CPT® Code 0763T | Case2Code

Official Description

Digitization of glass microscope slides for morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure, manual (List separately in addition to code for primary procedure)

Common Language Description

The CPT® Code 0763T refers to the process of digitizing glass microscope slides specifically for morphometric analysis and tumor immunohistochemistry. This procedure involves scanning 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. The digitization process is crucial as it enables further examination of the slides by remote pathologists or through the use of computer algorithms, which can 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. The procedure particularly focuses on tumor immunohistochemistry, which includes the application of specific stains for proteins such as HER2/neu, estrogen receptors, and progesterone receptors. These protein markers are essential in identifying the type of cancer present and play a significant role in determining the most effective breast cancer treatments. It is important to report the digitization of each single antibody stain procedure for morphometric analysis when performed concurrently with the acquisition of a pathological diagnosis, ensuring that the interpretation and report are clearly distinguished from traditional direct visualization methods using a microscope.

1. Indications

The procedure described by CPT® Code 0763T is indicated for the following conditions and purposes:

Tumor Immunohistochemistry - This procedure is performed to analyze specific protein markers such as HER2/neu, estrogen receptors, and progesterone receptors, which are critical in identifying the type of cancer and guiding treatment decisions.
Morphometric Analysis - The digitization of slides allows for detailed morphometric analysis, which is essential in assessing tumor characteristics and behavior.
Pathological Diagnosis - The digitization process supports the acquisition of a pathological diagnosis, enabling pathologists to interpret the slides more effectively.

2. Procedure

The procedure for digitization of glass microscope slides for morphometric analysis and tumor immunohistochemistry involves several key steps:

Preparation of Slides - Initially, the glass microscope slides are prepared with special stains that highlight specific proteins relevant to the analysis. This preparation is crucial for ensuring that the subsequent imaging captures the necessary details for accurate diagnosis.
Scanning of Slides - Once the slides are prepared, they are scanned into a digital slide imaging system. This scanning process converts the physical slides into high-resolution digital images, which can be stored and accessed for further analysis.
Storage of Digital Images - The digitized images are then stored on a local computer server or within a cloud-based archive. This storage solution allows for easy retrieval and sharing of images among healthcare professionals, facilitating remote consultations and collaborative analysis.
Analysis and Interpretation - After digitization, the images can be analyzed by pathologists or through computer algorithms. This analysis aids in providing a pathologic diagnosis, which is essential for determining the appropriate treatment plan for the patient.

3. Post-Procedure

Post-procedure care following the digitization of glass microscope slides typically involves monitoring the results of the analysis and ensuring that the digital images are accessible for further review. Pathologists may need to collaborate with other healthcare professionals to discuss findings and treatment options based on the immunohistochemical analysis. Additionally, it is important to maintain the integrity and security of the digital images stored in the archive, ensuring compliance with relevant data protection regulations. The expected recovery from this procedure is generally immediate, as it is a technical process that does not involve patient intervention. However, the implications of the findings may lead to further diagnostic or therapeutic actions based on the results obtained from the digitized slides.

Short Descr	DGTZ GLS MCRSCP MPHMTRC ALYS
Medium Descr	DGTZ GLASS MCRSCP SLD M/PHMTRC ALYS TUM IMHCHEM
Long Descr	Digitization of glass microscope slides for morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure, manual (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	6

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

88360

MPFS Status: Active Code APC Q2 PUB 100 Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; manual

Repeat procedure or service by same physician or other qualified health care professional: it may be necessary to indicate that a procedure or service was repeated by the same physician or other qualified health care professional subsequent to the original procedure or service. this circumstance may be reported by adding modifier 76 to the repeated procedure or service. note: this modifier should not be appended to an e/m service.

Service furnished under a fee-for-time compensation arrangement by a substitute physician or by a substitute physical therapist furnishing outpatient physical therapy services in a health professional shortage area, a medically underserved area, or a rural area