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Official Description

Digitization of glass microscope slides for morphometric analysis, in situ hybridization (quantitative or semiquantitative), manual, per specimen; each multiplex probe stain procedure (List separately in addition to code for primary procedure)

© Copyright 2025 American Medical Association. All rights reserved.

Common Language Description

The CPT® Code 0853T refers to the process of digitizing glass microscope slides specifically for morphometric analysis and in situ hybridization, which can be either quantitative or semi-quantitative. This procedure is performed manually for each specimen and is particularly relevant in the context of pathology and genetic analysis. The digitization process involves scanning glass microscope slides to convert them into a digital format, allowing the captured images to be stored either on a local computer server or in a cloud-based archive. This digital transformation facilitates further examination by remote pathologists or the application of computer algorithms, which can assist in providing pathologic diagnoses that differ from traditional direct visualization through a microscope. The information obtained from this digitization can be managed and interpreted within an increasingly sophisticated image-based environment. Morphometric analysis, which is a key component of this procedure, utilizes in situ hybridization techniques that employ fluorescent tagging to visualize specific genes or portions of genes. The manual preparation of glass slides, such as those derived from bone marrow or tumor samples, is essential for accurate analysis. During this process, additional slide digitization occurs simultaneously. It is important to note that for billing purposes, different codes are designated for various types of slide digitization: CPT® Code 0851T is used for the initial single probe stain preparation, CPT® Code 0852T is for each additional single probe stain, and CPT® Code 0853T is specifically for each multiplex probe stain digitization.

© Copyright 2025 Coding Ahead. All rights reserved.

1. Indications

The procedure associated with CPT® Code 0853T is indicated for the following conditions and scenarios:

  • Pathological Examination The digitization of glass microscope slides is performed to facilitate detailed pathological examinations, allowing for enhanced analysis of tissue samples.
  • Genetic Analysis This procedure is utilized in genetic studies where specific genes or gene portions need to be visualized, particularly in the context of in situ hybridization.
  • Remote Consultation The digitization allows pathologists to review and analyze slides remotely, which is essential for consultations and collaborative diagnostics.
  • Quantitative and Semi-Quantitative Analysis The procedure supports morphometric analysis, which can be quantitative or semi-quantitative, providing valuable data for research and clinical decision-making.

2. Procedure

The procedure for CPT® Code 0853T involves several key steps that ensure the effective digitization of glass microscope slides for morphometric analysis and in situ hybridization:

  • Step 1: Preparation of Glass Slides Initially, glass slides containing tissue samples, such as those from bone marrow or tumors, are prepared using manual techniques. This preparation is crucial for ensuring that the samples are suitable for analysis and that the staining process can be effectively applied.
  • Step 2: Application of Multiplex Probe Stains Following the preparation, multiplex probe stains are applied to the slides. This step is essential for visualizing multiple genetic targets simultaneously, which enhances the diagnostic capabilities of the analysis.
  • Step 3: Digitization of Slides Once the staining is complete, the glass microscope slides are scanned to create digital images. This digitization process captures the details of the stained samples and converts them into a format that can be stored and analyzed digitally.
  • Step 4: Storage and Management 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 access and management of the images, facilitating further analysis and interpretation by pathologists or through computer algorithms.

3. Post-Procedure

After the digitization procedure is completed, the digital images of the glass microscope slides can be utilized for various purposes. Pathologists may review the images for diagnostic purposes, and the data can be analyzed using morphometric techniques. It is important to ensure that the digital files are securely stored and backed up to prevent data loss. Additionally, any findings or interpretations derived from the digitized images should be documented appropriately for future reference and compliance with medical record-keeping standards. The expected recovery from this procedure is immediate, as it primarily involves the digitization of existing slides rather than any invasive intervention.

Short Descr DGTZ GLS MCRSCP MPHMTRC EA M
Medium Descr DGTZ GLS MCRSCP SLD M/PHMTRC ISH EA MULT PRB STN
Long Descr Digitization of glass microscope slides for morphometric analysis, in situ hybridization (quantitative or semiquantitative), manual, per specimen; each multiplex probe stain procedure (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.

88377 Resequenced Code MPFS Status: Active Code APC Q1 Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each multiplex probe stain procedure
Date
Action
Notes
2024-01-01 Added Code Added.
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