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CMS RVU26D · Effective 2026-10-01

88307 in Austin

Office / nonfacility

$290.71

Base rate per service

Facility setting

Not available in this setting

Base rate per service

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

Surgical pathology

About 88307: Level V surgical pathology gross and microscopic exam

Gross and microscopic pathologist examination of a Level V surgical specimen, such as a liver biopsy, cervical cone, or breast lesion excision.

This service covers gross and microscopic examination of a specimen assigned to Level V surgical pathology. Level V includes certain biopsies as well as excisions and resections. Examples include needle or wedge liver biopsies, cervical conization, breast lesion excisions, simple mastectomy, thyroid lobectomy, transurethral resection of a bladder tumor, and lung wedge biopsy. The work is performed in hospital pathology departments and independent laboratories, with a pathologist issuing a signed diagnostic report.

Report one unit for each distinct specimen assigned to Level V, not for each tissue fragment, block, or slide. Select the level from the CPT specimen classification; the report should identify the specimen and document the gross and microscopic findings. CMS prices professional and technical components separately: modifier 26 identifies the pathologist's interpretation and report, and modifier TC identifies laboratory preparation and support. Report the global service without a modifier when one entity provides both components. When separately indicated and documented, additional services such as special stains, immunohistochemistry, decalcification, or intraoperative frozen-section consultation may be reported with the final examination.

CMS billing rules for 88307

Professional and technical components
Diagnostic test with a professional component (modifier 26, interpretation) and a technical component (modifier TC, equipment and staff); billing without a modifier is the global service.

Where the value comes from

  • Work RVU1.55 · 19%
  • Practice expense (office) RVU6.70 · 81%
  • Malpractice RVU0.07 · 1%

904K

Medicare services in 2024 · #154 by national volume

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.

88307 compared with similar codes

Office rates for Austin, from the same CMS release.

88305

Tissue pathology exam

Level IV specimen

$72.73

88305 is Level IV and includes specimens such as prostate needle biopsies. Use 88307 for specimens CPT assigns to Level V, such as liver biopsy or breast lesion excision.

88309

Tissue pathology

Level VI specimen

$431.81

88309 is Level VI and includes colon segmental resection for tumor. Select 88307 or 88309 from the specific specimen classification, rather than tumor diagnosis alone.

88331

Frozen section

First block, one specimen

$100.49

88331 reports an intraoperative frozen-section consultation; 88307 reports the final gross and microscopic examination. Both may be reported for the same specimen.

88321

Slide consultation

Outside-prepared slides

$95.92

88321 is a consultation on slides prepared elsewhere; 88307 covers the gross and microscopic examination of a submitted tissue specimen.

The same code, a different location

How does Austin compare?

In Beaumont, the office rate for 88307 is $257.59—$33.12 lower than the $290.71 rate in Austin. Both use the same code, release and participation basis.

88307 across payment areas

Same release and payment basis · bars start at $0

  1. Austin · This locality

    $290.71

  2. Beaumont

    $257.59

    $33.12 lower than Austin

  3. Brazoria

    $275.78

    $14.93 lower than Austin

  4. Dallas

    $277.13

    $13.58 lower than Austin

  5. Fort Worth

    $274.93

    $15.78 lower than Austin

  6. Galveston

    $276.34

    $14.37 lower than Austin

  7. Houston

    $277.62

    $13.09 lower than Austin

Other payment areas listed in Texas appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 88307 ranges from $245.21 in Arkansas to $381.42 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas
  • Rest Of Texas

    Texas · 88307

    Office

    $266.26

    Facility

    Unavailable

    $24.45 lower than Austin for the office setting.

  • Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    California · 88307

    Office

    $320.19

    Facility

    Unavailable

    $29.48 higher than Austin for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 88307

    Office

    $320.79

    Facility

    Unavailable

    $30.08 higher than Austin for the office setting.

  • Miami

    Florida · 88307

    Office

    $290.65

    Facility

    Unavailable

    $0.06 lower than Austin for the office setting.

  • Chicago

    Illinois · 88307

    Office

    $282.40

    Facility

    Unavailable

    $8.31 lower than Austin for the office setting.

  • Manhattan

    New York · 88307

    Office

    $318.83

    Facility

    Unavailable

    $28.12 higher than Austin for the office setting.

  • Alaska*

    Alaska · 88307

    Office

    $317.28

    Facility

    Unavailable

    $26.57 higher than Austin for the office setting.

  • Alabama

    Alabama · 88307

    Office

    $248.91

    Facility

    Unavailable

    $41.80 lower than Austin for the office setting.

