CPT code 88300: Gross pathology, gross examination only2026 Medicare rate & RVUs in New Mexico

Reports a pathologist’s macroscopic examination of a surgical specimen when the service is limited to gross inspection without microscopic evaluation.

CMS RVU26DEffective Oct 1, 2026One payment locality157.1K Medicare services in 2024

In New Mexico, Medicare pays $15.42 for 88300 in the office.

$15.42Office (non-facility)
Not available in this settingHospital or facility
−5.8%vs the national office rate ($16.37)

Check a contract rate as a % of Medicare · 88300 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 88300 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in New Mexico
  2. What 88300 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 88300 covers

A pathologist examines and documents a specimen’s visible features without preparing or reviewing tissue microscopically. This service may be performed in a hospital or pathology laboratory for material submitted for gross-only assessment, such as a removed device or foreign material. The specimen type and requested service must support gross examination alone; a specimen requiring histologic evaluation belongs at the appropriate microscopic surgical pathology level.

Report 88300 for each separately identified specimen that receives this gross-only service, supported by the accession record and a report documenting the examination. CMS recognizes separately priced professional and technical components: modifier 26 identifies the pathologist’s interpretation, modifier TC identifies the technical service, and no modifier represents the global service. The professional component reflects the pathologist’s work; the technical component reflects the equipment and staff involved.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How New Mexico compares for 88300

Across 109 of 109 payment localities, the office rate for 88300 runs from $14.21 in Arkansas to $22.11 in San Benito County, CA. New Mexico pays $15.42. The RVUs are the same everywhere; the geographic indexes change the dollars.

88300 in New Mexico vs other payment areas
  1. New Mexico · this page$15.42
  2. Los Angeles, CA · California$18.64+$3.22
  3. Washington, DC area · District of Columbia$18.90+$3.48
  4. Miami, FL · Florida$17.92+$2.50
  5. Chicago, IL · Illinois$17.32+$1.90
  6. Manhattan, NY · New York$19.04+$3.62
  7. Alaska · Alaska$18.25+$2.83

Other areas in New Mexico first, then benchmark localities. Bars start at $0.

Every other payment area

88300 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$14.45—
ArkansasArkansas$14.21—
ArizonaArizona$15.87—
Bakersfield, CACalifornia$17.41—
Chico, CACalifornia$17.35—
El Centro, CACalifornia$17.36—
Fresno, CACalifornia$17.35—
Hanford, CACalifornia$17.35—

88300 rates by state

Office rate range in each state. Select a state to see its payment localities.

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$14.21

$19.73

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
88300 office rate range by state
State / territoryOffice rate rangeLocalities
AK$18.251
AL$14.451
AR$14.211
AZ$15.871
CA$17.35–$22.1129
CO$17.091
CT$17.561
DC$18.901
DE$16.161
FL$16.13–$17.923
GA$15.09–$16.722
GU$17.871
HI$17.871
IA$14.861
ID$14.971
IL$15.61–$17.324
IN$15.071
KS$14.781
KY$14.861
LA$14.84–$15.692
MA$16.96–$18.932
MD$16.49–$18.903
ME$15.07–$16.002
MI$15.32–$16.372
MN$16.271
MO$14.55–$15.743
MS$14.381
MT$16.371
NC$15.251
ND$15.971
NE$14.951
NH$16.821
NJ$17.74–$18.662
NM$15.421
NV$16.271
NY$15.52–$19.575
OH$15.241
OK$14.821
OR$16.12–$17.682
PA$15.26–$17.082
PR$16.501
RI$16.771
SC$15.281
SD$15.921
TN$14.871
TX$15.15–$17.058
UT$15.521
VA$15.95–$18.902
VI$16.501
VT$15.911
WA$16.93–$19.332
WI$15.361
WV$14.951
WY$16.191

See 88300 in every payment locality

How the 88300 rate is calculated

Each of 88300’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 88300

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.08

0.08 RVUs× 1.000 GPCI

Practice expense0.39

0.39 RVUs× 1.000 GPCI

Malpractice0.02

0.02 RVUs× 1.000 GPCI

Adjusted RVUs

0.4900

Conversion factor

$33.4009

Medicare rate

$16.37

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact New Mexico inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

