CPT® Code 0827T | Case2Code

Official Description

Digitization of glass microscope slides for cytopathology, fluids, washings, or brushings, except cervical or vaginal; smears with interpretation (List separately in addition to code for primary procedure)

Common Language Description

The CPT® Code 0827T refers to the process of digitizing glass microscope slides specifically for cytopathology, which includes samples derived from fluids, washings, or brushings, excluding those from cervical or vaginal sources. This procedure involves scanning glass slides to convert them into a digital format, allowing for the captured images to be stored either on a local computer server or within a cloud-based archive. The digitization of these slides facilitates further examination by pathologists who may be located remotely, as well as the application of computer algorithms that assist in providing pathologic diagnoses. This method of analysis is distinct from traditional direct visualization through a microscope, as it enables the management and interpretation of cytopathology information within an increasingly image-based environment. The preparation of cytopathology slides typically involves a manual smear technique, after which the slides are scanned into a digital slide imaging system. It is important to report code 0827T when the digitization of slides occurs concurrently with the preparation of cytopathology samples from fluids, brushings, or washings, excluding those from the vaginal or cervical regions.

1. Indications

The procedure associated with CPT® Code 0827T is indicated for the digitization of glass microscope slides in the context of cytopathology. The specific indications for this procedure include:

Cytopathology Samples The procedure is performed on samples derived from fluids, washings, or brushings, which are essential for diagnosing various conditions.
Exclusion of Cervical or Vaginal Samples This code is specifically not applicable for cervical or vaginal cytopathology samples, focusing instead on other anatomical sites.

2. Procedure

The digitization process for glass microscope slides involves several key procedural steps, which are detailed as follows:

Preparation of Cytopathology Samples Initially, cytopathology samples are prepared using a manual smear technique. This involves applying the specimen onto a glass slide in a manner that allows for optimal visualization of cellular details under a microscope.
Scanning of Glass Slides Once the slides are prepared, they are then scanned using a digital slide imaging system. This system captures high-resolution images of the slides, converting them into a digital format that can be stored and accessed electronically.
Storage of Digital Images The digitized images are stored either 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.
Remote Examination and Analysis The digitized slides can be reviewed by pathologists remotely, allowing for greater flexibility in diagnosis. Additionally, computer algorithms may be employed to assist in the interpretation of the images, enhancing diagnostic accuracy.

3. Post-Procedure

After the digitization of glass microscope slides, there are several considerations for post-procedure care and expected outcomes. The digital images can be utilized for ongoing analysis and interpretation, which may involve collaboration among multiple healthcare professionals. The ability to access these images remotely facilitates timely diagnoses and consultations. Furthermore, the digital format allows for easier management of cytopathology data, contributing to improved workflow and efficiency in pathology departments. It is essential to ensure that the digital storage systems are secure and compliant with relevant regulations to protect patient information.

Short Descr	DGTZ GLS MCRSCP CYTP SMEARS
Medium Descr	DGTZ GLASS MCRSCP SLD CYTP SMEARS W/INTERPJ
Long Descr	Digitization of glass microscope slides for cytopathology, fluids, washings, or brushings, except cervical or vaginal; smears with interpretation (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	Not applicable/unspecified.

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

88104

MPFS Status: Active Code APC Q1 CPT Assistant Article Cytopathology, fluids, washings or brushings, except cervical or vaginal; smears with interpretation