  • Arkansas

    Arkansas · 88307

    Office

    $245.21

    Facility

    Unavailable

    $45.50 lower than Austin for the office setting.

  • Arizona

    Arizona · 88307

    Office

    $270.62

    Facility

    Unavailable

    $20.09 lower than Austin for the office setting.

  • Bakersfield

    California · 88307

    Office

    $299.45

    Facility

    Unavailable

    $8.74 higher than Austin for the office setting.

  • Chico

    California · 88307

    Office

    $299.17

    Facility

    Unavailable

    $8.46 higher than Austin for the office setting.

  • El Centro

    California · 88307

    Office

    $299.19

    Facility

    Unavailable

    $8.48 higher than Austin for the office setting.

  • Fresno

    California · 88307

    Office

    $299.17

    Facility

    Unavailable

    $8.46 higher than Austin for the office setting.

  • Hanford-Corcoran

    California · 88307

    Office

    $299.17

    Facility

    Unavailable

    $8.46 higher than Austin for the office setting.

  • Madera

    California · 88307

    Office

    $299.17

    Facility

    Unavailable

    $8.46 higher than Austin for the office setting.

  • Merced

    California · 88307

    Office

    $299.17

    Facility

    Unavailable

    $8.46 higher than Austin for the office setting.

  • Modesto

    California · 88307

    Office

    $299.17

    Facility

    Unavailable

    $8.46 higher than Austin for the office setting.

  • Napa

    California · 88307

    Office

    $351.17

    Facility

    Unavailable

    $60.46 higher than Austin for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 88307

    Office

    $319.19

    Facility

    Unavailable

    $28.48 higher than Austin for the office setting.

  • Redding

    California · 88307

    Office

    $299.17

    Facility

    Unavailable

    $8.46 higher than Austin for the office setting.

  • Rest Of California

    California · 88307

    Office

    $299.17

    Facility

    Unavailable

    $8.46 higher than Austin for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 88307

    Office

    $299.97

    Facility

    Unavailable

    $9.26 higher than Austin for the office setting.

  • Sacramento-Roseville-Folsom

    California · 88307

    Office

    $315.15

    Facility

    Unavailable

    $24.44 higher than Austin for the office setting.

  • Salinas

    California · 88307

    Office

    $314.00

    Facility

    Unavailable

    $23.29 higher than Austin for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 88307

    Office

    $322.24

    Facility

    Unavailable

    $31.53 higher than Austin for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 88307

    Office

    $373.30

    Facility

    Unavailable

    $82.59 higher than Austin for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 88307

    Office

    $373.22

    Facility

    Unavailable

    $82.51 higher than Austin for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 88307

    Office

    $381.42

    Facility

    Unavailable

    $90.71 higher than Austin for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 88307

    Office

    $381.09

    Facility

    Unavailable

    $90.38 higher than Austin for the office setting.

  • San Luis Obispo-Paso Robles

    California · 88307

    Office

    $308.80

    Facility

    Unavailable

    $18.09 higher than Austin for the office setting.

  • Santa Cruz-Watsonville

    California · 88307

    Office

    $326.01

    Facility

    Unavailable

    $35.30 higher than Austin for the office setting.

  • Santa Maria-Santa Barbara

    California · 88307

    Office

    $315.41

    Facility

    Unavailable

    $24.70 higher than Austin for the office setting.

  • Santa Rosa-Petaluma

    California · 88307

    Office

    $329.39

    Facility

    Unavailable

    $38.68 higher than Austin for the office setting.

  • Stockton

    California · 88307

    Office

    $299.17

    Facility

    Unavailable

    $8.46 higher than Austin for the office setting.

  • Vallejo

    California · 88307

    Office

    $351.06

    Facility

    Unavailable

    $60.35 higher than Austin for the office setting.

  • Visalia

    California · 88307

    Office

    $299.17

    Facility

    Unavailable

    $8.46 higher than Austin for the office setting.

  • Yuba City

    California · 88307

    Office

    $299.17

    Facility

    Unavailable

    $8.46 higher than Austin for the office setting.

  • Colorado

    Colorado · 88307

    Office

    $292.33

    Facility

    Unavailable

    $1.62 higher than Austin for the office setting.

  • Connecticut

    Connecticut · 88307

    Office

    $296.65

    Facility

    Unavailable

    $5.94 higher than Austin for the office setting.

  • Delaware

    Delaware · 88307

    Office

    $275.23

    Facility

    Unavailable

    $15.48 lower than Austin for the office setting.