11,197

Code
88300
Physician work
0.08
Practice expense
0.39
Malpractice
0.02

GPCI2026.csv

77

Locality
New Mexico
Physician work
1.000
Practice expense
0.917
Malpractice
1.201
Office calculation for 88300 in New Mexico
ComponentRVULocality factorAdjusted
Physician work0.08× 1.0000.0800
Practice expense0.39× 0.9170.3576
Malpractice0.02× 1.2010.0240
Total RVUs0.4617
Conversion factor× 33.4009

Office rate, New Mexico$15.42

Office: (0.08 × 1 + 0.39 × 0.917 + 0.02 × 1.201) × $33.4009 = $15.42

Open 88300 in the RVU calculator

Payment rules and modifiers for 88300

The CMS indicators that decide how 88300 is paid alongside other services.

CMS payment indicators · 88300

Gross pathology, gross examination only

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical1Diagnostic test with separate professional (26) and technical (TC) components.

What modifiers do to the payment

Modifier 26 · payment effect

With and without the modifier

88300 without 26 · national office

$16.37

Gross pathology, gross examination only

88300-26 · Professional component

$4.34

Pays only the interpretation and report.

When to use modifier 26

How 88300 has changed in New Mexico

88300 · Office / nonfacility

$15.42

Effective 2026-10-01

The base rate is $0.33 higher than on 2025-10-01, moving from $15.09 to $15.42 (2.2%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
  1. January 1, 2026

    RVU26A

    $15.09changed to$15.42

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.40 changed to 0.39
    • Practice expense GPCI 0.908 changed to 0.917
    • Malpractice GPCI 1.172 changed to 1.201

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $15.23changed to$15.09

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 0.39 changed to 0.40

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $14.98changed to$15.23

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $15.12changed to$14.98

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 0.38 changed to 0.39
    • Practice expense GPCI 0.902 changed to 0.908
    • Malpractice GPCI 1.169 changed to 1.172
  5. January 1, 2023

    RVU23A

    $14.43changed to$15.12

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 0.35 changed to 0.38
    • Practice expense GPCI 0.896 changed to 0.902
    • Malpractice GPCI 1.166 changed to 1.169

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $14.55changed to$14.43

    • Conversion factor 34.8931 changed to 34.6062

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $14.90changed to$14.55

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.34 changed to 0.35
    • Practice expense GPCI 0.908 changed to 0.896
    • Malpractice GPCI 1.207 changed to 1.166

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $15.40changed to$14.90

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 0.35 changed to 0.34
    • Practice expense GPCI 0.921 changed to 0.908
    • Malpractice GPCI 1.247 changed to 1.207

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $16.05changed to$15.40

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 0.37 changed to 0.35

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $15.62changed to$16.05

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 0.36 changed to 0.37
    • Practice expense GPCI 0.920 changed to 0.921
    • Malpractice GPCI 1.204 changed to 1.247

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $14.55changed to$15.62

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 0.33 changed to 0.36
    • Practice expense GPCI 0.919 changed to 0.920
    • Malpractice GPCI 1.161 changed to 1.204

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $14.61changed to$14.55

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $14.53changed to$14.61

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $13.83changed to$14.53

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 0.31 changed to 0.33
    • Practice expense GPCI 0.918 changed to 0.919
    • Malpractice GPCI 1.079 changed to 1.161

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $13.68changed to$13.83

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.33 changed to 0.31
    • Practice expense GPCI 0.916 changed to 0.918
    • Malpractice GPCI 0.997 changed to 1.079

