Four FDA-approved PD-L1 immunohistochemical assays use different antibodies to identify expression of PD-L1 protein in tumor and immune cells. Tumor proportion score (TPS) and combined positive score (CPS) are used to quantify PD-L1 staining and determine patient eligibility for various FDA-approved immune checkpoint inhibitor therapies targeting PD-1 and PD-L1 in cancers like NSCLC, bladder cancer, and gastric cancer. While TPS only considers tumor cell staining, CPS provides a more comprehensive score by including positive tumor and immune cells. Correct interpretation of PD-L1 immunohistochemistry requires attention to staining patterns, cell types, and cut-off thresholds specified for each companion diagnostic assay.