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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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Local Chapter Officer
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AAPC Woodbridge (VA) local
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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
 
Last edited:

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

Contributor
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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
 
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