CPT® Code 0837T | Case2Code

Official Description

Digitization of glass microscope slides for cytopathology, evaluation of fine needle aspirate; interpretation and report (List separately in addition to code for primary procedure)

Common Language Description

The CPT® Code 0837T refers to the process of digitizing glass microscope slides specifically for cytopathology, which involves the evaluation of fine needle aspirate specimens. This procedure entails scanning traditional 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 significant as it facilitates further examination by remote pathologists or through the use of computer algorithms, which can assist in providing a pathologic diagnosis that differs from the traditional method of direct visualization through a microscope. The slides in question are prepared from fine needle aspirate specimens, and once digitized, they can be managed and interpreted within an increasingly image-based environment. This process not only enhances the accessibility of the slides for diagnostic purposes but also supports the integration of advanced technologies in pathology. It is important to note that this code is to be reported separately in addition to the code for the primary procedure performed. For instance, if slide digitization occurs concurrently with immediate cytohistologic evaluation, it is appropriate to report code 0835T for that service. Additionally, for each separate, additional evaluation of the same site, code 0836T should be utilized.

1. Indications

The procedure represented by CPT® Code 0837T is indicated for the digitization of glass microscope slides in the context of cytopathology, particularly when evaluating fine needle aspirate specimens. This process is essential for obtaining a pathologic diagnosis and is particularly useful in situations where remote evaluation is necessary or when advanced diagnostic algorithms are employed. The indications for this procedure include:

Fine Needle Aspirate Specimens The procedure is specifically indicated for slides prepared from fine needle aspirates, which are often used to sample cells from various tissues for diagnostic purposes.
Remote Pathology Evaluation Digitization allows pathologists to examine slides remotely, enhancing accessibility and collaboration among healthcare professionals.
Integration of Computer Algorithms The digitized images can be analyzed using computer algorithms, which may assist in providing a more accurate pathologic diagnosis.

2. Procedure

The procedure for digitization of glass microscope slides for cytopathology involves several key steps, which are detailed as follows:

Preparation of Slides Initially, glass microscope slides are prepared from fine needle aspirate specimens. This preparation is crucial as it ensures that the cellular material is adequately represented for subsequent analysis.
Scanning of Slides The prepared slides are then scanned using a digital slide imaging system. This step involves capturing high-resolution images of the slides, which are essential for accurate evaluation and diagnosis.
Storage of Digital Images Once scanned, the digital 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 for future reference and analysis.
Interpretation and Reporting After digitization, the images can be interpreted by pathologists, who may provide a diagnostic report based on their findings. This report is critical for guiding further clinical decisions and patient management.

3. Post-Procedure

Post-procedure care following the digitization of glass microscope slides typically involves ensuring that the digital images are securely stored and easily accessible for future evaluations. Pathologists may review the digitized slides at their convenience, allowing for a thorough analysis without the constraints of physical slide handling. Additionally, any findings or diagnoses made from the digital images will be documented in a report, which is essential for maintaining accurate medical records and facilitating communication among healthcare providers. It is also important to ensure that the digital storage system complies with relevant data protection regulations to safeguard patient information.

Short Descr	DGTZ GLS MCRSCP FNA I&R
Medium Descr	DGTZ GLASS MCRSCP SLD CYTP FNA INTERPJ&REPRT
Long Descr	Digitization of glass microscope slides for cytopathology, evaluation of fine needle aspirate; interpretation and report (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.