 - EMIL MISKOVSKY | 10238552 - MAINEHEALTH | NY | Gastroenterology Physician (207RG0100X) |
United | 88341 | $48.72 | 1124000310 - LESLIE BANK | 161395906 - (NY) UNITED MEDICAL ASSOCIATES PC | NY | Gastroenterology Physician (207RG0100X) |
United | 88341 | $67.68 | 1942219548 - PETER LEGNANI | 134056764 - (NY) NEW YORK GASTROENTEROLOGY ASSOCIATES, LLP | NY | Gastroenterology Physician (207RG0100X) |
United | 88341 | $100.80 | 1114293990 - CAITLIN CITTI | 262998718 | NY | Gastroenterology Physician (207RG0100X) |
United | 88341 | $147.05 | 1538429972 - JOEL GABRE | 135598093 - COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK | NY | Gastroenterology Physician (207RG0100X) |
United | 88341 | $124.04 | 1558360172 - ROBERT PFEFFER | 133544120 - CAREMOUNT MEDICAL, P.C. | NY | Gastroenterology Physician (207RG0100X) |
United | 88341 | $40.29 | 1639435084 - SADRA AZIZI-GHANNAD | 160743905 - ARNOT OGDEN MEDICAL CENTER | NY | Gastroenterology Physician (207RG0100X) |
United | 88341 | $169.11 | 1619348430 - AHMED DIRWEESH | 205996177 | NJ | 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 88341 vs. Other Surgical Pathology Procedures Codes
The CPT 88341 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 88341 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 |
|---|---|---|
| 88311-CPT | Low | Decalc Proced-List W/Surg.Path.Exam |
| 88312-CPT | Low | Special Stains (List Separately In Addition To Code For Primary Service); Group I For Microorganisms (Eg Gridley Acid Fast Methenamine Silver) Each (Rvsd 1/1/04) |
| 88341-CPT | Low | 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 Immunocytochemistry Per Specimen; Initial Single Antibody Stain Procedure (Desc Revised 01/01/15) Separately Identifiable Antibody Per Slide (Revised 01/01/2014) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 88341. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 88341 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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