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

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 Utah, Medicare pays $149.53 for 88325 in the office and $111.22 when it’s performed in a hospital or facility.

$149.53Office (non-facility)
$111.22Hospital or facility
−2.5%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 Utah
  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 Utah 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. Utah pays $149.53. The RVUs are the same everywhere; the geographic indexes change the dollars.

88325 in Utah vs other payment areas
  1. Utah · this page$149.53
  2. Los Angeles, CA · California$166.27+$16.74
  3. Washington, DC area · District of Columbia$168.85+$19.32
  4. Miami, FL · Florida$161.26+$11.73
  5. Chicago, IL · Illinois$159.00+$9.47
  6. Manhattan, NY · New York$170.60+$21.07
  7. Alaska · Alaska$201.78+$52.25

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

Every other payment area

88325 in every other Medicare payment locality
Payment localityOfficeFacility
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

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 Utah 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

104

Locality
Utah
Physician work
1.000
Practice expense
0.940
Malpractice
0.898
Office calculation for 88325 in Utah
ComponentRVULocality factorAdjusted
Physician work2.78× 1.0002.7800
Practice expense1.70× 0.9401.5980
Malpractice0.11× 0.8980.0988
Total RVUs4.4768
Conversion factor× 33.4009

Office rate, Utah$149.53

Office: (2.78 × 1 + 1.7 × 0.94 + 0.11 × 0.898) × $33.4009 = $149.53

Facility: (2.78 × 1 + 0.48 × 0.94 + 0.11 × 0.898) × $33.4009 = $111.22

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 Utah

88325 · Office / nonfacility

$149.53

Effective 2026-10-01

The base rate is $1.52 higher than on 2025-10-01, moving from $148.01 to $149.53 (1.0%).

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

    $148.01changed to$149.53

    • 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
    • Practice expense GPCI 0.933 changed to 0.940
    • Malpractice GPCI 0.930 changed to 0.898

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $150.14changed to$148.01

    • 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

    $147.69changed to$150.14

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $151.56changed to$147.69

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 1.64 changed to 1.66
    • Practice expense GPCI 0.926 changed to 0.933
    • Malpractice GPCI 0.865 changed to 0.930
  5. January 1, 2023

    RVU23A

    $153.47changed to$151.56

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 1.62 changed to 1.64
    • Practice expense GPCI 0.919 changed to 0.926
    • Malpractice GPCI 0.799 changed to 0.865

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $160.75changed to$153.47

    • 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

    $173.40changed to$160.75

    • 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
    • Practice expense GPCI 0.923 changed to 0.919
    • Malpractice GPCI 0.982 changed to 0.799

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $179.75changed to$173.40

    • 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
    • Practice expense GPCI 0.927 changed to 0.923
    • Malpractice GPCI 1.165 changed to 0.982

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $184.56changed to$179.75

    • 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

    $185.83changed to$184.56

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 2.34 changed to 2.28
    • Practice expense GPCI 0.925 changed to 0.927
    • Malpractice GPCI 1.167 changed to 1.165

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $169.14changed to$185.83

    • 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
    • Practice expense GPCI 0.922 changed to 0.925
    • Malpractice GPCI 1.169 changed to 1.167

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $207.85changed to$169.14

    • 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

    $206.82changed to$207.85

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $203.66changed to$206.82

    • 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
    • Practice expense GPCI 0.919 changed to 0.922
    • Malpractice GPCI 1.136 changed to 1.169

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $200.50changed to$203.66

    • 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
    • Practice expense GPCI 0.916 changed to 0.919
    • Malpractice GPCI 1.102 changed to 1.136

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $200.50

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$149.53$111.22RVU26D
2026-07-01$149.53$111.22RVU26C
2026-04-01$149.53$111.22RVU26B
2026-01-01$149.53$111.22RVU26A
2025-10-01$148.01$126.28RVU25D
2025-07-01$148.01$126.28RVU25C
2025-04-01$148.01$126.28RVU25B
2025-01-01$148.01$126.28RVU25A
2024-10-01$150.14$128.09RVU24D
2024-07-01$150.14$128.09RVU24C
2024-04-01$150.14$128.09RVU24B
2024-03-09$150.14$128.09RVU24AR
2024-01-01$147.69$126.00RVU24A
2023-10-01$151.56$129.91RVU23D
2023-07-01$151.56$129.91RVU23C
2023-04-01$151.56$129.91RVU23B
2023-01-01$151.56$129.91RVU23A
2022-10-01$153.47$132.16RVU22D
2022-07-01$153.47$132.16RVU22C
2022-04-01$153.47$132.16RVU22B
2022-01-01$153.47$132.16RVU22A
2021-10-01$160.75$137.34RVU21D
2021-07-01$160.75$137.34RVU21C
2021-04-01$160.75$137.34RVU21B
2021-01-01$160.75$137.34RVU21A
2020-10-01$173.40$147.41RVU20D
2020-07-01$173.40$147.41RVU20C
2020-04-01$173.40$147.41RVU20B
2020-01-01$173.40$147.41RVU20A
2019-10-01$179.75$152.02RVU19D
2019-07-01$179.75$152.02RVU19C
2019-04-01$179.75$152.02RVU19B
2019-01-01$179.75$152.02RVU19A
2018-10-01$184.56$154.52RVU18D
2018-07-01$184.56$154.52RVU18C
2018-04-01$184.56$154.52RVU18B
2018-01-01$184.56$154.52RVU18AR1
2017-10-01$185.83$155.29RVU17D
2017-07-01$185.83$155.29RVU17C
2017-04-01$185.83$155.29RVU17B
2017-01-01$185.83$155.29RVU17A
2016-10-01$169.14$135.47RVU16D
2016-07-01$169.14$135.47RVU16C
2016-04-01$169.14$135.47RVU16B
2016-01-01$169.14$135.47RVU16A
2015-10-01$207.85$134.63RVU15D
2015-07-01$207.85$134.63RVU15C
2015-04-01$206.82$133.96RVU15B
2015-01-01$206.82$133.96RVU15A
2014-10-01$203.66$131.89RVU14D
2014-07-01$203.66$131.89RVU14C
2014-04-01$203.66$131.89RVU14B
2014-01-01$203.66$131.89RVU14A
2013-10-01$200.50$126.02RVU13D
2013-07-01$200.50$126.02RVU13C
2013-04-01$200.50$126.02RVU13B
2013-01-01$200.50$126.02RVU13AR

Price 88325 for an earlier date of service

Where the Utah rate applies

Utah is a Medicare payment area, not a city. Our Census mapping connects it to 334 cities and communities in Utah. Some span more than one payment area; confirm with the service ZIP.

  • Alpine
  • Alta
  • Altamont
  • Alton
  • Amalga
  • American Fork
  • Aneth
  • Annabella

Browse all communities in Utah

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 UtahGPCI2026.csv, line 104 (RVU26D)

Open CMS sourceHow we calculate rates

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