CPT 88350 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 | $107.07 Physician Fee Schedule |
National average reimbursement for CPT 88350 by major payers:
$117.25
$72.56
$107.12
$115.18
| 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 88350 | ||||||
United | 88350 | $29.62 | 1598486565 - BEACON DERMATOLOGY LLC | 883310177 - (NC) BEACON DERMATOLOGY LLC | NC | Dermatology Physician (207N00000X) |
United | 88350 | $21.21 | 1447748819 - INTEGRATED DERMATOLOGY OF NORTH RALEIGH, PLLC | 824815290 - (NC) INTEGRATED DERMATOLOGY OF NORTH RALEIGH PLLC | NC | Dermatology Physician (207N00000X) |
United | 88350 | $88.97 | 1598486565 - BEACON DERMATOLOGY LLC | 883310177 - (NC) BEACON DERMATOLOGY LLC | NC | Dermatology Physician (207N00000X) |
United | 88350 | $39.02 | 1346210937 - LISA NURRE | 562246826 - (NC) BILTMORE DERMATOLOGY ASSOCIATES, PA | NC | Dermatology Physician (207N00000X) |
United | 88350 | $39.02 | 1376957340 - ON SITE DERMATOLOGY OF NORTH CAROLINA, PLLC | 471050804 - (NC) ON SITE DERMATOLOGY OF NORTH CAROLINA PLLC | NC | Dermatology Physician (207N00000X) |
United | 88350 | $41.15 | 1104001585 - CHRISTINA HAVERSTOCK | 562002643 - (NC) DERMATOLOGY SPECIALISTS, P.A. | NC | Dermatology Physician (207N00000X) |
United | 88350 | $38.31 | 1558848093 - DERMATOLOGY CONSULTANTS OF ASHEVILLE PLLC, DERMATOLOGY CONSULTANTS OF NORTH ASHEVILLE PLLC | 821405262 - (NC) DERMATOLOGY CONSULTANTS OF ASHEVILLE PLLC | NC | Dermatology Physician (207N00000X) |
United | 88350 | $44.70 | 1396710380 - JOHN DAVIDSON CHEESBOROUGH | 465740673 - (NC) INTEGRATED DERMATOLOGY OF SANFOR | NC | Dermatology Physician (207N00000X) |
United | 88350 | $59.34 | 1407117781 - ELIZABETH JU | 263134863 - (NC) NORTH CAROLINA DERMATOLOGY ASSOCIATES PLLC | NC | Dermatology Physician (207N00000X) |
United | 88350 | $40.59 | 1740710631 - ROBERT SCHNIETZ | 560529945 | NC | Dermatology Physician (207N00000X) |
United | 88350 | $27.97 | 1770792236 - JENNIFER BUNCH | 560529945 | NC | Dermatology Physician (207N00000X) |
United | 88350 | $101.98 | 1144726886 - SHWETA SHUKLA | 561732213 | NC | Dermatology Physician (207N00000X) |
United | 88350 | $23.10 | 1235383738 - KENNETH KLEIN, EAST CAROLINA DERMATOLOGY AND SKIN SURGERY, PLLC | 561809250 - (NC) EAST CAROLINA DERMATOLOGY AND SKIN SURGERY, PLLC | NC | Dermatology Physician (207N00000X) |
United | 88350 | $116.08 | 1578641387 - STEFAN WEISS | 273123104 - (CA) DIRECT DERMATOLOGY PROFESSIONALS PC | NC | Procedural Dermatology Physician (207NS0135X) |
United | 88350 | $32.88 | 1396242244 - WILLIAM FARMER | 391351587 - FOREFRONT DERMATOLOGY, S.C. | 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 88350 vs. Other Surgical Pathology Procedures Codes
The CPT 88350 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 88350 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 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) |
| 88344-CPT | Low | Immunohistochemistry Or Immunocytochemistry, Per Specimen; Each Multiplex Antibody Stain Procedure |
| 88350-CPT | Low | Immunofluorescence, Per Specimen; Each Additional Single Antibody Stain Procedure (List Separately In Addition To Code For Primary Procedure) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 88350. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 88350 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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