CPT code 88307: Tissue pathology exam, level V specimen2026 Medicare rate & RVUs in New Mexico

Gross and microscopic pathologist examination of a Level V surgical specimen, such as a liver biopsy, cervical cone, or breast lesion excision.

CMS RVU26DEffective Oct 1, 2026One payment locality904K Medicare services in 2024

In New Mexico, Medicare pays $259.79 for 88307 in the office.

$259.79Office (non-facility)
Not available in this settingHospital or facility
−6.5%vs the national office rate ($277.90)

Check a contract rate as a % of Medicare · 88307 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 88307 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in New Mexico
  2. What 88307 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 88307 covers

This service covers gross and microscopic examination of a specimen assigned to Level V surgical pathology. Level V includes certain biopsies as well as excisions and resections. Examples include needle or wedge liver biopsies, cervical conization, breast lesion excisions, simple mastectomy, thyroid lobectomy, transurethral resection of a bladder tumor, and lung wedge biopsy. The work is performed in hospital pathology departments and independent laboratories, with a pathologist issuing a signed diagnostic report.

Report one unit for each distinct specimen assigned to Level V, not for each tissue fragment, block, or slide. Select the level from the CPT specimen classification; the report should identify the specimen and document the gross and microscopic findings. CMS prices professional and technical components separately: modifier 26 identifies the pathologist's interpretation and report, and modifier TC identifies laboratory preparation and support. Report the global service without a modifier when one entity provides both components. When separately indicated and documented, additional services such as special stains, immunohistochemistry, decalcification, or intraoperative frozen-section consultation may be reported with the final examination.

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 88307

Across 109 of 109 payment localities, the office rate for 88307 runs from $245.21 in Arkansas to $381.42 in San Benito County, CA. New Mexico pays $259.79. The RVUs are the same everywhere; the geographic indexes change the dollars.

88307 in New Mexico vs other payment areas
  1. New Mexico · this page$259.79
  2. Los Angeles, CA · California$320.19+$60.40
  3. Washington, DC area · District of Columbia$320.79+$61.00
  4. Miami, FL · Florida$290.65+$30.86
  5. Chicago, IL · Illinois$282.40+$22.61
  6. Manhattan, NY · New York$318.83+$59.04
  7. Alaska · Alaska$317.28+$57.49

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

Every other payment area

88307 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$248.91—
ArkansasArkansas$245.21—
ArizonaArizona$270.62—
Bakersfield, CACalifornia$299.45—
Chico, CACalifornia$299.17—
El Centro, CACalifornia$299.19—
Fresno, CACalifornia$299.17—
Hanford, CACalifornia$299.17—

88307 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.

$245.21

$340.30

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

View every state and territory as a table
88307 office rate range by state
State / territoryOffice rate rangeLocalities
AK$317.281
AL$248.911
AR$245.211
AZ$270.621
CA$299.17–$381.4229
CO$292.331
CT$296.651
DC$320.791
DE$275.231
FL$269.22–$290.653
GA$254.18–$282.102
GU$307.571
HI$307.571
IA$257.461
ID$258.761
IL$259.74–$286.114
IN$260.361
KS$255.251
KY$252.861
LA$252.06–$265.012
MA$290.11–$323.182
MD$280.91–$320.793
ME$259.11–$275.022
MI$258.73–$271.672
MN$282.741
MO$246.95–$267.163
MS$246.181
MT$277.891
NC$262.061
ND$276.511
NE$259.211
NH$286.781
NJ$300.78–$317.122
NM$259.791
NV$277.731
NY$266.01–$325.515
OH$258.441
OK$253.431
OR$276.31–$302.972
PA$259.42–$288.452
PR$280.321
RI$286.011
SC$260.541
SD$276.341
TN$256.451
TX$257.59–$290.718
UT$264.231
VA$273.40–$320.792
VI$280.321
VT$274.501
WA$289.87–$330.862
WI$266.881
WV$249.591
WY$277.291