  • Fort Lauderdale

    Florida · 88307

    Office

    $282.69

    Facility

    Unavailable

    $8.02 lower than Austin for the office setting.

  • Rest Of Florida

    Florida · 88307

    Office

    $269.22

    Facility

    Unavailable

    $21.49 lower than Austin for the office setting.

  • Atlanta

    Georgia · 88307

    Office

    $282.10

    Facility

    Unavailable

    $8.61 lower than Austin for the office setting.

  • Rest Of Georgia

    Georgia · 88307

    Office

    $254.18

    Facility

    Unavailable

    $36.53 lower than Austin for the office setting.

  • Hawaii, Guam

    Hawaii · 88307

    Office

    $307.57

    Facility

    Unavailable

    $16.86 higher than Austin for the office setting.

  • Iowa

    Iowa · 88307

    Office

    $257.46

    Facility

    Unavailable

    $33.25 lower than Austin for the office setting.

  • Idaho

    Idaho · 88307

    Office

    $258.76

    Facility

    Unavailable

    $31.95 lower than Austin for the office setting.

  • East St. Louis

    Illinois · 88307

    Office

    $262.36

    Facility

    Unavailable

    $28.35 lower than Austin for the office setting.

  • Rest Of Illinois

    Illinois · 88307

    Office

    $259.74

    Facility

    Unavailable

    $30.97 lower than Austin for the office setting.

  • Suburban Chicago

    Illinois · 88307

    Office

    $286.11

    Facility

    Unavailable

    $4.60 lower than Austin for the office setting.

  • Indiana

    Indiana · 88307

    Office

    $260.36

    Facility

    Unavailable

    $30.35 lower than Austin for the office setting.

  • Kansas

    Kansas · 88307

    Office

    $255.25

    Facility

    Unavailable

    $35.46 lower than Austin for the office setting.

  • Kentucky

    Kentucky · 88307

    Office

    $252.86

    Facility

    Unavailable

    $37.85 lower than Austin for the office setting.

  • New Orleans

    Louisiana · 88307

    Office

    $265.01

    Facility

    Unavailable

    $25.70 lower than Austin for the office setting.

  • Rest Of Louisiana

    Louisiana · 88307

    Office

    $252.06

    Facility

    Unavailable

    $38.65 lower than Austin for the office setting.

  • Metropolitan Boston

    Massachusetts · 88307

    Office

    $323.18

    Facility

    Unavailable

    $32.47 higher than Austin for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 88307

    Office

    $290.11

    Facility

    Unavailable

    $0.60 lower than Austin for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 88307

    Office

    $295.61

    Facility

    Unavailable

    $4.90 higher than Austin for the office setting.

  • Rest Of Maryland

    Maryland · 88307

    Office

    $280.91

    Facility

    Unavailable

    $9.80 lower than Austin for the office setting.

  • Rest Of Maine

    Maine · 88307

    Office

    $259.11

    Facility

    Unavailable

    $31.60 lower than Austin for the office setting.

  • Southern Maine

    Maine · 88307

    Office

    $275.02

    Facility

    Unavailable

    $15.69 lower than Austin for the office setting.

  • Detroit

    Michigan · 88307

    Office

    $271.67

    Facility

    Unavailable

    $19.04 lower than Austin for the office setting.

  • Rest Of Michigan

    Michigan · 88307

    Office

    $258.73

    Facility

    Unavailable

    $31.98 lower than Austin for the office setting.

  • Minnesota

    Minnesota · 88307

    Office

    $282.74

    Facility

    Unavailable

    $7.97 lower than Austin for the office setting.

  • Metropolitan Kansas City

    Missouri · 88307

    Office

    $264.19

    Facility

    Unavailable

    $26.52 lower than Austin for the office setting.

  • Metropolitan St. Louis

    Missouri · 88307

    Office

    $267.16

    Facility

    Unavailable

    $23.55 lower than Austin for the office setting.

  • Rest Of Missouri

    Missouri · 88307

    Office

    $246.95

    Facility

    Unavailable

    $43.76 lower than Austin for the office setting.

  • Mississippi

    Mississippi · 88307

    Office

    $246.18

    Facility

    Unavailable

    $44.53 lower than Austin for the office setting.

  • Montana**

    Montana · 88307

    Office

    $277.89

    Facility

    Unavailable

    $12.82 lower than Austin for the office setting.

  • North Carolina

    North Carolina · 88307

    Office

    $262.06

    Facility

    Unavailable

    $28.65 lower than Austin for the office setting.

  • North Dakota**

    North Dakota · 88307

    Office

    $276.51

    Facility

    Unavailable

    $14.20 lower than Austin for the office setting.