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $13.68

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$15.42Not available in this settingRVU26D
2026-07-01$15.42Not available in this settingRVU26C
2026-04-01$15.42Not available in this settingRVU26B
2026-01-01$15.42Not available in this settingRVU26A
2025-10-01$15.09Not available in this settingRVU25D
2025-07-01$15.09Not available in this settingRVU25C
2025-04-01$15.09Not available in this settingRVU25B
2025-01-01$15.09Not available in this settingRVU25A
2024-10-01$15.23Not available in this settingRVU24D
2024-07-01$15.23Not available in this settingRVU24C
2024-04-01$15.23Not available in this settingRVU24B
2024-03-09$15.23Not available in this settingRVU24AR
2024-01-01$14.98Not available in this settingRVU24A
2023-10-01$15.12Not available in this settingRVU23D
2023-07-01$15.12Not available in this settingRVU23C
2023-04-01$15.12Not available in this settingRVU23B
2023-01-01$15.12Not available in this settingRVU23A
2022-10-01$14.43Not available in this settingRVU22D
2022-07-01$14.43Not available in this settingRVU22C
2022-04-01$14.43Not available in this settingRVU22B
2022-01-01$14.43Not available in this settingRVU22A
2021-10-01$14.55Not available in this settingRVU21D
2021-07-01$14.55Not available in this settingRVU21C
2021-04-01$14.55Not available in this settingRVU21B
2021-01-01$14.55Not available in this settingRVU21A
2020-10-01$14.90Not available in this settingRVU20D
2020-07-01$14.90Not available in this settingRVU20C
2020-04-01$14.90Not available in this settingRVU20B
2020-01-01$14.90Not available in this settingRVU20A
2019-10-01$15.40Not available in this settingRVU19D
2019-07-01$15.40Not available in this settingRVU19C
2019-04-01$15.40Not available in this settingRVU19B
2019-01-01$15.40Not available in this settingRVU19A
2018-10-01$16.05Not available in this settingRVU18D
2018-07-01$16.05Not available in this settingRVU18C
2018-04-01$16.05Not available in this settingRVU18B
2018-01-01$16.05Not available in this settingRVU18AR1
2017-10-01$15.62Not available in this settingRVU17D
2017-07-01$15.62Not available in this settingRVU17C
2017-04-01$15.62Not available in this settingRVU17B
2017-01-01$15.62Not available in this settingRVU17A
2016-10-01$14.55Not available in this settingRVU16D
2016-07-01$14.55Not available in this settingRVU16C
2016-04-01$14.55Not available in this settingRVU16B
2016-01-01$14.55Not available in this settingRVU16A
2015-10-01$14.61Not available in this settingRVU15D
2015-07-01$14.61Not available in this settingRVU15C
2015-04-01$14.53Not available in this settingRVU15B
2015-01-01$14.53Not available in this settingRVU15A
2014-10-01$13.83Not available in this settingRVU14D
2014-07-01$13.83Not available in this settingRVU14C
2014-04-01$13.83Not available in this settingRVU14B
2014-01-01$13.83Not available in this settingRVU14A
2013-10-01$13.68Not available in this settingRVU13D
2013-07-01$13.68Not available in this settingRVU13C
2013-04-01$13.68Not available in this settingRVU13B
2013-01-01$13.68Not available in this settingRVU13AR

Price 88300 for an earlier date of service

Where the New Mexico rate applies

New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.

  • Abeytas
  • Abiquiu
  • Acomita Lake
  • Adelino
  • Agua Fria
  • Alamillo
  • Alamo
  • Alamogordo

Browse all communities in New Mexico

88300 billing questions

How do I distinguish 88300 from 88302 or a higher-level surgical pathology code?

88300 is for gross examination without microscopic evaluation. If the specimen receives microscopic examination, select the appropriate surgical pathology level based on the specimen and service.

Can the professional and technical components be billed separately?

Yes. Modifier 26 identifies the professional component, and modifier TC identifies the technical component. Billing without either modifier represents the global service.

What documentation supports reporting 88300?

Keep the specimen accession information and a pathology report documenting gross examination only. The record should support why the service did not include microscopic evaluation.

Should 88300 be reported for an intraoperative pathology consultation?

A gross-only examination for final specimen assessment is distinct from an intraoperative consultation. Codes such as 88329 or 88331 describe intraoperative pathology services, depending on the service performed.

How are units determined?

Report the service for each separately identified specimen receiving gross-only examination, consistent with the accession and pathology documentation.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 88300PPRRVU2026_Oct_nonQPP.csv, line 11,197 (RVU26D)
Geographic factors for New MexicoGPCI2026.csv, line 77 (RVU26D)

Open CMS sourceHow we calculate rates

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