CPT code 88325: Pathology consultation, comprehensive record review2026 Medicare rate & RVUs in Rhode Island
A pathologist reviews relevant patient records and diagnostic reports to provide a comprehensive consultation and written opinion on a referred case.
In Rhode Island, Medicare pays $156.55 for 88325 in the office and $114.46 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.
On this page 11 sections
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 Rhode Island 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. Rhode Island pays $156.55. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Rhode Island · this page$156.55
- Los Angeles, CA · California$166.27+$9.72
- Washington, DC area · District of Columbia$168.85+$12.30
- Miami, FL · Florida$161.26+$4.71
- Chicago, IL · Illinois$159.00+$2.45
- Manhattan, NY · New York$170.60+$14.05
- Alaska · Alaska$201.78+$45.23
Other areas in Rhode Island first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $144.62 | $108.96 |
| ArkansasArkansas | $143.52 | $108.52 |
| ArizonaArizona | $151.02 | $111.53 |
| Bakersfield, CACalifornia | $159.09 | $114.43 |
| Chico, CACalifornia | $158.63 | $113.97 |
| El Centro, CACalifornia | $158.65 | $113.99 |
| Fresno, CACalifornia | $158.63 | $113.97 |
| Hanford, CACalifornia | $158.63 | $113.97 |
| 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 |
| Sacramento, CACalifornia | $164.20 | $116.81 |
| Salinas, CACalifornia | $163.51 | $116.28 |
| San Diego, CACalifornia | $165.54 | $116.81 |
| Marin County, CACalifornia | $183.42 | $125.97 |
| San Francisco, CACalifornia | $183.30 | $125.84 |
| San Benito County, CACalifornia | $186.92 | $128.16 |
| Santa Clara County, CACalifornia | $186.41 | $127.65 |
| San Luis Obispo, CACalifornia | $161.08 | $114.66 |
| Santa Cruz, CACalifornia | $165.76 | $116.25 |
| Santa Maria, CACalifornia | $163.63 | $116.12 |
| Santa Rosa, CACalifornia | $167.34 | $117.30 |
| Stockton, CACalifornia | $158.63 | $113.97 |
| Vallejo, CACalifornia | $175.23 | $121.52 |
| Visalia, CACalifornia | $158.63 | $113.97 |
| Yuba City, CACalifornia | $158.63 | $113.97 |
| ColoradoColorado | $157.25 | $113.90 |
| ConnecticutConnecticut | $160.31 | $116.42 |
| DelawareDelaware | $152.72 | $112.46 |
| Fort Lauderdale, FLFlorida | $157.02 | $115.74 |
| Rest of FloridaFlorida | $152.66 | $113.70 |
| Atlanta, GAGeorgia | $155.24 | $113.83 |
| Rest of GeorgiaGeorgia | $147.88 | $111.53 |
| Hawaii, Guam, HIHawaii | $159.54 | $113.21 |
| IowaIowa | $146.27 | $108.98 |
| IdahoIdaho | $146.83 | $109.34 |
| East St. Louis, ILIllinois | $152.49 | $115.00 |
| Rest of IllinoisIllinois | $150.44 | $113.23 |
| Suburban Chicago, ILIllinois | $158.33 | $116.48 |
| IndianaIndiana | $147.28 | $109.50 |
| KansasKansas | $146.04 | $109.20 |
| KentuckyKentucky | $146.70 | $110.47 |
| New Orleans, LALouisiana | $150.46 | $112.11 |
| Rest of LouisianaLouisiana | $146.63 | $110.56 |
| Metropolitan Boston, MAMassachusetts | $167.73 | $119.07 |
| Rest of MassachusettsMassachusetts | $157.06 | $114.15 |
| Baltimore area, MDMaryland | $159.81 | $116.09 |
| Rest of MarylandMaryland | $154.62 | $113.38 |
| Rest of MaineMaine | $147.38 | $109.89 |
| Southern Maine, MEMaine | $151.44 | $111.06 |
| Detroit, MIMichigan | $153.84 | $114.52 |
| Rest of MichiganMichigan | $148.84 | $111.64 |
| MinnesotaMinnesota | $152.37 | $110.44 |
| Metropolitan Kansas City, MOMissouri | $149.76 | $111.50 |
| Metropolitan St. Louis, MOMissouri | $150.59 | $111.80 |
| Rest of MissouriMissouri | $145.38 | $110.25 |