  • Nebraska

    Nebraska · 88307

    Office

    $259.21

    Facility

    Unavailable

    $31.50 lower than Austin for the office setting.

  • New Hampshire

    New Hampshire · 88307

    Office

    $286.78

    Facility

    Unavailable

    $3.93 lower than Austin for the office setting.

  • Northern Nj

    New Jersey · 88307

    Office

    $317.12

    Facility

    Unavailable

    $26.41 higher than Austin for the office setting.

  • Rest Of New Jersey

    New Jersey · 88307

    Office

    $300.78

    Facility

    Unavailable

    $10.07 higher than Austin for the office setting.

  • New Mexico

    New Mexico · 88307

    Office

    $259.79

    Facility

    Unavailable

    $30.92 lower than Austin for the office setting.

  • Nevada**

    Nevada · 88307

    Office

    $277.73

    Facility

    Unavailable

    $12.98 lower than Austin for the office setting.

  • Nyc Suburbs/Long Island

    New York · 88307

    Office

    $325.51

    Facility

    Unavailable

    $34.80 higher than Austin for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 88307

    Office

    $301.98

    Facility

    Unavailable

    $11.27 higher than Austin for the office setting.

  • Queens

    New York · 88307

    Office

    $322.97

    Facility

    Unavailable

    $32.26 higher than Austin for the office setting.

  • Rest Of New York

    New York · 88307

    Office

    $266.01

    Facility

    Unavailable

    $24.70 lower than Austin for the office setting.

  • Ohio

    Ohio · 88307

    Office

    $258.44

    Facility

    Unavailable

    $32.27 lower than Austin for the office setting.

  • Oklahoma

    Oklahoma · 88307

    Office

    $253.43

    Facility

    Unavailable

    $37.28 lower than Austin for the office setting.

  • Portland

    Oregon · 88307

    Office

    $302.97

    Facility

    Unavailable

    $12.26 higher than Austin for the office setting.

  • Rest Of Oregon

    Oregon · 88307

    Office

    $276.31

    Facility

    Unavailable

    $14.40 lower than Austin for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 88307

    Office

    $288.45

    Facility

    Unavailable

    $2.26 lower than Austin for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 88307

    Office

    $259.42

    Facility

    Unavailable

    $31.29 lower than Austin for the office setting.

  • Puerto Rico

    Puerto Rico · 88307

    Office

    $280.32

    Facility

    Unavailable

    $10.39 lower than Austin for the office setting.

  • Rhode Island

    Rhode Island · 88307

    Office

    $286.01

    Facility

    Unavailable

    $4.70 lower than Austin for the office setting.

  • South Carolina

    South Carolina · 88307

    Office

    $260.54

    Facility

    Unavailable

    $30.17 lower than Austin for the office setting.

  • South Dakota**

    South Dakota · 88307

    Office

    $276.34

    Facility

    Unavailable

    $14.37 lower than Austin for the office setting.

  • Tennessee

    Tennessee · 88307

    Office

    $256.45

    Facility

    Unavailable

    $34.26 lower than Austin for the office setting.

  • Utah

    Utah · 88307

    Office

    $264.23

    Facility

    Unavailable

    $26.48 lower than Austin for the office setting.

  • Virginia

    Virginia · 88307

    Office

    $273.40

    Facility

    Unavailable

    $17.31 lower than Austin for the office setting.

  • Virgin Islands

    United States Virgin Islands · 88307

    Office

    $280.32

    Facility

    Unavailable

    $10.39 lower than Austin for the office setting.

  • Vermont

    Vermont · 88307

    Office

    $274.50

    Facility

    Unavailable

    $16.21 lower than Austin for the office setting.

  • Rest Of Washington

    Washington · 88307

    Office

    $289.87

    Facility

    Unavailable

    $0.84 lower than Austin for the office setting.

  • Seattle (King Cnty)

    Washington · 88307

    Office

    $330.86

    Facility

    Unavailable

    $40.15 higher than Austin for the office setting.

  • Wisconsin

    Wisconsin · 88307

    Office

    $266.88

    Facility

    Unavailable

    $23.83 lower than Austin for the office setting.

  • West Virginia

    West Virginia · 88307

    Office

    $249.59

    Facility

    Unavailable

    $41.12 lower than Austin for the office setting.

  • Wyoming**

    Wyoming · 88307

    Office

    $277.29

    Facility

    Unavailable

    $13.42 lower than Austin for the office setting.

See how rates vary across the country

88307 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

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.

