$139.00
Use 88356 for quantitative morphometric analysis of nerve tissue; use 88355 when the analyzed tissue is skeletal muscle.
On this page
CMS RVU26D · Effective 2026-10-01
88356 Nerve analysis Medicare reimbursement rates in Vermont
Reports quantitative microscopic measurement of a nerve specimen, typically to characterize structural changes associated with peripheral neuropathy. Compare 88356 office and facility rates across CMS payment localities in Vermont.
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.
What does Medicare pay for 88356 in Vermont?
Vermont has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$221.33
1 of 1 localities have a supported rate.
Payment area: Vermont
One mapped payment locality.
Facility setting
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Surgical pathology
About 88356: Quantitative nerve morphometric analysis
Reports quantitative microscopic measurement of a nerve specimen, typically to characterize structural changes associated with peripheral neuropathy.
A pathologist or neuropathologist examines a nerve biopsy using quantitative microscopic methods to assess nerve structure. The findings can help characterize peripheral nerve disorders, including neuropathies, by measuring features such as nerve fiber number, size, or distribution. The work is performed in a pathology laboratory after tissue has been obtained for diagnostic evaluation.
Select this service when the record supports quantitative morphometric analysis of nerve tissue, rather than routine microscopic examination alone or preparation of teased nerve fibers alone. Documentation should identify the nerve specimen, the quantitative analysis performed, and the resulting findings. CMS recognizes professional and technical components: report modifier 26 for the interpretation, modifier TC for the equipment and staff, or neither modifier for the global service.
CMS billing rules for 88356
- 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 RVU2.73 · 41%
- Practice expense (office) RVU3.90 · 58%
- Malpractice RVU0.07 · 1%
31.1K
Medicare services in 2024 · #958 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.
88356 compared with similar codes
Office rates for Vermont, from the same CMS release.
$128.79
88358 is for morphometric analysis of tumor tissue. Choose 88356 when the specimen being quantitatively analyzed is nerve.
$215.67
88362 represents preparation of teased nerve fibers, not the quantitative morphometric analysis reported with 88356.
Compare 88356 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Vermont →
Office / nonfacility
$221.33
Facility
Unavailable
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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 88356 in Vermont.
PPRRVU2026_Oct_nonQPP.csv
11,269
- Code
- 88356
- Physician work
- 2.73
- Practice expense
- 3.90
- Malpractice
- 0.07
GPCI2026.csv
105
- Locality
- Vermont
- Physician work
- 1.000
- Practice expense
- 0.990
- Malpractice
- 0.506
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.73 | × 1.000 | 2.7300 |
| Practice expense | 3.90 | × 0.990 | 3.8610 |
| Malpractice | 0.07 | × 0.506 | 0.0354 |
| Total RVUs | 6.6264 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Vermont$221.33
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.73 | 1 |
| Practice expense | 3.9 | 0.99 |
| Malpractice | 0.07 | 0.506 |
(2.73 × 1 + 3.9 × 0.99 + 0.07 × 0.506) × $33.4009 = $221.33
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.
88356 billing questions
How is this different from nerve teasing preparations?
This code represents quantitative morphometric assessment of nerve tissue. Code 88362 describes preparation of teased nerve fibers, a distinct service.
Which modifier identifies the professional service?
Append modifier 26 for the professional interpretation. Modifier TC identifies the technical work, including equipment and staff; billing without either modifier represents the global service.
What documentation supports reporting this code?
Document the nerve specimen, the quantitative measurements or analysis performed, and the pathologist’s findings. A routine examination without documented quantitative analysis does not establish this service.
Can this be reported with a routine nerve biopsy examination?
A routine tissue examination and quantitative morphometric analysis describe different work. The record should support each service reported for the nerve specimen.
Is this the same service as skeletal muscle morphometric analysis?
No. This code is for quantitative analysis of nerve tissue; code 88355 is the corresponding morphometric analysis code for skeletal muscle.
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.
11,26688355,,M/phmtrc alys skeletal musc,A,,1.80,2.37,,2.37,NA,0.03,4.20,4.20,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,26788355,26,M/phmtrc alys skeletal musc,A,,1.80,0.54,,0.54,,0.01,2.35,2.35,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,26888355,TC,M/phmtrc alys skeletal musc,A,,0.00,1.83,,1.83,NA,0.02,1.85,1.85,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,26988356,,Analysis nerve,A,,2.73,3.90,,3.90,NA,0.07,6.70,6.70,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,27088356,26,Analysis nerve,A,,2.73,0.63,,0.63,,0.01,3.37,3.37,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,27188356,TC,Analysis nerve,A,,0.00,3.27,,3.27,NA,0.06,3.33,3.33,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,27288358,,Analysis tumor,A,,0.93,2.94,,2.94,NA,0.03,3.90,3.90,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10204412,TX,18,HOUSTON,1.008,0.993,1.376
10304412,TX,99,REST OF TEXAS,1.000,0.949,0.903
10403502,UT,09,UTAH,1.000,0.940,0.898
10514512,VT,50,VERMONT,1.000,0.990,0.506
10611302,VA,00,VIRGINIA,1.000,0.983,0.706
10709202,VI,50,VIRGIN ISLANDS,1.000,1.011,0.985
10802402,WA,02,SEATTLE (KING CNTY),1.050,1.227,0.817