CPT® Code 0758T | Case2Code

Official Description

Digitization of glass microscope slides for special stain, including interpretation and report, histochemical stain on frozen tissue block (List separately in addition to code for primary procedure)

Common Language Description

The CPT® Code 0758T refers to the process of digitizing glass microscope slides that have undergone special staining, which includes the interpretation and reporting of the findings. This procedure is particularly relevant in the context of histochemical stains applied to frozen tissue blocks. The digitization process involves scanning the glass slides into a digital format, allowing the captured images to be stored either on a local computer server or within a cloud-based archive. This digital transformation facilitates further examination by remote pathologists or the use of computer algorithms to assist in providing a pathologic diagnosis. The information obtained from these digital images can be managed and interpreted within an increasingly sophisticated image-based environment. It is important to note that the digitization of slides is performed after the special stains have been applied to the frozen tissue blocks. Common examples of histochemical special stains that may be utilized include oil red O stain, periodic acid Schiff, and Alcian Blue. The code 0758T should be reported separately in addition to the code for the primary procedure when the digitization of the slides is performed concurrently with the histochemical staining, ensuring that the interpretation and report generated from the digital images are clearly distinguished from traditional direct visualization methods using a microscope.

1. Indications

The procedure associated with CPT® Code 0758T is indicated for the digitization of glass microscope slides that have undergone special staining. This is particularly relevant for cases where histochemical stains are applied to frozen tissue blocks. The indications for this procedure may include:

Pathologic Diagnosis The need for a detailed pathologic diagnosis that can benefit from digital imaging and remote analysis.
Remote Consultation Situations where a pathologist requires the ability to examine slides remotely, enhancing collaboration and diagnostic accuracy.
Advanced Analysis The use of computer algorithms for further analysis of the stained slides, which can provide additional insights into the pathology.

2. Procedure

The procedure for CPT® Code 0758T involves several key steps that ensure the effective digitization of glass microscope slides. These steps include:

Preparation of Slides Initially, the glass microscope slides are prepared with special histochemical stains applied to frozen tissue blocks. This preparation is crucial as it allows for the visualization of specific cellular components that are essential for accurate diagnosis.
Scanning of Slides Once the slides are stained, they are then scanned into a digital slide imaging system. This scanning process captures high-resolution images of the stained slides, converting them into a digital format that can be easily stored and accessed.
Storage of Digital Images The digitized images are stored on a local computer server or within a cloud-based archive. This storage solution ensures that the images are readily available for further examination and analysis by pathologists or other healthcare professionals.
Interpretation and Reporting After digitization, the images are interpreted, and a report is generated. This report includes the findings from the digital examination, which can be utilized for diagnostic purposes. The interpretation is distinct from traditional methods, as it may involve advanced digital tools and algorithms.

3. Post-Procedure

Post-procedure care for CPT® Code 0758T primarily involves ensuring that the digital images are securely stored and accessible for future reference. The pathologist may review the digital slides as needed for ongoing diagnosis or consultation. Additionally, the generated report should be documented appropriately in the patient's medical record. There are no specific recovery considerations associated with this procedure, as it is primarily a technical process involving the digitization of slides rather than a surgical intervention.

Short Descr	DGTZ GLS MCRSCP SL SPC HCHEM
Medium Descr	DGTZ GLASS MCRSCP SLD SPEC STAIN HCHEM STAIN
Long Descr	Digitization of glass microscope slides for special stain, including interpretation and report, histochemical stain on frozen tissue block (List separately in addition to code for primary procedure)
Status Code	Carriers Price the Code
Global Days	ZZZ - Code Related to Another Service
PC/TC Indicator (26, TC)	3 - Technical Component Only Code
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	Items and Services Packaged into APC Rates
Berenson-Eggers TOS (BETOS)	none
MUE	1

This is an add-on code that must be used in conjunction with one of these primary codes.

88314

Addon Code MPFS Status: Active Code APC N PUB 100 CPT Assistant Article Special stain including interpretation and report; histochemical stain on frozen tissue block (List separately in addition to code for primary procedure)