$245.21

$340.30

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$317.281
AL$248.911
AR$245.211
AZ$270.621
CA$299.17–$381.4229
CO$292.331
CT$296.651
DC$320.791
DE$275.231
FL$269.22–$290.653
GA$254.18–$282.102
GU$307.571
HI$307.571
IA$257.461
ID$258.761
IL$259.74–$286.114
IN$260.361
KS$255.251
KY$252.861
LA$252.06–$265.012
MA$290.11–$323.182
MD$280.91–$320.793
ME$259.11–$275.022
MI$258.73–$271.672
MN$282.741
MO$246.95–$267.163
MS$246.181
MT$277.891
NC$262.061
ND$276.511
NE$259.211
NH$286.781
NJ$300.78–$317.122
NM$259.791
NV$277.731
NY$266.01–$325.515
OH$258.441
OK$253.431
OR$276.31–$302.972
PA$259.42–$288.452
PR$280.321
RI$286.011
SC$260.541
SD$276.341
TN$256.451
TX$257.59–$290.718
UT$264.231
VA$273.40–$320.792
VI$280.321
VT$274.501
WA$289.87–$330.862
WI$266.881
WV$249.591
WY$277.291

Explore 88307 on the national rate map →

Where does this rate apply?

Austin is a Medicare payment area. Our Census mapping connects it to 31 cities and communities in Texas, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 88307 in Austin. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$319.78

$290.71 × 110% = $319.78

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

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How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 88307 in Austin.

PPRRVU2026_Oct_nonQPP.csv

11,209

Code
88307
Physician work
1.55
Practice expense
6.70
Malpractice
0.07

GPCI2026.csv

96

Locality
Austin
Physician work
1.002
Practice expense
1.058
Malpractice
0.886
Office / nonfacility calculation for 88307 in Austin
ComponentRVULocality factorAdjusted
Physician work1.55× 1.0021.5531
Practice expense6.70× 1.0587.0886
Malpractice0.07× 0.8860.0620
Total RVUs8.7037
Conversion factor× 33.4009

Office / nonfacility rate, Austin$290.71

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 88307 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work1.551.002
Practice expense6.71.058
Malpractice0.070.886

(1.55 × 1.002 + 6.7 × 1.058 + 0.07 × 0.886) × $33.4009 = $290.71

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

88307 · Office / nonfacility

$290.71

Effective 2026-10-01

The base rate is $2.40 higher than on 2025-10-01, moving from $288.31 to $290.71 (0.8%).

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

    $288.31changed to$290.71

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.59 changed to 1.55
    • Practice expense RVU 6.94 changed to 6.70
    • Work GPCI 1.000 changed to 1.002
    • Practice expense GPCI 1.046 changed to 1.058
    • Malpractice GPCI 0.914 changed to 0.886

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $288.31

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$290.71Not available in this settingRVU26D
2026-07-01$290.71Not available in this settingRVU26C
2026-04-01$290.71Not available in this settingRVU26B
2026-01-01$290.71Not available in this settingRVU26A
2025-10-01$288.31Not available in this settingRVU25D
2025-07-01$288.31Not available in this settingRVU25C
2025-04-01$288.31Not available in this settingRVU25B
2025-01-01$288.31Not available in this settingRVU25A

88307 billing questions

How is 88307 chosen over 88305 or 88309?

Choose the level assigned to the specimen type in CPT, not by slide count or time. A prostate needle biopsy is Level IV (88305); a colon segmental resection for tumor is Level VI (88309).

How many units are reported when multiple specimens are submitted?

Report one unit per distinct, separately identified specimen assigned to Level V. Two such specimens from the same case yield two units; multiple fragments of one specimen do not.

When is modifier 26 or TC used?

Use 26 when billing only the pathologist's interpretation and report. Use TC for the laboratory's technical work; bill without a modifier when one entity provides both components.

Are routine H&E stains billed separately?

No. Routine hematoxylin and eosin staining is included. Special stains, such as 88312 or 88313, and immunohistochemistry, such as 88342, may be separately reported when indicated and documented.

Can a frozen section be billed with 88307 on the same specimen?

Yes. An intraoperative frozen-section consultation (88331, with 88332 for each additional tissue block) may be reported with the final 88307 examination of that specimen.

Is decalcification included?

Decalcification is separately reported with 88311 when performed in addition to the surgical pathology examination, such as for bone or calcified tissue.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.

Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.

RVUs for 88307PPRRVU2026_Oct_nonQPP.csv, line 11,209 (RVU26D)
Geographic factors for AustinGPCI2026.csv, line 96 (RVU26D)