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CPT code 88325: Pathology consultation, comprehensive record review2026 Medicare rate & RVUs in Dallas, TX

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 Dallas, TX, Medicare pays $153.40 for 88325 in the office and $112.81 when it’s performed in a hospital or facility.

$153.40Office (non-facility)
$112.81Hospital or facility
+0.1%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 Dallas, TX
  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 Dallas, TX 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. Dallas, TX pays $153.40. The RVUs are the same everywhere; the geographic indexes change the dollars.

88325 in Dallas, TX vs other payment areas
  1. Dallas, TX · this page$153.40
  2. Austin, TX · Texas$156.37+$2.97
  3. Beaumont, TX · Texas$147.94−$5.46
  4. Brazoria, TX · Texas$152.73−$0.67
  5. Fort Worth, TX · Texas$152.88−$0.52
  6. Galveston, TX · Texas$153.02−$0.38
  7. Houston, TX · Texas$155.04+$1.64

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

Every other payment area

88325 in every other Medicare payment locality
Payment localityOfficeFacility
Rest of TexasTexas$150.06$111.39
Los Angeles, CACalifornia$166.27$118.07
Washington, DC areaDistrict of Columbia$168.85$120.84
Miami, FLFlorida$161.26$118.84
Chicago, ILIllinois$159.00$118.05
Manhattan, NYNew York$170.60$123.25
AlaskaAlaska$201.78$158.38
AlabamaAlabama$144.62$108.96

88325 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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 Dallas, TX 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

99

Locality
Dallas, TX
Physician work
1.009
Practice expense
0.996
Malpractice
0.858
Office calculation for 88325 in Dallas, TX
ComponentRVULocality factorAdjusted
Physician work2.78× 1.0092.8050
Practice expense1.70× 0.9961.6932
Malpractice0.11× 0.8580.0944
Total RVUs4.5926
Conversion factor× 33.4009

Office rate, Dallas, TX$153.40

Office: (2.78 × 1.009 + 1.7 × 0.996 + 0.11 × 0.858) × $33.4009 = $153.40

Facility: (2.78 × 1.009 + 0.48 × 0.996 + 0.11 × 0.858) × $33.4009 = $112.81

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.

Codes related to 88325

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

Codes related to 88325
CodeHow it relatesOffice range, Dallas, TX
Same family
88321Slide consultation, outside-prepared slidesConsultation on referred slides prepared elsewhere, without the comprehensive record review described here.$93.85
88323Pathology consultation, referred material, slides preparedConsultation on referred material requiring slide preparation.$113.12
Used instead
88329Pathology consult, gross examination onlyPathology consultation performed during surgery rather than a comprehensive record review.$51.99

How 88325 has changed in Dallas, TX

88325 · Office / nonfacility

$153.40

Effective 2026-10-01

The base rate is $0.49 higher than on 2025-10-01, moving from $152.91 to $153.40 (0.3%).

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

    $152.91changed to$153.40

    • 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 1.011 changed to 1.009
    • Practice expense GPCI 1.007 changed to 0.996
    • Malpractice GPCI 0.877 changed to 0.858

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $155.06changed to$152.91

    • 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

    $152.53changed to$155.06

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $157.63changed to$152.53

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 1.64 changed to 1.66
    • Work GPCI 1.017 changed to 1.011
    • Practice expense GPCI 1.017 changed to 1.007
    • Malpractice GPCI 0.711 changed to 0.877

  5. January 1, 2023

    RVU23A

    $160.68changed to$157.63

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 1.62 changed to 1.64
    • Work GPCI 1.023 changed to 1.017
    • Practice expense GPCI 1.026 changed to 1.017
    • Malpractice GPCI 0.546 changed to 0.711

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $168.48changed to$160.68

    • 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

    $180.81changed to$168.48

    • 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 1.018 changed to 1.023
    • Practice expense GPCI 1.020 changed to 1.026
    • Malpractice GPCI 0.657 changed to 0.546

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $185.66changed to$180.81

    • 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 1.012 changed to 1.018
    • Practice expense GPCI 1.014 changed to 1.020
    • Malpractice GPCI 0.768 changed to 0.657

