# CPT 88331: Pathology consultation during surgery, first tissue block, frozen section

Medicare CPT 88331 pays $97.20 in a non-facility setting and $97.20 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $88.61 in Arkansas to $119.85 in Alaska, a 35% spread.

Web page: https://www.med-reveal.com/rates/88331-cpt-fee-schedule
Section: Laboratory and Pathology
Billed by: Pathology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $97.20 |
| National facility | $97.20 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $119.85 | $119.85 |
| District of Columbia | $109.63 | $109.63 |
| California | $108.66 | $108.66 |
| New Jersey | $106.52 | $106.52 |
| Washington | $106.25 | $106.25 |
| New York | $106.04 | $106.04 |
| Massachusetts | $105.24 | $105.24 |
| Hawaii | $104.65 | $104.65 |
| Connecticut | $102.61 | $102.61 |
| Colorado | $101.12 | $101.12 |
| Oregon | $100.31 | $100.31 |
| Maryland | $100.22 | $100.22 |
| Rhode Island | $99.72 | $99.72 |
| New Hampshire | $99.43 | $99.43 |
| Florida | $98.33 | $98.33 |
| Minnesota | $98.16 | $98.16 |
| Puerto Rico | $97.81 | $97.81 |
| Virgin Islands | $97.81 | $97.81 |
| Montana | $97.19 | $97.19 |
| Nevada | $97.09 | $97.09 |
| Wyoming | $96.94 | $96.94 |
| Delaware | $96.60 | $96.60 |
| North Dakota | $96.60 | $96.60 |
| South Dakota | $96.53 | $96.53 |
| Texas | $96.45 | $96.45 |
| Pennsylvania | $96.44 | $96.44 |
| Illinois | $96.31 | $96.31 |
| Vermont | $96.13 | $96.13 |
| Virginia | $95.93 | $95.93 |
| Arizona | $95.27 | $95.27 |
| Georgia | $94.81 | $94.81 |
| Maine | $94.27 | $94.27 |
| Michigan | $94.10 | $94.10 |
| Wisconsin | $94.09 | $94.09 |
| Utah | $93.65 | $93.65 |
| North Carolina | $92.99 | $92.99 |
| South Carolina | $92.68 | $92.68 |
| New Mexico | $92.63 | $92.63 |
| Indiana | $92.49 | $92.49 |
| Missouri | $92.45 | $92.45 |
| Louisiana | $92.25 | $92.25 |
| Ohio | $92.21 | $92.21 |
| Nebraska | $92.15 | $92.15 |
| Idaho | $92.07 | $92.07 |
| Iowa | $91.71 | $91.71 |
| Tennessee | $91.50 | $91.50 |
| Kansas | $91.18 | $91.18 |
| Oklahoma | $90.83 | $90.83 |
| Kentucky | $90.73 | $90.73 |
| West Virginia | $90.10 | $90.10 |
| Alabama | $89.58 | $89.58 |
| Mississippi | $88.95 | $88.95 |
| Arkansas | $88.61 | $88.61 |

## Related codes

- 88300: Level I surgical pathology, gross examination only — https://www.med-reveal.com/rates/88300-cpt-fee-schedule
- 88302: Level II surgical pathology, gross and microscopic examination — https://www.med-reveal.com/rates/88302-cpt-fee-schedule
- 88304: Level III surgical pathology, gross and microscopic examination — https://www.med-reveal.com/rates/88304-cpt-fee-schedule
- 88305: Level IV surgical pathology, gross and microscopic examination — https://www.med-reveal.com/rates/88305-cpt-fee-schedule
- 88307: Level V surgical pathology, gross and microscopic examination — https://www.med-reveal.com/rates/88307-cpt-fee-schedule
- 88309: Level VI surgical pathology, gross and microscopic examination — https://www.med-reveal.com/rates/88309-cpt-fee-schedule
- 88311: Decalcification procedure — https://www.med-reveal.com/rates/88311-cpt-fee-schedule
- 88312: Special stain, group I, microorganisms — https://www.med-reveal.com/rates/88312-cpt-fee-schedule

Commercial negotiated rates for 88331 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules