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See a sample rate comparisonCPT 88369 Fee Schedule
Last Verified: October 2026
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.
M Phmtrc Alysishquant Semiq, Morphometric Analysis In Situ Hybridization Quantitative Or Semi Quantitative Manual Per Specimen Each Additional Single Probe Stain Procedure List Separately In Addition To Code For Primary Procedure
| 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 | 26 - Professional component 59 - Distinct Procedural Service |
| Complexity Level | Low |
| Medicare Fee Schedule | $128.93 national non-facility rate (2026) · View Medicare rates for 88369 |
| Medicaid Fee Schedule | $107.20 median of the 8 states in the free preview · View Medicaid rates for 88369 |
National average reimbursement for CPT 88369 by major payers:
$133.29
$85.68
$114.23
$127.93
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CPT 88369
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$216.35Published rateChristopher Raio
St Francis Hospital
$130.58Published rateBaptist Health Care, Inc., Baptist Home Healt Care And Medical Equipment
Baptist Health Care Inc
$46.84Published rateChristopher Raio
St Joseph Hospital
$33.60Published rateChristopher Raio
Mercy Medical Center
$14.62Published rate
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See a sample payer proposalCPT 88369 vs. Other Surgical Pathology Procedures Codes
The CPT 88369 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 88369 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 |
|---|---|---|
| 88362-CPT | Moderate | Nerve Teasing Preparations |
| 88367-CPT | Low | Morphometric Analysis In Situ, Morphometric Analysis In Situ Hybridization (Quantitative Or Semi-Quantitative) Using Computer-Assisted Technology Per Specimen Initial Single Probe Stain Procedure |
| 88368-CPT | Low | 3-D Genetic Analysis Of Tissue, Genetic Material From A Tissue Sample Is Studied Using Morphometric Analysis A Technique For Learning About The Cause And Progression Of A Disease. |
| 88369-CPT | Low | M Phmtrc Alysishquant Semiq, Morphometric Analysis In Situ Hybridization Quantitative Or Semi Quantitative Manual Per Specimen Each Additional Single Probe 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 88369. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 88369 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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