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CPT code 88362: Nerve preparation, teased-fiber preparation2026 Medicare rate & RVUs in Houston, TX

Reports preparation of peripheral nerve biopsy tissue into individual fibers for microscopic evaluation during workup of suspected neuropathy.

CMS RVU26DEffective Oct 1, 2026One payment locality101 Medicare services in 2024

In Houston, TX, Medicare pays $219.00 for 88362 in the office.

$219.00Office (non-facility)
Not available in this settingHospital or facility
+0.3%vs the national office rate ($218.44)

Check a contract rate as a % of Medicare · 88362 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 88362 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Houston, TX
  2. What 88362 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 88362 covers

A nerve teasing preparation separates peripheral nerve biopsy tissue into individual fibers so the pathologist can examine their structure microscopically. A surgical pathologist or neuropathologist typically performs or interprets this specialized work in a hospital pathology laboratory or reference laboratory. It is used when evaluation of individual nerve fibers is needed in a neuropathy workup, rather than for routine examination of tissue sections alone.

Report 88362 when the teasing preparation is performed. Documentation should identify the nerve specimen and support the specialized preparation and diagnostic evaluation. CMS recognizes a global service when billed without a modifier. Modifier 26 identifies the professional interpretation, while modifier TC identifies the technical work, including equipment and staff. The professional and technical portions have separate pricing under CMS.

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 Houston, TX compares for 88362

Across 109 of 109 payment localities, the office rate for 88362 runs from $196.71 in Arkansas to $289.06 in San Benito County, CA. Houston, TX pays $219.00. The RVUs are the same everywhere; the geographic indexes change the dollars.

88362 in Houston, TX vs other payment areas
  1. Houston, TX · this page$219.00
  2. Austin, TX · Texas$226.69+$7.69
  3. Beaumont, TX · Texas$205.21−$13.79
  4. Brazoria, TX · Texas$217.12−$1.88
  5. Dallas, TX · Texas$218.12−$0.88
  6. Fort Worth, TX · Texas$216.71−$2.29
  7. Galveston, TX · Texas$217.53−$1.47

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

Every other payment area

88362 in every other Medicare payment locality
Payment localityOfficeFacility
Rest of TexasTexas$210.79—
Los Angeles, CACalifornia$246.97—
Washington, DC areaDistrict of Columbia$248.37—
Miami, FLFlorida$228.47—
Chicago, ILIllinois$223.12—
Manhattan, NYNew York$248.02—
AlaskaAlaska$262.07—
AlabamaAlabama$199.16—

88362 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.

$196.71

$262.07

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

View every state and territory as a table
88362 office rate range by state
State / territoryOffice rate rangeLocalities
AK$262.071
AL$199.161
AR$196.711
AZ$213.561
CA$232.32–$289.0629
CO$227.981
CT$231.581
DC$248.371
DE$216.791
FL$213.41–$228.473
GA$203.30–$221.512
GU$237.181
HI$237.181
IA$204.511
ID$205.441
IL$207.33–$224.914
IN$206.491
KS$203.201
KY$202.121
LA$201.66–$210.252
MA$226.72–$249.172
MD$220.67–$248.373
ME$205.84–$216.152
MI$206.18–$215.202
MN$220.761
MO$198.37–$211.493
MS$197.601
MT$218.441
NC$207.761
ND$216.851
NE$205.621
NH$224.051
NJ$234.87–$246.282
NM$206.951
NV$218.141
NY$210.40–$252.665
OH$205.851
OK$202.341
OR$217.07–$234.982
PA$206.41–$226.182
PR$220.001
RI$224.281
SC$207.021
SD$216.671
TN$204.011
TX$205.21–$226.698
UT$209.471
VA$215.19–$248.372
VI$220.001
VT$215.671
WA$226.41–$254.402
WI$210.501
WV$200.601
WY$217.751

See 88362 in every payment locality

How the 88362 rate is calculated

Each of 88362’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 · 88362

RVUs × geographic indexes × conversion factor

Office or facility?

Work2.12

2.12 RVUs× 1.000 GPCI

Practice expense4.34

4.34 RVUs× 1.000 GPCI

Malpractice0.08

0.08 RVUs× 1.000 GPCI

Adjusted RVUs

6.5400

Conversion factor

$33.4009

Medicare rate

$218.44

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

The exact Houston, TX inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

11,281

Code
88362
Physician work
2.12
Practice expense
4.34
Malpractice
0.08

GPCI2026.csv

102

Locality
Houston, TX
Physician work
1.008
Practice expense
0.993
Malpractice
1.376
Office calculation for 88362 in Houston, TX
ComponentRVULocality factorAdjusted
Physician work2.12× 1.0082.1370
Practice expense4.34× 0.9934.3096
Malpractice0.08× 1.3760.1101
Total RVUs6.5567
Conversion factor× 33.4009

Office rate, Houston, TX$219.00

Office: (2.12 × 1.008 + 4.34 × 0.993 + 0.08 × 1.376) × $33.4009 = $219.00

Open 88362 in the RVU calculator

Payment rules and modifiers for 88362

The CMS indicators that decide how 88362 is paid alongside other services.

