{
    "code": "88313",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/88313/2017/A",
    "release_specific_url": "https://localishealth.com/cpt/88313/2017/D",
    "description": "An extra stain applied to a tissue slide to highlight a structural component, deposit, or pigment, together with the pathologist's interpretation. These stains answer questions that routine staining cannot: how much scarring or fibrous tissue is present, whether iron has accumulated, whether abnormal protein or mucin is deposited in the tissue. It is the counterpart to the code used for stains that hunt for infectious organisms, and covers essentially everything in the special-stain category that is not aimed at microbes.",
    "answer": {
        "question": "How much did Medicare pay for CPT 88313 in Q4 2017?",
        "text": "Medicare paid $70.70 for CPT 88313 in the office (non-facility) setting and $70.70 in a facility under the Q4 2017 Physician Fee Schedule, effective October 2017. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2017, when it increased 2.3%."
    },
    "release": {
        "schedule": "pfs",
        "year": 2017,
        "quarter": "D",
        "label": "Q4 2017",
        "effective": "October 1 – December 31, 2017",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 70.7,
        "facility": 70.7,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 0.24,
        "practice_expense_non_facility": 1.71,
        "practice_expense_facility": 1.71,
        "malpractice": 0.02
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 35.8887,
    "source": {
        "label": "Physician relative value file (Q4 2017)",
        "cms_url": "https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu17d.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2017/D",
        "file": "PPRRVU17_OCT.csv",
        "row": 14703,
        "sha256": "4ec25bedea18799c66d10002a3731757548ccfd70e37379c856bb8a1fafe8da4"
    },
    "modified_at": "2026-08-04T03:07:59+00:00"
}