| MississippiMississippi | $144.46 | $109.37 |
| MontanaMontana | $153.30 | $112.55 |
| North CarolinaNorth Carolina | $148.18 | $110.16 |
| North DakotaNorth Dakota | $151.13 | $110.38 |
| NebraskaNebraska | $146.65 | $109.04 |
| New HampshireNew Hampshire | $155.18 | $112.76 |
| Northern New JerseyNew Jersey | $168.49 | $121.23 |
| Rest of New JerseyNew Jersey | $162.60 | $118.11 |
| New MexicoNew Mexico | $149.34 | $111.97 |
| NevadaNevada | $152.75 | $111.96 |
| NYC suburbs and Long Island, NYNew York | $173.13 | $124.68 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $163.65 | $119.03 |
| Queens, NYNew York | $171.21 | $123.05 |
| Rest of New YorkNew York | $149.38 | $110.67 |
| OhioOhio | $148.40 | $111.20 |
| OklahomaOklahoma | $146.42 | $110.03 |
| Portland, OROregon | $160.16 | $114.89 |
| Rest of OregonOregon | $151.99 | $111.41 |
| Metropolitan Philadelphia, PAPennsylvania | $158.02 | $115.60 |
| Rest of PennsylvaniaPennsylvania | $148.45 | $111.04 |
| Puerto RicoPuerto Rico | $153.88 | $112.68 |
| South CarolinaSouth Carolina | $148.44 | $110.79 |
| South DakotaSouth Dakota | $150.87 | $110.12 |
| TennesseeTennessee | $146.44 | $109.40 |
| Austin, TXTexas | $156.37 | $113.26 |
| Beaumont, TXTexas | $147.94 | $110.86 |
| Brazoria, TXTexas | $152.73 | $112.35 |
| Dallas, TXTexas | $153.40 | $112.81 |
| Fort Worth, TXTexas | $152.88 | $112.70 |
| Galveston, TXTexas | $153.02 | $112.56 |
| Houston, TXTexas | $155.04 | $114.57 |
| Rest of TexasTexas | $150.06 | $111.39 |
| UtahUtah | $149.53 | $111.22 |
| VirginiaVirginia | $151.26 | $111.21 |
| Virgin Islands, VIUnited States Virgin Islands | $153.88 | $112.68 |
| VermontVermont | $150.93 | $110.59 |
| Rest of WashingtonWashington | $156.65 | $113.74 |
| King County, WAWashington | $170.17 | $120.17 |
| WisconsinWisconsin | $148.38 | $109.35 |
| West VirginiaWest Virginia | $147.46 | $112.04 |
| WyomingWyoming | $152.35 | $111.61 |
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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $201.78 | 1 |
| AL | $144.62 | 1 |
| AR | $143.52 | 1 |
| AZ | $151.02 | 1 |
| CA | $158.63–$186.92 | 29 |
| CO | $157.25 | 1 |
| CT | $160.31 | 1 |
| DC | $168.85 | 1 |
| DE | $152.72 | 1 |
| FL | $152.66–$161.26 | 3 |
| GA | $147.88–$155.24 | 2 |
| GU | $159.54 | 1 |
| HI | $159.54 | 1 |
| IA | $146.27 | 1 |
| ID | $146.83 | 1 |
| IL | $150.44–$159.00 | 4 |
| IN | $147.28 | 1 |
| KS | $146.04 | 1 |
| KY | $146.70 | 1 |
| LA | $146.63–$150.46 | 2 |
| MA | $157.06–$167.73 | 2 |
| MD | $154.62–$168.85 | 3 |
| ME | $147.38–$151.44 | 2 |
| MI | $148.84–$153.84 | 2 |
| MN | $152.37 | 1 |
| MO | $145.38–$150.59 | 3 |
| MS | $144.46 | 1 |
| MT | $153.30 | 1 |
| NC | $148.18 | 1 |
| ND | $151.13 | 1 |
| NE | $146.65 | 1 |
| NH | $155.18 | 1 |
| NJ | $162.60–$168.49 | 2 |
| NM | $149.34 | 1 |
| NV | $152.75 | 1 |
| NY | $149.38–$173.13 | 5 |
| OH | $148.40 | 1 |
| OK | $146.42 | 1 |
| OR | $151.99–$160.16 | 2 |
| PA | $148.45–$158.02 | 2 |
| PR | $153.88 | 1 |
| RI | $156.55 | 1 |
| SC | $148.44 | 1 |
| SD | $150.87 | 1 |
| TN | $146.44 | 1 |
| TX | $147.94–$156.37 | 8 |
| UT | $149.53 | 1 |
| VA | $151.26–$168.85 | 2 |
| VI | $153.88 | 1 |
| VT | $150.93 | 1 |
| WA | $156.65–$170.17 | 2 |
| WI | $148.38 | 1 |
| WV | $147.46 | 1 |
| WY | $152.35 | 1 |
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
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 Rhode Island 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
92
- Locality
- Rhode Island
- Physician work
- 1.019
