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Official Description

Determinative histochemistry to identify chemical components (eg, copper, zinc)

© Copyright 2026 American Medical Association. All rights reserved.

Common Language Description

The CPT® Code 88318 refers to a specific laboratory procedure known as determinative histochemistry. This procedure involves the examination of cells within a tissue sample to identify their chemical components, such as copper and zinc. During this process, a pathologist or laboratory technician utilizes advanced microscopy techniques to analyze the tissue at a cellular level. The goal is to detect and characterize the presence of specific chemicals that may be indicative of various physiological or pathological conditions. By identifying these chemical components, healthcare professionals can gain valuable insights into the underlying biological processes occurring within the tissue, which can aid in diagnosis and treatment planning. This procedure is particularly useful in research and clinical settings where understanding the chemical makeup of cells is crucial for evaluating disease states or the effects of treatments.

© Copyright 2026 Coding Ahead. All rights reserved.

1. Indications

The procedure associated with CPT® Code 88318 is indicated for various clinical scenarios where the identification of specific chemical components within tissue samples is necessary. The following conditions may warrant the use of this procedure:

  • Presence of Abnormal Tissue: When there is a suspicion of abnormal tissue, such as tumors or lesions, that may exhibit unique chemical signatures.
  • Metabolic Disorders: In cases where metabolic disorders are suspected, the identification of trace elements like copper and zinc can provide critical diagnostic information.
  • Research Purposes: Utilized in research settings to study the chemical composition of cells in various disease models or to understand the effects of certain treatments.

2. Procedure

The procedure for CPT® Code 88318 involves several key steps to ensure accurate identification of chemical components within the tissue sample. Each step is crucial for obtaining reliable results.

  • Sample Preparation: The tissue sample is first prepared for analysis. This may involve fixation, embedding, and sectioning of the tissue to create thin slices that can be easily examined under a microscope.
  • Staining Techniques: Specific staining techniques are applied to the prepared tissue sections. These stains are designed to bind to particular chemical components, allowing for their visualization under a microscope.
  • Microscopic Examination: The stained tissue sections are then examined using a powerful microscope. The pathologist or technician looks for the presence and distribution of the chemical components, such as copper and zinc, within the cells.
  • Documentation of Findings: Finally, the findings from the microscopic examination are documented. This includes noting the presence, quantity, and localization of the identified chemical components, which will be used for further analysis and reporting.

3. Post-Procedure

After the completion of the determinative histochemistry procedure, there are several considerations for post-procedure care and follow-up. The tissue samples are typically preserved for future reference or additional testing if necessary. The results of the analysis are compiled into a report, which is then communicated to the referring physician. This report may include detailed findings regarding the chemical components identified, their potential implications for diagnosis, and recommendations for further action or treatment based on the results. Patients may not require specific post-procedure care, but it is essential for healthcare providers to discuss the findings with them and outline any necessary next steps in their care plan.

Short Descr CHEMICAL HISTOCHEMISTRY
Medium Descr DETERMINATIVE HISTOCHEMISTRY ID CHEM COMPONENTS
Long Descr Determinative histochemistry to identify chemical components (eg, copper, zinc)
Status Code Active Code
Global Days XXX - Global Concept Does Not Apply
PC/TC Indicator (26, TC) 1 - Diagnostic Tests for Radiology Services
Multiple Procedures (51) 0 - No payment adjustment rules for multiple procedures apply.
Bilateral Surgery (50) 0 - 150% payment adjustment for bilateral procedures does NOT apply.
Physician Supervisions 09 - Concept does not apply.
Assistant Surgeon (80, 82) 0 - Payment restriction for assistants at surgery applies to this procedure...
Co-Surgeons (62) 0 - Co-surgeons not permitted for this procedure.
Team Surgery (66) 0 - Team surgeons not permitted for this procedure.
Diagnostic Imaging Family 99 - Concept Does Not Apply
APC Status Indicator Discontinued Code
Type of Service (TOS) 5 - Diagnostic Laboratory
Berenson-Eggers TOS (BETOS) none
MUE Not applicable/unspecified.
CCS Clinical Classification 233 - Laboratory - Chemistry and Hematology
Date
Action
Notes
2012-01-01 Deleted Deleted
Pre-1990 Added Code added.
Code
Description
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