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See a sample rate comparisonCPT 88380 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.
Microscopic Tissue Sampling, Individual Cells Are Removed From An Area Of Tissue To Examine How A Disease Is Progressing. Multiple Samples May Be Removed. The Samples May Be Taken Manually Or With The Aid Of A Laser.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Surgical Pathology Procedures |
| Common Place of Service | 81 - Independent Laboratory 22 - On Campus Outpatient Hospital |
| Common Modifiers | 26 - Professional component 59 - Distinct Procedural Service |
| Complexity Level | Low |
| Medicare Fee Schedule | $117.57 national non-facility rate (2026) · View Medicare rates for 88380 |
| Medicaid Fee Schedule | $116.915 median of the 8 states in the free preview · View Medicaid rates for 88380 |
National average reimbursement for CPT 88380 by major payers:
$149.11
$123.41
$134.63
$145.47
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CPT 88380
5 of 25 sample ratesHigher to lower in this preview
Christopher Raio
St Francis Hospital
$233.45Published rateChu Chen
Merrimack Valley Pediatric Associates, Inc.
$137.35Published rateChristopher Raio
Mercy Medical Center
$87.26Published rateChristopher Raio
St Francis Hospital
$63.98Published rateSunrise Home Health Care Inc.
Sunrise Home Health Care Inc
$28.35Published rate
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See a sample payer proposalCPT 88380 vs. Other Surgical Pathology Procedures Codes
The CPT 88380 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 88380 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 |
|---|---|---|
| 88375-CPT | Low | Examination With Scope, An Examination Using An Endoscope That Has A Microscope Attached For Taking Cellular Level Images (Endomicroscope). An Interpretation Of The Images And A Report Are Included. |
| 88377-CPT | Moderate | 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. |
| 88380-CPT | Low | Microscopic Tissue Sampling, Individual Cells Are Removed From An Area Of Tissue To Examine How A Disease Is Progressing. Multiple Samples May Be Removed. The Samples May Be Taken Manually Or With The Aid Of A Laser. |
| 88381-CPT | Moderate | Microscopic Tissue Sampling, Individual Cells Are Removed From An Area Of Tissue To Examine How A Disease Is Progressing. Multiple Samples May Be Removed. The Samples May Be Taken Manually Or With The Aid Of A Laser. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 88380. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 88380 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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