- Practice expense
- 1.033
- Malpractice
- 0.892
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.78 | × 1.019 | 2.8328 |
| Practice expense | 1.70 | × 1.033 | 1.7561 |
| Malpractice | 0.11 | × 0.892 | 0.0981 |
| Total RVUs | 4.6870 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Rhode Island$156.55
Office: (2.78 × 1.019 + 1.7 × 1.033 + 0.11 × 0.892) × $33.4009 = $156.55
Facility: (2.78 × 1.019 + 0.48 × 1.033 + 0.11 × 0.892) × $33.4009 = $114.46
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 Rhode Island
88325 · Office / nonfacility
$156.55
Effective 2026-10-01
The base rate is $0.68 higher than on 2025-10-01, moving from $155.87 to $156.55 (0.4%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$155.87changed to$156.55
- 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 1.025 changed to 1.019
- Practice expense GPCI 1.039 changed to 1.033
- Malpractice GPCI 0.849 changed to 0.892
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$158.04changed to$155.87
- 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.
March 9, 2024
RVU24AR
$155.47changed to$158.04
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$160.54changed to$155.47
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 1.64 changed to 1.66
- Work GPCI 1.023 changed to 1.025
- Practice expense GPCI 1.044 changed to 1.039
- Malpractice GPCI 0.915 changed to 0.849
January 1, 2023
RVU23A
$163.53changed to$160.54
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 1.62 changed to 1.64
- Work GPCI 1.021 changed to 1.023
- Practice expense GPCI 1.048 changed to 1.044
- Malpractice GPCI 0.981 changed to 0.915
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$171.78changed to$163.53
- 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.
January 1, 2021
RVU21A
$184.95changed to$171.78
- 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 1.024 changed to 1.021
- Practice expense GPCI 1.049 changed to 1.048
- Malpractice GPCI 0.990 changed to 0.981
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$191.13changed to$184.95
- 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 1.027 changed to 1.024
- Practice expense GPCI 1.050 changed to 1.049
- Malpractice GPCI 0.999 changed to 0.990
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$196.59changed to$191.13
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 2.28 changed to 2.13
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$197.60changed to$196.59
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 2.34 changed to 2.28
- Work GPCI 1.025 changed to 1.027
- Practice expense GPCI 1.052 changed to 1.050
- Malpractice GPCI 0.879 changed to 0.999
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$179.95changed to$197.60
- Conversion factor 35.8043 changed to 35.8887
- Work RVU 2.50 changed to 2.85
- Practice expense RVU 2.26 changed to 2.34
- Malpractice RVU 0.12 changed to 0.14
- Work GPCI 1.022 changed to 1.025
- Practice expense GPCI 1.053 changed to 1.052
- Malpractice GPCI 0.759 changed to 0.879
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$224.11changed to$179.95
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 3.41 changed to 2.26
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$223.00changed to$224.11
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$220.79changed to$223.00
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 3.33 changed to 3.41
- Malpractice RVU 0.11 changed to 0.12
- Work GPCI 1.020 changed to 1.022
- Malpractice GPCI 0.973 changed to 0.759
Held through RVU15B.
