They kind of stain being used and the reason for the stain is what drives the code selection. The dictation should definitely state the type of stain used (example gimsea stain) , this shows the stain being used is not a routine stain (which is not billed separately). The 88312 is for microorganisms and the 88313 is for all other, CAP has some good educational information regarding appropriate use of stains. 88342 is for the immunohistochemical stains. Why the lab and the physician are billing different PC and TC codes tells me there is a problem, these codes should match.
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