CPT® Code 0838T | Case2Code

Official Description

Digitization of glass microscope slides for consultation and report on referred slides prepared elsewhere (List separately in addition to code for primary procedure)

Common Language Description

The CPT® Code 0838T refers to the process of digitizing glass microscope slides specifically for the purpose of consultation and reporting on slides that have been prepared at another facility. This procedure involves scanning traditional glass microscope 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 of these slides facilitates further examination by pathologists who may be located remotely, enabling them to analyze the slides without the need for physical presence. Additionally, this digital format allows for the use of advanced computer algorithms that can assist in providing pathologic diagnoses, which may offer insights that differ from those obtained through direct visualization with a microscope. The information derived from this digitization process can be effectively managed and interpreted within an increasingly image-based medical environment, enhancing the overall diagnostic capabilities. It is important to note that this code should be reported separately in addition to the code for the primary procedure being performed.

1. Indications

The digitization of glass microscope slides using CPT® Code 0838T is indicated for the following scenarios:

Consultation on Referred Slides This procedure is performed when there is a need to consult on slides that have been prepared at another facility, allowing for expert analysis and interpretation of the pathology.

2. Procedure

The procedure for digitizing glass microscope slides involves several key steps that ensure the accurate capture and storage of the slide images:

Preparation of Slides The glass microscope slides that are to be digitized must first be prepared and cleaned to ensure that they are free from any contaminants that could affect the quality of the imaging process.
Scanning Process The prepared slides are then placed into a specialized digital scanner designed for microscopy. This scanner captures high-resolution images of the slides, converting the physical specimens into digital formats.
Image Storage Once the scanning is complete, the digital images are stored on a local computer server or uploaded to a cloud-based archive. This storage solution allows for easy access and retrieval of the images for further analysis.
Remote Access and Analysis The digitized images can be accessed remotely by pathologists, enabling them to conduct consultations and provide diagnoses without needing to be physically present with the slides. This step enhances collaboration among healthcare professionals.
Utilization of Computer Algorithms In addition to human analysis, the digitized slides can be processed using computer algorithms that assist in diagnosing pathologies, offering a complementary approach to traditional methods of examination.

3. Post-Procedure

After the digitization of glass microscope slides, the expected post-procedure care includes ensuring that the digital images are securely stored and easily accessible for future consultations. Pathologists may review the images as needed, and any findings or diagnoses should be documented in a report. It is also essential to maintain the integrity of the original glass slides, as they may be required for further examination or verification of the digital findings. Continuous monitoring of the digital storage system is recommended to prevent data loss and ensure compliance with any relevant data management regulations.

Short Descr	DGTZ GLS MCRSCP CSLT SLD ELS
Medium Descr	DGTZ GLS MCRSCP SLD CNSLT&REPRT REF SLD PREP ELS
Long Descr	Digitization of glass microscope slides for consultation and report on referred slides prepared elsewhere (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.