CPT® Code 0834T | Case2Code

Official Description

Digitization of glass microscope slides for cytopathology, smears, any other source; extended study involving over 5 slides and/or multiple stains (List separately in addition to code for primary procedure)

Common Language Description

The CPT® Code 0834T refers to the process of digitizing glass microscope slides specifically for cytopathology, which involves the examination of cells to diagnose diseases. This procedure encompasses the scanning of slides that may originate from various sources, including smears, and is characterized as an extended study. The term "extended study" indicates that this procedure involves the digitization of more than five slides and/or the use of multiple stains, which are essential for enhancing the visualization of cellular details. The digitization process converts traditional glass slides into a digital format, allowing for the images to be stored either on a local computer server or in a cloud-based archive. This digital transformation facilitates further examination by pathologists who may be located remotely, as well as the application of computer algorithms that assist in providing a pathologic diagnosis. The information obtained from these digital slides can be managed and interpreted within an increasingly sophisticated image-based environment. Cytopathology slides are typically prepared from various samples, such as sputum specimens, and once digitized, they can be utilized for acquiring a pathological diagnosis, complete with interpretation and reporting. It is important to note that this code should be reported separately in addition to the code for the primary procedure, particularly when it is performed concurrently with other related services, such as those described by codes 0832T and 0833T, which pertain to different aspects of slide digitization and preparation.

1. Indications

The procedure associated with CPT® Code 0834T is indicated for the digitization of glass microscope slides in cytopathology when the following conditions are present:

Extended Study Requirement The procedure is indicated when there is a need for an extended study involving more than five slides.
Multiple Stains The procedure is also indicated when multiple stains are utilized to enhance the visualization of cellular details on the slides.

2. Procedure

The digitization process for cytopathology slides involves several key steps that ensure the accurate conversion of glass slides into a digital format. Each step is crucial for maintaining the integrity and quality of the diagnostic images.

Preparation of Slides Initially, the glass microscope slides are prepared from cytopathology samples, such as sputum specimens. This preparation is essential to ensure that the cellular material is adequately represented for analysis.
Scanning of Slides Once the slides are prepared, they are then scanned using a specialized 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 on a local computer server or within a cloud-based archive. This storage solution allows for easy access and management of the images, facilitating remote examination by pathologists.
Analysis and Interpretation After digitization, the images can be analyzed further, either by pathologists or through the use of computer algorithms. This step is critical for providing accurate pathologic diagnoses based on the digital representations of the slides.

3. Post-Procedure

Post-procedure care following the digitization of glass microscope slides typically involves ensuring that the digital images are properly stored and accessible for future reference. Pathologists may review the digitized slides for diagnostic purposes, and any findings will be documented in a report. It is essential to maintain the integrity of the digital files and ensure that they are backed up in the designated storage system. Additionally, any further analysis or interpretation of the slides may be conducted as needed, depending on the clinical requirements and the specific cases being evaluated.

Short Descr	DGTZ GLS MCRSCP CYTP OTH XTN
Medium Descr	DGTZ GLASS MCRSCP SLD CYTP SMR OTH SRC EXTND STD
Long Descr	Digitization of glass microscope slides for cytopathology, smears, any other source; extended study involving over 5 slides and/or multiple stains (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.

88162

Female Edit MPFS Status: Active Code APC Q1 CPT Assistant Article Cytopathology, smears, any other source; extended study involving over 5 slides and/or multiple stains