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CPT 88367: ISH Single Probe Stain with Computer-Assisted Enumeration and Interpretation
CPT code 88367 covers in situ hybridization (ISH) single probe staining performed on slide(s) from a single patient specimen with computer-assisted enumeration and subsequent pathologist interpretation. This code captures a combined laboratory workflow where a trained lab analyst performs the initial staining and digital or automated counts, and a qualified provider issues the diagnostic interpretation. Nationally, ISH testing supports diagnosis, prognostication, and therapeutic decision-making in oncology and other specialty pathology areas, making accurate coding essential for clinical documentation and payment integrity.
Key payers addressed in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a practical overview of what 88367 represents, benchmarks and payer coverage patterns where available, coding and billing considerations tied to the service description, and clinical context for use in tumor tissue evaluation. Data not available in the input will be flagged explicitly. The publication focuses on policy and billing implications at a national level and provides reference points for laboratories, pathology groups, and compliance teams seeking concise guidance on the code's clinical and administrative role.
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Billing Code Overview
CPT code 88367 describes an in situ hybridization (ISH) single probe assay workflow in which a laboratory analyst applies an initial ISH single probe stain to slide(s) prepared from a single patient specimen, commonly tumor tissue. The process uses computer-assisted technology to count or estimate probe signals, and a qualified provider—typically a pathologist—reviews the stained slides together with the computer enumeration to interpret the results and provide a pathologic diagnosis.
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Service type: Laboratory pathology service involving ISH single probe staining with computer-assisted enumeration and pathologist interpretation
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Typical site of service: Hospital pathology laboratory or independent diagnostic laboratory (clinical/laboratory setting)