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $190.93changed to$185.66

    • 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

    $192.67changed to$190.93

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 2.34 changed to 2.28
    • Work GPCI 1.015 changed to 1.012
    • Practice expense GPCI 1.012 changed to 1.014
    • Malpractice GPCI 0.770 changed to 0.768

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $176.08changed to$192.67

    • 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 1.018 changed to 1.015
    • Practice expense GPCI 1.009 changed to 1.012
    • Malpractice GPCI 0.772 changed to 0.770

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $218.42changed to$176.08

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 3.41 changed to 2.26

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $217.33changed to$218.42

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $214.82changed to$217.33

    • 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 1.014 changed to 1.018
    • Practice expense GPCI 1.013 changed to 1.009
    • Malpractice GPCI 0.803 changed to 0.772

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $212.41changed to$214.82

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 3.56 changed to 3.33
    • Malpractice RVU 0.12 changed to 0.11
    • Work GPCI 1.009 changed to 1.014
    • Practice expense GPCI 1.017 changed to 1.013
    • Malpractice GPCI 0.834 changed to 0.803

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $212.41

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$153.40$112.81RVU26D
2026-07-01$153.40$112.81RVU26C
2026-04-01$153.40$112.81RVU26B
2026-01-01$153.40$112.81RVU26A
2025-10-01$152.91$129.46RVU25D
2025-07-01$152.91$129.46RVU25C
2025-04-01$152.91$129.46RVU25B
2025-01-01$152.91$129.46RVU25A
2024-10-01$155.06$131.26RVU24D
2024-07-01$155.06$131.26RVU24C
2024-04-01$155.06$131.26RVU24B
2024-03-09$155.06$131.26RVU24AR
2024-01-01$152.53$129.12RVU24A
2023-10-01$157.63$133.85RVU23D
2023-07-01$157.63$133.85RVU23C
2023-04-01$157.63$133.85RVU23B
2023-01-01$157.63$133.85RVU23A
2022-10-01$160.68$136.89RVU22D
2022-07-01$160.68$136.89RVU22C
2022-04-01$160.68$136.89RVU22B
2022-01-01$160.68$136.89RVU22A
2021-10-01$168.48$142.35RVU21D
2021-07-01$168.48$142.35RVU21C
2021-04-01$168.48$142.35RVU21B
2021-01-01$168.48$142.35RVU21A
2020-10-01$180.81$152.09RVU20D
2020-07-01$180.81$152.09RVU20C
2020-04-01$180.81$152.09RVU20B
2020-01-01$180.81$152.09RVU20A
2019-10-01$185.66$155.33RVU19D
2019-07-01$185.66$155.33RVU19C
2019-04-01$185.66$155.33RVU19B
2019-01-01$185.66$155.33RVU19A
2018-10-01$190.93$158.08RVU18D
2018-07-01$190.93$158.08RVU18C
2018-04-01$190.93$158.08RVU18B
2018-01-01$190.93$158.08RVU18AR1
2017-10-01$192.67$159.26RVU17D
2017-07-01$192.67$159.26RVU17C
2017-04-01$192.67$159.26RVU17B
2017-01-01$192.67$159.26RVU17A
2016-10-01$176.08$139.24RVU16D
2016-07-01$176.08$139.24RVU16C
2016-04-01$176.08$139.24RVU16B
2016-01-01$176.08$139.24RVU16A
2015-10-01$218.42$138.29RVU15D
2015-07-01$218.42$138.29RVU15C
2015-04-01$217.33$137.60RVU15B
2015-01-01$217.33$137.60RVU15A
2014-10-01$214.82$135.71RVU14D
2014-07-01$214.82$135.71RVU14C
2014-04-01$214.82$135.71RVU14B
2014-01-01$214.82$135.71RVU14A
2013-10-01$212.41$129.71RVU13D
2013-07-01$212.41$129.71RVU13C
2013-04-01$212.41$129.71RVU13B
2013-01-01$212.41$129.71RVU13AR

Price 88325 for an earlier date of service

Where the Dallas, TX rate applies

Dallas, TX is a Medicare payment area, not a city. Our Census mapping connects it to 32 cities and communities in Texas. Some span more than one payment area; confirm with the service ZIP.

Browse all communities in Texas

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 Dallas, TXGPCI2026.csv, line 99 (RVU26D)

Open CMS sourceHow we calculate rates

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