CPT code 88325: Pathology consultation, comprehensive record review2026 Medicare rate & RVUs in Vallejo, CA

A pathologist reviews relevant patient records and diagnostic reports to provide a comprehensive consultation and written opinion on a referred case.

CMS RVU26DEffective Oct 1, 2026One payment locality10.1K Medicare services in 2024

In Vallejo, CA, Medicare pays $175.23 for 88325 in the office and $121.52 when it’s performed in a hospital or facility.

$175.23Office (non-facility)
$121.52Hospital or facility
+14.3%vs the national office rate ($153.31)

Check a contract rate as a % of Medicare · 88325 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 88325 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Vallejo, CA
  2. What 88325 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 88325 covers

A pathologist uses 88325 for a comprehensive second-opinion consultation that goes beyond interpreting referred slides alone. The work centers on reviewing relevant medical records and diagnostic reports in the context of the pathology question, then providing a consultative written report. Typical referrals include complex or discordant cancer diagnoses sent to an academic or specialty pathology service before treatment decisions. Referring clinicians may include oncologists, surgeons, or other pathologists. This service is distinct from an intraoperative consultation during surgery.

Report 88325 when documentation supports broad review of records and reports and a consultation report, rather than review of referred slides alone or preparation of slides from referred tissue. The report should identify the material and records considered, the diagnostic question, and the consultant’s conclusions. CMS assigns physician fee schedule work and practice-expense values to the service; the practice-expense value differs between office and facility settings.

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 Vallejo, CA compares for 88325

Across 109 of 109 payment localities, the office rate for 88325 runs from $143.52 in Arkansas to $201.78 in Alaska. Vallejo, CA pays $175.23. The RVUs are the same everywhere; the geographic indexes change the dollars.

88325 in Vallejo, CA vs other payment areas
  1. Vallejo, CA · this page$175.23
  2. Bakersfield, CA · California$159.09−$16.14
  3. Chico, CA · California$158.63−$16.60
  4. El Centro, CA · California$158.65−$16.58
  5. Fresno, CA · California$158.63−$16.60
  6. Hanford, CA · California$158.63−$16.60
  7. Los Angeles, CA · California$166.27−$8.96

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

Every other payment area

88325 in every other Medicare payment locality
Payment localityOfficeFacility
Madera, CACalifornia$158.63$113.97
Merced, CACalifornia$158.63$113.97
Modesto, CACalifornia$158.63$113.97
Napa, CACalifornia$175.41$121.70
Oxnard, CACalifornia$164.86$116.69
Redding, CACalifornia$158.63$113.97
Rest of CaliforniaCalifornia$158.63$113.97
Riverside, CACalifornia$159.89$115.23

88325 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.

$143.52

$201.78

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

View every state and territory as a table
88325 office rate range by state
State / territoryOffice rate rangeLocalities
AK$201.781
AL$144.621
AR$143.521
AZ$151.021
CA$158.63–$186.9229
CO$157.251
CT$160.311
DC$168.851
DE$152.721
FL$152.66–$161.263
GA$147.88–$155.242
GU$159.541
HI$159.541
IA$146.271
ID$146.831
IL$150.44–$159.004
IN$147.281
KS$146.041
KY$146.701
LA$146.63–$150.462
MA$157.06–$167.732
MD$154.62–$168.853
ME$147.38–$151.442
MI$148.84–$153.842
MN$152.371
MO$145.38–$150.593
MS$144.461
MT$153.301
NC$148.181
ND$151.131
NE$146.651
NH$155.181
NJ$162.60–$168.492
NM$149.341
NV$152.751
NY$149.38–$173.135
OH$148.401
OK$146.421
OR$151.99–$160.162
PA$148.45–$158.022
PR$153.881
RI$156.551
SC$148.441
SD$150.871
TN$146.441
TX$147.94–$156.378
UT$149.531
VA$151.26–$168.852
VI$153.881
VT$150.931
WA$156.65–$170.172
WI$148.381
WV$147.461
WY$152.351

See 88325 in every payment locality

How the 88325 rate is calculated

Each of 88325’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 · 88325

RVUs × geographic indexes × conversion factor

Office or facility?