CMS payment indicators · 88362

Nerve preparation, teased-fiber preparation

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical1Diagnostic test with separate professional (26) and technical (TC) components.

What modifiers do to the payment

Modifier 26 · payment effect

With and without the modifier

88362 without 26 · national office

$218.44

Nerve preparation, teased-fiber preparation

88362-26 · Professional component

$105.21

Pays only the interpretation and report.

When to use modifier 26

Codes related to 88362

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

Codes related to 88362
CodeHow it relatesOffice range, Houston, TX
Used instead
88356Nerve analysis, quantitative morphometryReports morphometric analysis of nerve rather than teasing preparation alone.$224.48
Often billed with
88305Tissue pathology exam, level IV specimenRoutine surgical pathology examination of a nerve biopsy is a distinct service when performed.$70.27
88348Electron microscopy, diagnostic tissue examinationElectron microscopy may be performed as a separate diagnostic study on nerve tissue.$476.89

How 88362 has changed in Houston, TX

88362 · Office / nonfacility

$219.00

Effective 2026-10-01

The base rate is $7.01 lower than on 2025-10-01, moving from $226.01 to $219.00 (3.1%).

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

    $226.01changed to$219.00

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.17 changed to 2.12
    • Practice expense RVU 4.66 changed to 4.34
    • Work GPCI 1.014 changed to 1.008
    • Practice expense GPCI 1.003 changed to 0.993
    • Malpractice GPCI 1.409 changed to 1.376

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $231.25changed to$226.01

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 4.62 changed to 4.66

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $227.47changed to$231.25

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $235.01changed to$227.47

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 4.55 changed to 4.62
    • Work GPCI 1.023 changed to 1.014
    • Practice expense GPCI 1.016 changed to 1.003
    • Malpractice GPCI 1.154 changed to 1.409

  5. January 1, 2023

    RVU23A

    $231.02changed to$235.01

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 4.25 changed to 4.55
    • Malpractice RVU 0.07 changed to 0.08
    • Work GPCI 1.032 changed to 1.023
    • Practice expense GPCI 1.029 changed to 1.016
    • Malpractice GPCI 0.900 changed to 1.154

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $230.78changed to$231.02

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 4.19 changed to 4.25

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $237.24changed to$230.78

    • Conversion factor 36.0896 changed to 34.8931
    • Malpractice RVU 0.08 changed to 0.07
    • Work GPCI 1.026 changed to 1.032
    • Practice expense GPCI 1.020 changed to 1.029
    • Malpractice GPCI 0.918 changed to 0.900

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $216.29changed to$237.24

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 3.66 changed to 4.19
    • Malpractice RVU 0.09 changed to 0.08
    • Work GPCI 1.020 changed to 1.026
    • Practice expense GPCI 1.012 changed to 1.020
    • Malpractice GPCI 0.936 changed to 0.918

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $216.42changed to$216.29

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 3.67 changed to 3.66

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $237.50changed to$216.42

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 4.29 changed to 3.67
    • Malpractice RVU 0.08 changed to 0.09
    • Practice expense GPCI 1.009 changed to 1.012
    • Malpractice GPCI 0.946 changed to 0.936

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $263.80changed to$237.50

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 5.05 changed to 4.29
    • Work GPCI 1.019 changed to 1.020
    • Practice expense GPCI 1.006 changed to 1.009
    • Malpractice GPCI 0.955 changed to 0.946

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $300.04changed to$263.80

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 5.95 changed to 5.05
    • Malpractice RVU 0.16 changed to 0.08

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $298.54changed to$300.04

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $309.76changed to$298.54

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 6.29 changed to 5.95
    • Malpractice RVU 0.14 changed to 0.16
    • Work GPCI 1.014 changed to 1.019
    • Practice expense GPCI 1.004 changed to 1.006
    • Malpractice GPCI 0.939 changed to 0.955

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $312.76changed to$309.76

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 6.86 changed to 6.29
    • Work GPCI 1.009 changed to 1.014
    • Practice expense GPCI 1.002 changed to 1.004
    • Malpractice GPCI 0.923 changed to 0.939