See 88307 in every payment locality

How the 88307 rate is calculated

Each of 88307’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 · 88307

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.55

1.55 RVUs× 1.000 GPCI

Practice expense6.70

6.70 RVUs× 1.000 GPCI

Malpractice0.07

0.07 RVUs× 1.000 GPCI

Adjusted RVUs

8.3200

Conversion factor

$33.4009

Medicare rate

$277.90

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

11,209

Code
88307
Physician work
1.55
Practice expense
6.70
Malpractice
0.07

GPCI2026.csv

77

Locality
New Mexico
Physician work
1.000
Practice expense
0.917
Malpractice
1.201
Office calculation for 88307 in New Mexico
ComponentRVULocality factorAdjusted
Physician work1.55× 1.0001.5500
Practice expense6.70× 0.9176.1439
Malpractice0.07× 1.2010.0841
Total RVUs7.7780
Conversion factor× 33.4009

Office rate, New Mexico$259.79

Office: (1.55 × 1 + 6.7 × 0.917 + 0.07 × 1.201) × $33.4009 = $259.79

Open 88307 in the RVU calculator

Payment rules and modifiers for 88307

The CMS indicators that decide how 88307 is paid alongside other services.

CMS payment indicators · 88307

Tissue pathology exam, level V specimen

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

88307 without 26 · national office

$277.90

Tissue pathology exam, level V specimen

88307-26 · Professional component

$76.49

Pays only the interpretation and report.

When to use modifier 26

How 88307 has changed in New Mexico

88307 · Office / nonfacility

$259.79

Effective 2026-10-01

The base rate is $1.87 higher than on 2025-10-01, moving from $257.92 to $259.79 (0.7%).

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

    $257.92changed to$259.79

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.59 changed to 1.55
    • Practice expense RVU 6.94 changed to 6.70
    • 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

    $266.63changed to$257.92

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 6.98 changed to 6.94

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $262.28changed to$266.63

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $270.10changed to$262.28

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 6.97 changed to 6.98
    • Malpractice RVU 0.08 changed to 0.07
    • Practice expense GPCI 0.902 changed to 0.908
    • Malpractice GPCI 1.169 changed to 1.172
  5. January 1, 2023

    RVU23A

    $266.93changed to$270.10

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 6.73 changed to 6.97
    • 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

    $266.64changed to$266.93

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 6.65 changed to 6.73

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $261.53changed to$266.64

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 6.15 changed to 6.65
    • Malpractice RVU 0.06 changed to 0.08
    • 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

    $257.16changed to$261.53

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 5.94 changed to 6.15
    • 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

    $253.89changed to$257.16

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 5.85 changed to 5.94

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $253.47changed to$253.89

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 5.87 changed to 5.85
    • 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

    $292.06changed to$253.47

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 7.07 changed to 5.87
    • 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

    $287.65changed to$292.06

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 6.93 changed to 7.07
    • Malpractice RVU 0.04 changed to 0.06

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $286.22changed to$287.65

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $269.69changed to$286.22

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 6.41 changed to 6.93
    • Malpractice RVU 0.05 changed to 0.04
    • 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

    $277.06changed to$269.69

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 7.10 changed to 6.41
    • 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: $277.06

