CPT 88387 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 59 - Distinct Procedural Service |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 88387 |
National average reimbursement for CPT 88387 by major payers:
$41.23
$31.68
$35.86
$46.06
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
United | 88387 | $122.81 | 1346317823 - RONIT HERZOG | 43466314 - MASS GENERAL BRIGHAM INCORPORATED | MA | Pediatric Allergy/Immunology Physician (2080P0201X) |
United | 88387 | $21.62 | 1700880051 - MICHAEL RUGGIERO | 756003939 | TX | Family Medicine Physician (207Q00000X) |
United | 88387 | $13.81 | 1689167074 - DREW WILLIAMSON | 582030692 - EMORY UNIVERSITY | MA | Anatomic Pathology & Clinical Pathology Physician (207ZP0102X) |
United | 88387 | $4.32 | 1316058100 - DAVID BACHOFER | 630782769 - (AL) INTERNAL MEDICINE CLINIC, LLC | AL | Internal Medicine Physician (207R00000X) |
United | 88387 | $28.46 | 1346539202 - IRIS FADLON | 251709054 - PINNACLE HEALTH MEDICAL SERVICES | MA | Psychiatry Physician (2084P0800X) |
United | 88387 | $68.07 | 1073502985 - CHU CHEN | 42484572 - MERRIMACK VALLEY PEDIATRIC ASSOCIATES, INC. | MA | Pediatrics Physician (208000000X) |
United | 88387 | $11.72 | 1093212771 - SHELBY FRANTZ | 621864145 - (TN) VANDERBILT HEALTH AND WILLIAMSON MEDICAL CENTER CLINICS AND SERVICES | FL | Diagnostic Radiology Physician (2085R0202X) |
United | 88387 | $60.74 | 1811000177 - CHARLESTON RADIOLOGISTS PA | 570634747 - CHARLESTON RADIOLOGISTS, P.A. | SC | Single Specialty Group (193400000X) |
United | 88387 | $45.62 | 1255478004 - CHRISTOPHER RAIO | 112050523 - ST FRANCIS HOSPITAL | NY | Emergency Medicine Physician (207P00000X) |
United | 88387 | $58.87 | 1255478004 - CHRISTOPHER RAIO | 112050523 - ST FRANCIS HOSPITAL | NY | Emergency Medicine Physician (207P00000X) |
United | 88387 | $20.05 | 1922538883 - MANISHA CHAND | 590637874 - MARTIN MEMORIAL MEDICAL CENTER INC | FL | Family Medicine Physician (207Q00000X) |
United | 88387 | $29.96 | 1164776688 - NICOLE SCHWAB | 362925195 - ALLERGY & ASTHMA OF DUPAGE, S.C. | IL | Family Nurse Practitioner (363LF0000X) |
United | 88387 | $52.98 | 1255478004 - CHRISTOPHER RAIO | 112050523 - ST FRANCIS HOSPITAL | NY | Emergency Medicine Physician (207P00000X) |
United | 88387 | $18.95 | 1306192372 - DAVID SHUPE | 593647972 | FL | Hospitalist Physician (208M00000X) |
United | 88387 | $86.79 | 1073502985 - CHU CHEN | 42484572 - MERRIMACK VALLEY PEDIATRIC ASSOCIATES, INC. | MA | Pediatrics Physician (208000000X) |
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 88387 vs. Other Pathology and Laboratory Procedures Codes
The CPT 88387 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 88387 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 |
|---|---|---|
| 87999-CPT | Moderate | Microorganism Analysis, Test To Identify Microorganisms. Methods Range From Viewing A Sample With A Microscope To Dividing A Sample Into Parts And Running A Different Test On Each One. |
| 88305-CPT | Low | Tissue Exam By Pathologist, Level Iv Surgical Pathology Gross And Microscopic Examination Abortion Spontaneous Missed Artery Biopsy Bone Marrow Biopsy Bone Exostosis Brain Meninges Other Than For Tumor Resection Breast Biopsy Not Requiring Microscopic Evaluation Of Surgical Margins Breast Reduction Mammoplasty Bronchus Biopsy Cell Block Any Source Cervix Biopsy Colon Biopsy Duodenum Biopsy Endocervix Curettings Biopsy Endometrium Curettings Biopsy Esophagus Biopsy Extremity Amputation Traumatic Fallopian Tube Biopsy Fallopian Tube Ectopic Pregnancy Femoral Head Fracture Fingers Toes Amputation Non Traumatic Gingiva Oral Mucosa Biopsy Heart Valve Joint Resection Kidney Biopsy Larynx Biopsy Leiomyoma S Uterine Myomectomy Without Uterus Lip Biopsy Wedge Resection Lung Transbronchial Biopsy Lymph Node Biopsy Muscle Biopsy Nasal Mucosa Biopsy Nasopharynx Oropharynx Biopsy Nerve Biopsy Odontogenic Dental Cyst Omentum Biopsy Ovary With Or Without Tube Non Neoplastic Ovary Biopsy Wedge Resection Parathyroid Gland Peritoneum Biopsy Pituitary Tumor Placenta Other Than Third Trimester Pleura Pericardium Biopsy Tissue Polyp Cervical Endometrial Polyp Colorectal Polyp Stomach Small Intestine Prostate Needle Biopsy Prostate Tur Salivary Gland Biopsy Sinus Paranasal Biopsy Skin Other Than Cyst Tag Debridement Plastic Repair Small Intestine Biopsy Soft Tissue Other Than Tumor Mass Lipoma Debridement Spleen Stomach Biopsy Synovium Testis Other Than Tumor Biopsy Castration Thyroglossal Duct Brachial Cleft Cyst Tongue Biopsy Tonsil Biopsy Trachea Biopsy Ureter Biopsy Urethra Biopsy Urinary Bladder Biopsy Uterus With Or Without Tubes And Ovaries For Prolapse Vagina Biopsy Vulva Labia Biopsy |
| 88309-CPT | Moderate | Tissue Exam By Pathologist, Level Vi Surgical Pathology Gross And Microscopic Examination Bone Resection Breast Mastectomy With Regional Lymph Nodes Colon Segmental Resection For Tumor Colon Total Resection Esophagus Partial Total Resection Extremity Disarticulation Fetus With Dissection Larynx Partial Total Resection With Regional Lymph Nodes Lung Total Lobe Segment Resection Pancreas Total Subtotal Resection Prostate Radical Resection Small Intestine Resection For Tumor Soft Tissue Tumor Extensive Resection Stomach Subtotal Total Resection For Tumor Testis Tumor Tongue Tonsil Resection For Tumor Urinary Bladder Partial Total Resection Uterus With Or Without Tubes And Ovaries Neoplastic Vulva Total Subtotal Resection |
| 88387-CPT | Low | Tiss Exam Molecular Study, Macroscopic Examination Dissection And Preparation Of Tissue For Non Microscopic Analytical Studies Eg Nucleic Acid Based Molecular Studies Each Tissue Preparation Eg A Single Lymph Node |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 88387. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 88387 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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