Billing code 88387: Tissue preparationMedicare rate & RVUs in Delaware

Reports gross tissue selection, dissection, and preparation of a specimen for nonmicroscopic analysis, such as a nucleic acid-based molecular study.

CMS RVU26DEffective Oct 1, 20261 payment locality1.6K Medicare services in 2024

Medicare pays $32.62 for 88387 in the office in Delaware (Delaware). Which amount applies depends on the service address.

$32.62Office (non-facility)
—Hospital or facility

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 88387 for the payment locality that covers the ZIP.

On this page 9 sections
  1. Rate in Delaware
  2. What 88387 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

What 88387 covers

A pathologist examines tissue macroscopically, selects the area needed for a nonmicroscopic analytical study, and dissects and prepares it for testing. A common situation is selecting tumor tissue from a surgical specimen for downstream molecular analysis. The preparation service is distinct from performing or interpreting the molecular assay itself and may take place in a hospital or pathology laboratory.

Report 88387 for the first specimen prepared under this service; code 88388 is used for additional specimens when appropriate. Documentation should identify the tissue and analytical purpose and support the macroscopic selection, dissection, and preparation performed. CMS treats this as a diagnostic test with professional and technical components: modifier 26 identifies the professional interpretation, modifier TC identifies the technical service, and reporting without either modifier represents the global service.

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.

88387 in Delaware

88387 office and facility rates by payment locality
Payment localityOfficeFacility
Delaware$32.62Unavailable

How the 88387 rate is calculated

Each of 88387’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 · 88387

RVUs × geographic indexes × conversion factor

Work0.60

0.60 RVUs× 1.000 GPCI

Practice expense0.36

0.36 RVUs× 1.000 GPCI

Malpractice0.02

0.02 RVUs× 1.000 GPCI

Adjusted RVUs

0.9800

Conversion factor

$33.4009

Medicare rate

$32.73

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

Payment rules and modifiers for 88387

The CMS indicators that decide how 88387 is paid alongside other services.

CMS payment indicators · 88387

Tissue 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

88387 without 26 · national office

$32.73

Tissue preparation

88387-26 · Professional component

$25.38

Pays only the interpretation and report.

When to use modifier 26

88387 compared with similar codes

Compare codes · National

4 codes, side by side

  • 88387

    Tissue preparation0.6 wRVU

    $32.73

  • 88363

    Tissue preparation0.36 wRVU

    $22.71−$10.02

  • 88380

    Tissue microdissection1.11 wRVU

    $117.57+$84.84

  • 88381

    Microdissection0.52 wRVU

    $187.71+$154.98

How to choose

88363Tissue preparation
Use 88387 for macroscopic tissue dissection and preparation. Use 88363 when examining and selecting previously archived tissue for molecular analysis.
88380Tissue microdissection
88380 is for laser microdissection at a microscopic level; 88387 is for macroscopic tissue selection and preparation.
88381Microdissection
88381 describes manual microdissection. 88387 describes macroscopic dissection and preparation for nonmicroscopic analysis.

88387 billing questions

How is 88387 different from 88363?

88387 covers macroscopic dissection and preparation of tissue for a nonmicroscopic study. 88363 concerns examining and selecting tissue already in an archive for molecular analysis.

When is 88388 used instead?

88387 represents preparation of the first specimen; 88388 is the related code for each additional specimen when the service is performed on more than one.

Does 88387 include the molecular assay?

No. It represents the gross tissue selection and preparation, not the downstream molecular analysis.

Which modifiers identify the components?

Use modifier 26 for the professional interpretation and TC for the technical service. Without either modifier, the claim represents the global service.

How does this differ from microdissection?

88387 describes macroscopic selection and preparation. Codes 88380 and 88381 describe laser and manual microdissection, respectively.

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 88387PPRRVU2026_Oct_nonQPP.csv, line 11,323 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)

Open CMS sourceHow we calculate rates

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