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $312.76

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$219.00Not available in this settingRVU26D
2026-07-01$219.00Not available in this settingRVU26C
2026-04-01$219.00Not available in this settingRVU26B
2026-01-01$219.00Not available in this settingRVU26A
2025-10-01$226.01Not available in this settingRVU25D
2025-07-01$226.01Not available in this settingRVU25C
2025-04-01$226.01Not available in this settingRVU25B
2025-01-01$226.01Not available in this settingRVU25A
2024-10-01$231.25Not available in this settingRVU24D
2024-07-01$231.25Not available in this settingRVU24C
2024-04-01$231.25Not available in this settingRVU24B
2024-03-09$231.25Not available in this settingRVU24AR
2024-01-01$227.47Not available in this settingRVU24A
2023-10-01$235.01Not available in this settingRVU23D
2023-07-01$235.01Not available in this settingRVU23C
2023-04-01$235.01Not available in this settingRVU23B
2023-01-01$235.01Not available in this settingRVU23A
2022-10-01$231.02Not available in this settingRVU22D
2022-07-01$231.02Not available in this settingRVU22C
2022-04-01$231.02Not available in this settingRVU22B
2022-01-01$231.02Not available in this settingRVU22A
2021-10-01$230.78Not available in this settingRVU21D
2021-07-01$230.78Not available in this settingRVU21C
2021-04-01$230.78Not available in this settingRVU21B
2021-01-01$230.78Not available in this settingRVU21A
2020-10-01$237.24Not available in this settingRVU20D
2020-07-01$237.24Not available in this settingRVU20C
2020-04-01$237.24Not available in this settingRVU20B
2020-01-01$237.24Not available in this settingRVU20A
2019-10-01$216.29Not available in this settingRVU19D
2019-07-01$216.29Not available in this settingRVU19C
2019-04-01$216.29Not available in this settingRVU19B
2019-01-01$216.29Not available in this settingRVU19A
2018-10-01$216.42Not available in this settingRVU18D
2018-07-01$216.42Not available in this settingRVU18C
2018-04-01$216.42Not available in this settingRVU18B
2018-01-01$216.42Not available in this settingRVU18AR1
2017-10-01$237.50Not available in this settingRVU17D
2017-07-01$237.50Not available in this settingRVU17C
2017-04-01$237.50Not available in this settingRVU17B
2017-01-01$237.50Not available in this settingRVU17A
2016-10-01$263.80Not available in this settingRVU16D
2016-07-01$263.80Not available in this settingRVU16C
2016-04-01$263.80Not available in this settingRVU16B
2016-01-01$263.80Not available in this settingRVU16A
2015-10-01$300.04Not available in this settingRVU15D
2015-07-01$300.04Not available in this settingRVU15C
2015-04-01$298.54Not available in this settingRVU15B
2015-01-01$298.54Not available in this settingRVU15A
2014-10-01$309.76Not available in this settingRVU14D
2014-07-01$309.76Not available in this settingRVU14C
2014-04-01$309.76Not available in this settingRVU14B
2014-01-01$309.76Not available in this settingRVU14A
2013-10-01$312.76Not available in this settingRVU13D
2013-07-01$312.76Not available in this settingRVU13C
2013-04-01$312.76Not available in this settingRVU13B
2013-01-01$312.76Not available in this settingRVU13AR

Price 88362 for an earlier date of service

Where the Houston, TX rate applies

Houston, TX is a Medicare payment area, not a city. Our Census mapping connects it to 46 cities and communities in Texas. Some span more than one payment area; confirm with the service ZIP.

Browse all communities in Texas

88362 billing questions

How does 88362 differ from 88356?

88362 reports nerve teasing preparation. 88356 is for morphometric analysis of nerve, a quantitative analysis rather than the teased-fiber preparation alone.

Can 88362 be reported with routine examination of a nerve biopsy?

The teasing preparation is distinct from routine histologic examination of the biopsy. Document the separate work performed; 88305 is the related code for routine surgical pathology examination.

When should modifier 26 or TC be used?

Use modifier 26 for the professional interpretation and modifier TC for the technical work, including equipment and staff. Bill without a modifier when the same billing entity reports the global service.

What documentation supports 88362?

Identify the peripheral nerve specimen and document that it underwent teasing preparation for microscopic evaluation. The record should support the pathologist’s interpretation of the preparation.

Is 88362 the same as electron microscopy of nerve tissue?

No. 88362 covers teasing nerve fibers for microscopic evaluation; 88348 is for diagnostic electron microscopy.

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 88362PPRRVU2026_Oct_nonQPP.csv, line 11,281 (RVU26D)
Geographic factors for Houston, TXGPCI2026.csv, line 102 (RVU26D)

Open CMS sourceHow we calculate rates

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