Work2.78

2.78 RVUs× 1.000 GPCI

Practice expense1.70

1.70 RVUs× 1.000 GPCI

Malpractice0.11

0.11 RVUs× 1.000 GPCI

Adjusted RVUs

4.5900

Conversion factor

$33.4009

Medicare rate

$153.31

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

The exact Vallejo, CA inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

11,234

Code
88325
Physician work
2.78
Practice expense
1.70
Malpractice
0.11

GPCI2026.csv

33

Locality
Vallejo, CA
Physician work
1.063
Practice expense
1.318
Malpractice
0.459
Office calculation for 88325 in Vallejo, CA
ComponentRVULocality factorAdjusted
Physician work2.78× 1.0632.9551
Practice expense1.70× 1.3182.2406
Malpractice0.11× 0.4590.0505
Total RVUs5.2462
Conversion factor× 33.4009

Office rate, Vallejo, CA$175.23

Office: (2.78 × 1.063 + 1.7 × 1.318 + 0.11 × 0.459) × $33.4009 = $175.23

Facility: (2.78 × 1.063 + 0.48 × 1.318 + 0.11 × 0.459) × $33.4009 = $121.52

Open 88325 in the RVU calculator

Payment rules and modifiers for 88325

88325 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.

Place of service · 88325

Which rate does Medicare pay?

The POS code on the claim line (CMS-1500 box 24B).

POS 11 · non-facility rate · national

$153.31

Non-facility (office)
$153.31
Facility
$112.56

Higher because the practice carries its own overhead.

How 88325 has changed in Vallejo, CA

88325 · Office / nonfacility

$175.23

Effective 2026-10-01

The base rate is $2.84 higher than on 2025-10-01, moving from $172.39 to $175.23 (1.6%).

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

    $172.39changed to$175.23

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.85 changed to 2.78
    • Practice expense RVU 1.72 changed to 1.70
    • Malpractice RVU 0.13 changed to 0.11
    • Work GPCI 1.058 changed to 1.063
    • Practice expense GPCI 1.310 changed to 1.318
    • Malpractice GPCI 0.470 changed to 0.459

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $174.64changed to$172.39

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 1.66 changed to 1.72
    • Malpractice RVU 0.12 changed to 0.13

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $171.79changed to$174.64

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $173.79changed to$171.79

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 1.64 changed to 1.66
    • Work GPCI 1.051 changed to 1.058
    • Practice expense GPCI 1.265 changed to 1.310
    • Malpractice GPCI 0.487 changed to 0.470
  5. January 1, 2023

    RVU23A

    $173.46changed to$173.79

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 1.62 changed to 1.64
    • Work GPCI 1.044 changed to 1.051
    • Practice expense GPCI 1.220 changed to 1.265
    • Malpractice GPCI 0.504 changed to 0.487

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $182.48changed to$173.46

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 1.79 changed to 1.62
    • Malpractice RVU 0.14 changed to 0.12

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $198.95changed to$182.48

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 1.99 changed to 1.79
    • Malpractice RVU 0.12 changed to 0.14
    • Work GPCI 1.049 changed to 1.044
    • Practice expense GPCI 1.238 changed to 1.220
    • Malpractice GPCI 0.496 changed to 0.504

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $207.09changed to$198.95

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 2.13 changed to 1.99
    • Malpractice RVU 0.14 changed to 0.12
    • Work GPCI 1.055 changed to 1.049
    • Practice expense GPCI 1.256 changed to 1.238
    • Malpractice GPCI 0.458 changed to 0.496

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $213.64changed to$207.09

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 2.28 changed to 2.13

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $217.25changed to$213.64

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 2.34 changed to 2.28
    • Work GPCI 1.057 changed to 1.055
    • Practice expense GPCI 1.271 changed to 1.256
    • Malpractice GPCI 0.477 changed to 0.458

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    No ratechanged to$217.25

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$175.23$121.52RVU26D
2026-07-01$175.23$121.52RVU26C
2026-04-01$175.23$121.52RVU26B
2026-01-01$175.23$121.52RVU26A
2025-10-01$172.39$141.88RVU25D
2025-07-01$172.39$141.88RVU25C
2025-04-01$172.39$141.88RVU25B
2025-01-01$172.39$141.88RVU25A
2024-10-01$174.64$143.68RVU24D
2024-07-01$174.64$143.68RVU24C
2024-04-01$174.64$143.68RVU24B
2024-03-09$174.64$143.68RVU24AR
2024-01-01$171.79$141.33RVU24A
2023-10-01$173.79$144.21RVU23D
2023-07-01$173.79$144.21RVU23C
2023-04-01$173.79$144.21RVU23B
2023-01-01$173.79$144.21RVU23A
2022-10-01$173.46$145.17RVU22D
2022-07-01$173.46$145.17RVU22C
2022-04-01$173.46$145.17RVU22B
2022-01-01$173.46$145.17RVU22A
2021-10-01$182.48$151.41RVU21D
2021-07-01$182.48$151.41RVU21C
2021-04-01$182.48$151.41RVU21B
2021-01-01$182.48$151.41RVU21A
2020-10-01$198.95$164.10RVU20D
2020-07-01$198.95$164.10RVU20C
2020-04-01$198.95$164.10RVU20B
2020-01-01$198.95$164.10RVU20A
2019-10-01$207.09$169.52RVU19D
2019-07-01$207.09$169.52RVU19C
2019-04-01$207.09$169.52RVU19B
2019-01-01$207.09$169.52RVU19A
2018-10-01$213.64$172.95RVU18D
2018-07-01$213.64$172.95RVU18C
2018-04-01$213.64$172.95RVU18B
2018-01-01$213.64$172.95RVU18AR1
2017-10-01$217.25$175.28RVU17D
2017-07-01$217.25$175.28RVU17C
2017-04-01$217.25$175.28RVU17B
2017-01-01$217.25$175.28RVU17A
2016-10-01Rate data unavailableRate data unavailableRVU16D
2016-07-01Rate data unavailableRate data unavailableRVU16C
2016-04-01Rate data unavailableRate data unavailableRVU16B
2016-01-01Rate data unavailableRate data unavailableRVU16A
2015-10-01Rate data unavailableRate data unavailableRVU15D
2015-07-01Rate data unavailableRate data unavailableRVU15C
2015-04-01Rate data unavailableRate data unavailableRVU15B
2015-01-01Rate data unavailableRate data unavailableRVU15A
2014-10-01Rate data unavailableRate data unavailableRVU14D
2014-07-01Rate data unavailableRate data unavailableRVU14C
2014-04-01Rate data unavailableRate data unavailableRVU14B
2014-01-01Rate data unavailableRate data unavailableRVU14A
2013-10-01Rate data unavailableRate data unavailableRVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 88325 for an earlier date of service

Where the Vallejo, CA rate applies

Vallejo, CA is a Medicare payment area, not a city. Our Census mapping connects it to 11 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.

  • Vallejo
  • Allendale
  • Benicia
  • Dixon
  • Elmira
  • Fairfield
  • Green Valley
  • Hartley

Browse all communities in California

88325 billing questions

When should 88325 be selected instead of 88321?

Use 88325 for a comprehensive review that includes relevant patient records and reports. Code 88321 describes consultation on referred slides prepared elsewhere.

How does 88325 differ from 88323?

88325 centers on comprehensive review of the patient’s records and reports. 88323 is for referred material that requires slide preparation.

What documentation supports 88325?

Document the records and reports reviewed, the pathology question, the consultant’s assessment, and the resulting written opinion.

Does 88325 represent the original specimen examination?

No. It represents the comprehensive consultation. The original specimen examination is a separate service when performed and supported by its own documentation.

Can 88325 be used for an intraoperative pathology consultation?

No. For a pathology consultation performed during surgery, consider 88329, which describes that intraoperative circumstance.

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 88325PPRRVU2026_Oct_nonQPP.csv, line 11,234 (RVU26D)
Geographic factors for Vallejo, CAGPCI2026.csv, line 33 (RVU26D)

Open CMS sourceHow we calculate rates

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