CPT 88346 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 81 - Independent Laboratory |
| Common Modifiers | None 26 - Professional component TC - Technical component |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 88346 |
National average reimbursement for CPT 88346 by major payers:
$154.50
$96.87
$142.49
$141.62
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
United | 88346 | $128.47 | 1225566839 - TERESA RO | 560960506 - (NC) TRIANGLE DERMATOLOGY ASSOCIATES | NC | Dermatology Physician (207N00000X) |
United | 88346 | $22.42 | 1245751403 - BLUEWATER DERMATOLOGY AND SKIN CANCER CENTER PA | 821800921 - (NC) BLUEWATER DERMATOLOGY AND SKIN CANCER CENTER, PA | NC | MOHS-Micrographic Surgery Physician (207ND0101X) |
United | 88346 | $33.77 | 1871579110 - WILLIAM SUMNER | 561748937 - (NC) DERMATOLOGY GROUP OF THE CAROLINAS | NC | Procedural Dermatology Physician (207NS0135X) |
United | 88346 | $25.82 | 1447463518 - DANIEL ZEDEK | 562205718 - THE SKIN SURGERY CENTER | NC | Dermatopathology (Pathology) Physician (207ZD0900X) |
United | 88346 | $81.61 | 1144396342 - CAROL TRAKIMAS | 391351587 - FOREFRONT DERMATOLOGY, S.C. | NC | Dermatology Physician (207N00000X) |
United | 88346 | $58.74 | 1578763140 - BRETT SUMMEY | 561215904 - (NC) BOONE DERMATOLOGY CLINIC, P.A. | NC | Dermatology Physician (207N00000X) |
United | 88346 | $30.02 | 1003806928 - COLEMAN ALTMAN | 561004551 - CHARLOTTE DERMATOLOGY | NC | Dermatology Physician (207N00000X) |
United | 88346 | $33.77 | 1316391410 - JESSIKA DAVIS | 550801575 - (NC) ADVANCED DERMATOLOGY AND SKIN SURGERY, PA | NC | Dermatology Physician (207N00000X) |
United | 88346 | $121.23 | 1962624478 - CRAIG BURKHART | 834280385 - (NC) BURKHART PEDIATRIC ADOLESCENT DERMATOLOGY PLLC | NC | Dermatology Physician (207N00000X) |
United | 88346 | $25.82 | 1003226051 - MARIO MITKOV | 562205718 - THE SKIN SURGERY CENTER | NC | Dermatology Physician (207N00000X) |
United | 88346 | $24.13 | 1265768485 - GEORGE MAGEL | 561881165 - (NC) PIEDMONT PLASTIC SURGERY & DERMATOLOGY, P.A. | NC | Dermatology Physician (207N00000X) |
United | 88346 | $20.71 | 1437749330 - SUMMIT PLASTIC SURGERY & DERMATOLOGY, PLLC | 870961238 - (NC) SUMMIT PLASTIC SURGERY DERMATOLOGY PLLC | NC | Dermatology Physician (207N00000X) |
United | 88346 | $58.74 | 1437153954 - WILLIAM ENGSTROM | 561215904 - (NC) BOONE DERMATOLOGY CLINIC, P.A. | NC | Dermatology Physician (207N00000X) |
United | 88346 | $50.70 | 1992750319 - MARGARET BOYSE | 223864190 - (NC) SOUTHERN DERMATOLOGY, PA | NC | Dermatology Physician (207N00000X) |
United | 88346 | $59.45 | 1649237082 - SKIN SURGERY CENTER PA | 562205718 - THE SKIN SURGERY CENTER | NC | Dermatology Physician (207N00000X) |
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 88346 vs. Other Pathology and Laboratory Procedures Codes
The CPT 88346 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 88346 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 |
|---|---|---|
| 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 |
| 88344-CPT | Low | Typing Of Diseased Cells, Microscopic Examination Of A Tissue Sample. It Is Usually Used To Identify The Type Of Cancer Present (Or Predict The Outcome Of A Cancer). |
| 88346-CPT | Low | Immune Study Tissue Sample, For This Study Antibodies From A Tissue Sample Are Treated With Fluorescent Dye And Then Examined Under A Microscope. Intensity Pattern And Distribution Of The Antibodies Aid Diagnosis. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 88346. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 88346 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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