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 |
| Medicare Fee Schedule | View Medicare rates for 88350 |
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 | $16.79 | 1144684069 - DAVID HARKER | 562205718 - THE SKIN SURGERY CENTER | NC | MOHS-Micrographic Surgery Physician (207ND0101X) |
United | 88350 | $24.64 | 1851465801 - GARY D WALDMAN MD PA | 561473354 - (NC) GARY D WALDMAN MD PA | NC | Dermatology Physician (207N00000X) |
United | 88350 | $17.43 | 1710085592 - HUGH DORRIS | 203683035 - (NC) FOREST DERMATOLOGY, P.A. | NC | Dermatology Physician (207N00000X) |
United | 88350 | $40.59 | 1861843740 - KATHERINE KENNEWEG | 560529945 | NC | Dermatology Physician (207N00000X) |
United | 88350 | $29.62 | 1467608984 - NORTH CAROLINA DERMATOLOGY ASSOCIATES, PLLC | 263134863 - (NC) NORTH CAROLINA DERMATOLOGY ASSOCIATES PLLC | NC | Dermatology Physician (207N00000X) |
United | 88350 | $52.16 | 1366539041 - RUTHERFORD DERMATOLOGY, PA | 562209854 - (NC) RUTHERFORD DERMATOLOGY, P.A. | NC | Dermatology Physician (207N00000X) |
United | 88350 | $41.16 | 1285166231 - ERIN DODD | 562205718 - THE SKIN SURGERY CENTER | NC | Dermatology Physician (207N00000X) |
United | 88350 | $59.34 | 1962624478 - CRAIG BURKHART | 834280385 - (NC) BURKHART PEDIATRIC ADOLESCENT DERMATOLOGY PLLC | NC | Dermatology Physician (207N00000X) |
United | 88350 | $42.33 | 1689644197 - DERMATOLOGY ASSOCIATES OF CHARLOTTE | 364544571 - (NC) DERMATOLOGY ASSOCIATES | 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 | $59.34 | 1407117781 - ELIZABETH JU | 263134863 - (NC) NORTH CAROLINA DERMATOLOGY ASSOCIATES PLLC | NC | Dermatology Physician (207N00000X) |
United | 88350 | $59.34 | 1275851032 - MICHAEL RAINS | 883310177 - (NC) BEACON DERMATOLOGY LLC | NC | Dermatology Physician (207N00000X) |
United | 88350 | $29.62 | 1376545301 - JAMES WILLIAMS | 933582623 | NC | Dermatology Physician (207N00000X) |
United | 88350 | $53.38 | 1417303488 - SARA JAMES | 562096131 - (NC) CENTRAL DERMATOLOGY CENTER PA | NC | Dermatology Physician (207N00000X) |
United | 88350 | $43.41 | 1326365081 - HUGH CHATHAM MEMORIAL HOSPITAL, INC, HUGH CHATHAM DERMATOLOGY | 560642846 - HUGH CHATHAM MEMORIAL HOSPITAL INC | 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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