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$259.79Not available in this settingRVU26D
2026-07-01$259.79Not available in this settingRVU26C
2026-04-01$259.79Not available in this settingRVU26B
2026-01-01$259.79Not available in this settingRVU26A
2025-10-01$257.92Not available in this settingRVU25D
2025-07-01$257.92Not available in this settingRVU25C
2025-04-01$257.92Not available in this settingRVU25B
2025-01-01$257.92Not available in this settingRVU25A
2024-10-01$266.63Not available in this settingRVU24D
2024-07-01$266.63Not available in this settingRVU24C
2024-04-01$266.63Not available in this settingRVU24B
2024-03-09$266.63Not available in this settingRVU24AR
2024-01-01$262.28Not available in this settingRVU24A
2023-10-01$270.10Not available in this settingRVU23D
2023-07-01$270.10Not available in this settingRVU23C
2023-04-01$270.10Not available in this settingRVU23B
2023-01-01$270.10Not available in this settingRVU23A
2022-10-01$266.93Not available in this settingRVU22D
2022-07-01$266.93Not available in this settingRVU22C
2022-04-01$266.93Not available in this settingRVU22B
2022-01-01$266.93Not available in this settingRVU22A
2021-10-01$266.64Not available in this settingRVU21D
2021-07-01$266.64Not available in this settingRVU21C
2021-04-01$266.64Not available in this settingRVU21B
2021-01-01$266.64Not available in this settingRVU21A
2020-10-01$261.53Not available in this settingRVU20D
2020-07-01$261.53Not available in this settingRVU20C
2020-04-01$261.53Not available in this settingRVU20B
2020-01-01$261.53Not available in this settingRVU20A
2019-10-01$257.16Not available in this settingRVU19D
2019-07-01$257.16Not available in this settingRVU19C
2019-04-01$257.16Not available in this settingRVU19B
2019-01-01$257.16Not available in this settingRVU19A
2018-10-01$253.89Not available in this settingRVU18D
2018-07-01$253.89Not available in this settingRVU18C
2018-04-01$253.89Not available in this settingRVU18B
2018-01-01$253.89Not available in this settingRVU18AR1
2017-10-01$253.47Not available in this settingRVU17D
2017-07-01$253.47Not available in this settingRVU17C
2017-04-01$253.47Not available in this settingRVU17B
2017-01-01$253.47Not available in this settingRVU17A
2016-10-01$292.06Not available in this settingRVU16D
2016-07-01$292.06Not available in this settingRVU16C
2016-04-01$292.06Not available in this settingRVU16B
2016-01-01$292.06Not available in this settingRVU16A
2015-10-01$287.65Not available in this settingRVU15D
2015-07-01$287.65Not available in this settingRVU15C
2015-04-01$286.22Not available in this settingRVU15B
2015-01-01$286.22Not available in this settingRVU15A
2014-10-01$269.69Not available in this settingRVU14D
2014-07-01$269.69Not available in this settingRVU14C
2014-04-01$269.69Not available in this settingRVU14B
2014-01-01$269.69Not available in this settingRVU14A
2013-10-01$277.06Not available in this settingRVU13D
2013-07-01$277.06Not available in this settingRVU13C
2013-04-01$277.06Not available in this settingRVU13B
2013-01-01$277.06Not available in this settingRVU13AR

Price 88307 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

88307 billing questions

How is 88307 chosen over 88305 or 88309?

Choose the level assigned to the specimen type in CPT, not by slide count or time. A prostate needle biopsy is Level IV (88305); a colon segmental resection for tumor is Level VI (88309).

How many units are reported when multiple specimens are submitted?

Report one unit per distinct, separately identified specimen assigned to Level V. Two such specimens from the same case yield two units; multiple fragments of one specimen do not.

When is modifier 26 or TC used?

Use 26 when billing only the pathologist's interpretation and report. Use TC for the laboratory's technical work; bill without a modifier when one entity provides both components.

Are routine H&E stains billed separately?

No. Routine hematoxylin and eosin staining is included. Special stains, such as 88312 or 88313, and immunohistochemistry, such as 88342, may be separately reported when indicated and documented.

Can a frozen section be billed with 88307 on the same specimen?

Yes. An intraoperative frozen-section consultation (88331, with 88332 for each additional tissue block) may be reported with the final 88307 examination of that specimen.

Is decalcification included?

Decalcification is separately reported with 88311 when performed in addition to the surgical pathology examination, such as for bone or calcified tissue.

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 88307PPRRVU2026_Oct_nonQPP.csv, line 11,209 (RVU26D)
Geographic factors for New MexicoGPCI2026.csv, line 77 (RVU26D)

Open CMS sourceHow we calculate rates

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