88325 Pathology consultation Medicare reimbursement rates in Maine

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.