Coding special stains 88312 & 88313

andeween

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I am trying to resolve a conflict between a client and other coders regarding the billing of special stains 88312 & 88313.

What is the proper coding for the following? Is it 88313 X 2 or 88313 X 8, 88313-59 X 6?

Movat stains (A4, A6, A8-A9, B3-B5, B7-B10, B23-B14) were performed for the evaluation of the small airways....

What is the proper coding for the following? Is it 88312 X 3 or 88312 X 6?

GMS, Gram and Ziehl Neelsen stains (A4, A6) were performed for the evaluation of bacterial & fungal organisms...

Any advice is greatly appreciated.

edna denton
 

Sundancer

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Hi Edna,

Unit of service on these depends on whether the specimen is from a surgical pathology block, cytological specimen, or hematologic smear (see CPT description). You need to determine the specimen source first, to determine whether you can count each stain only once per specimen, or once per block.


Movat stains are classified to Group II 88313.

GMS, Gram, and Ziehl-Neelsen AFB (or just AFB, acid-fast bacterium) are classified to Group I 88312.


If you need a stain chart to help you with what stains fall into which categories (Group I or II, IHC, etc.) let me know and I can point you to one that I found helpful.

HTH
 
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andeween

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I know how to put the stains in the correct category.

This is a surgical case.

Specimen A: Rt Lung
Specimen B: Lt Lung

88313s were performed on the following blocks: A4, A6, A8-A9, B3-B5, B7-B10, B23-B14

Special stains for organisms (88312 x 3) were performed on the following blocks: A4, A6

So how many 88313s and 88312s can we bill?
 
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Stain Chart, yes please!

Hi Edna,

Unit of service on these depends on whether the specimen is from a surgical pathology block, cytological specimen, or hematologic smear (see CPT description). You need to determine the specimen source first, to determine whether you can count each stain only once per specimen, or once per block.


Movat stains are classified to Group II 88313.

GMS, Gram, and Ziehl-Neelsen AFB (or just AFB, acid-fast bacterium) are classified to Group I 88312.


If you need a stain chart to help you with what stains fall into which categories (Group I or II, IHC, etc.) let me know and I can point you to one that I found helpful.

HTH
Hi,

I would be interested in the stain chart you refer to above.

Thank you!

Tammy
 

cgrif2

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I am new to surgical pathology and would greatly appreciate any informational charts/sites you could point me too.

Thank you in advance.
Connie
 

Ramesh2018

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The actual concept for billing special stains we have to consider blocks in pathology coding.

GMS, Gram, and Ziehl-Neelsen AFB (or just AFB, acid-fast bacterium) are classified to Group I 88312.
Answer: 88312 X 6

Movat stains (A4, A6, A8-A9, B3-B5, B7-B10, B23-B14) were performed for the evaluation of the small airways....
Here i am havinfg doubt on block (B23-14) is this typing wrongly or it is actually (B14-B23).

Answer: 88313 X 21 by considering block (B14-B23)
 

ellenaiod

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Hi Edna,

Unit of service on these depends on whether the specimen is from a surgical pathology block, cytological specimen, or hematologic smear (see CPT description). You need to determine the specimen source first, to determine whether you can count each stain only once per specimen, or once per block.


Movat stains are classified to Group II 88313.

GMS, Gram, and Ziehl-Neelsen AFB (or just AFB, acid-fast bacterium) are classified to Group I 88312.


If you need a stain chart to help you with what stains fall into which categories (Group I or II, IHC, etc.) let me know and I can point you to one that I found helpful.

HTH
I would also like a copy of the chart.
 

Madhavi

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Hi Edna,

Unit of service on these depends on whether the specimen is from a surgical pathology block, cytological specimen, or hematologic smear (see CPT description). You need to determine the specimen source first, to determine whether you can count each stain only once per specimen, or once per block.


Movat stains are classified to Group II 88313.

GMS, Gram, and Ziehl-Neelsen AFB (or just AFB, acid-fast bacterium) are classified to Group I 88312.


If you need a stain chart to help you with what stains fall into which categories (Group I or II, IHC, etc.) let me know and I can point you to one that I found helpful.

HTH
It would be great if you could share the stain chart. Thanks a lot
 
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