{
    "code": "88360",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/88360/2021/A",
    "release_specific_url": "https://localishealth.com/cpt/88360/2021/A",
    "description": "The pathologist's measured scoring of an immunohistochemistry stain on a tumor, where the answer needs to be a graded result rather than simply present or absent. Rather than reporting that a marker stained, the pathologist estimates how strongly and in what proportion of tumor cells it stained, because treatment decisions depend on the degree. Hormone receptors and HER2 in breast cancer, and proliferation markers, are the usual subjects. This version is the one scored by a pathologist reading the slide directly; scoring done with computer-assisted image analysis is reported under a separate code.",
    "answer": {
        "question": "How much did Medicare pay for CPT 88360 in Q1 2021?",
        "text": "Medicare paid $124.92 for CPT 88360 in the office (non-facility) setting and $124.92 in a facility under the Q1 2021 Physician Fee Schedule, effective January 2021. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This is a 1.9% decrease from the previous quarter."
    },
    "release": {
        "schedule": "pfs",
        "year": 2021,
        "quarter": "A",
        "label": "Q1 2021",
        "effective": "January 1 – March 31, 2021",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 124.92,
        "facility": 124.92,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 0.85,
        "practice_expense_non_facility": 2.71,
        "practice_expense_facility": 2.71,
        "malpractice": 0.02
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 34.8931,
    "source": {
        "label": "Physician relative value file (Q1 2021)",
        "cms_url": "https://www.cms.gov/files/zip/rvu21a-updated-01052021.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2021/A",
        "file": "PPRRVU21_JAN.csv",
        "row": 15516,
        "sha256": "8e6212d64ca58c6a20c44ea319d2148c49156b1fe63a6b68e64a5b0695b0e674"
    },
    "modified_at": "2026-08-04T03:10:16+00:00"
}