CPT code 88325: Pathology consultation, comprehensive record review2026 Medicare rate & RVUs in Puerto Rico

In Puerto Rico, Medicare pays $153.88 for 88325 in the office and $112.68 when it’s performed in a hospital or facility.

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.

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 Puerto Rico 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. Puerto Rico pays $153.88. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

88325 rates by state

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

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.

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.

Codes related to 88325

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 88325 has changed in Puerto Rico

Price 88325 for an earlier date of service

Where the Puerto Rico rate applies

Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.

• Aceitunas
• Adjuntas
• Aguada
• Aguadilla
• Aguas Buenas
• Aguas Claras
• Aguilita
• Aibonito

Browse all communities in Puerto Rico

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

Open CMS sourceHow we calculate rates