January 1, 2014
RVU14A
No ratechanged to$220.79
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $156.55 | $114.46 | RVU26D |
| 2026-07-01 | $156.55 | $114.46 | RVU26C |
| 2026-04-01 | $156.55 | $114.46 | RVU26B |
| 2026-01-01 | $156.55 | $114.46 | RVU26A |
| 2025-10-01 | $155.87 | $131.67 | RVU25D |
| 2025-07-01 | $155.87 | $131.67 | RVU25C |
| 2025-04-01 | $155.87 | $131.67 | RVU25B |
| 2025-01-01 | $155.87 | $131.67 | RVU25A |
| 2024-10-01 | $158.04 | $133.49 | RVU24D |
| 2024-07-01 | $158.04 | $133.49 | RVU24C |
| 2024-04-01 | $158.04 | $133.49 | RVU24B |
| 2024-03-09 | $158.04 | $133.49 | RVU24AR |
| 2024-01-01 | $155.47 | $131.31 | RVU24A |
| 2023-10-01 | $160.54 | $136.13 | RVU23D |
| 2023-07-01 | $160.54 | $136.13 | RVU23C |
| 2023-04-01 | $160.54 | $136.13 | RVU23B |
| 2023-01-01 | $160.54 | $136.13 | RVU23A |
| 2022-10-01 | $163.53 | $139.23 | RVU22D |
| 2022-07-01 | $163.53 | $139.23 | RVU22C |
| 2022-04-01 | $163.53 | $139.23 | RVU22B |
| 2022-01-01 | $163.53 | $139.23 | RVU22A |
| 2021-10-01 | $171.78 | $145.09 | RVU21D |
| 2021-07-01 | $171.78 | $145.09 | RVU21C |
| 2021-04-01 | $171.78 | $145.09 | RVU21B |
| 2021-01-01 | $171.78 | $145.09 | RVU21A |
| 2020-10-01 | $184.95 | $155.42 | RVU20D |
| 2020-07-01 | $184.95 | $155.42 | RVU20C |
| 2020-04-01 | $184.95 | $155.42 | RVU20B |
| 2020-01-01 | $184.95 | $155.42 | RVU20A |
| 2019-10-01 | $191.13 | $159.72 | RVU19D |
| 2019-07-01 | $191.13 | $159.72 | RVU19C |
| 2019-04-01 | $191.13 | $159.72 | RVU19B |
| 2019-01-01 | $191.13 | $159.72 | RVU19A |
| 2018-10-01 | $196.59 | $162.57 | RVU18D |
| 2018-07-01 | $196.59 | $162.57 | RVU18C |
| 2018-04-01 | $196.59 | $162.57 | RVU18B |
| 2018-01-01 | $196.59 | $162.57 | RVU18AR1 |
| 2017-10-01 | $197.60 | $162.87 | RVU17D |
| 2017-07-01 | $197.60 | $162.87 | RVU17C |
| 2017-04-01 | $197.60 | $162.87 | RVU17B |
| 2017-01-01 | $197.60 | $162.87 | RVU17A |
| 2016-10-01 | $179.95 | $141.49 | RVU16D |
| 2016-07-01 | $179.95 | $141.49 | RVU16C |
| 2016-04-01 | $179.95 | $141.49 | RVU16B |
| 2016-01-01 | $179.95 | $141.49 | RVU16A |
| 2015-10-01 | $224.11 | $140.49 | RVU15D |
| 2015-07-01 | $224.11 | $140.49 | RVU15C |
| 2015-04-01 | $223.00 | $139.79 | RVU15B |
| 2015-01-01 | $223.00 | $139.79 | RVU15A |
| 2014-10-01 | $220.79 | $138.56 | RVU14D |
| 2014-07-01 | $220.79 | $138.56 | RVU14C |
| 2014-04-01 | $220.79 | $138.56 | RVU14B |
| 2014-01-01 | $220.79 | $138.56 | RVU14A |
| 2013-10-01 | Rate data unavailable | Rate data unavailable | RVU13D |
| 2013-07-01 | Rate data unavailable | Rate data unavailable | RVU13C |
| 2013-04-01 | Rate data unavailable | Rate data unavailable | RVU13B |
| 2013-01-01 | Rate data unavailable | Rate data unavailable | RVU13AR |
Where the Rhode Island rate applies
Rhode Island is a Medicare payment area, not a city. Our Census mapping connects it to 36 cities and communities in Rhode Island. Some span more than one payment area; confirm with the service ZIP.
- Ashaway
- Bradford
- Carolina
- Central Falls
- Charlestown
- Chepachet
- Clayville
- Cranston
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
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