CPT® Code 88125

1. Indications

The procedure associated with CPT® Code 88125 is indicated in various scenarios where forensic cytopathology is necessary to address specific medicolegal questions. The following conditions or situations may warrant this laboratory test:

• Investigation of Sexual Assault This test is performed to determine the presence of sperm cells, which can provide evidence regarding whether a sexual act has taken place.
• Documentation of Disease Processes Forensic cytopathology may be utilized to identify abnormal cells that could indicate underlying disease processes, contributing to medical or legal investigations.

2. Procedure

The procedure for CPT® Code 88125 involves several critical steps that ensure accurate and reliable results. Each step is essential for the integrity of the forensic analysis.

• Sample Collection The first step in the procedure is the collection of a cellular sample from the individual in question. This sample must be obtained through a separately reportable procedure, ensuring that it is handled according to established protocols for forensic testing.
• Microscopic Examination Once the sample is collected, it is prepared for analysis. A pathologist then examines the slide under a microscope, carefully looking for specific cell types, including sperm cells or other abnormal cells that may indicate disease.
• Report Generation After the microscopic examination, the pathologist compiles a detailed written report of the findings. This report includes observations regarding the presence of sperm cells or any other relevant cellular abnormalities, which can be crucial for legal proceedings or further medical evaluation.

3. Post-Procedure

Post-procedure care for CPT® Code 88125 primarily involves the handling and interpretation of the findings from the cytopathological analysis. Once the report is generated, it is essential for the involved parties, such as legal professionals or healthcare providers, to review the findings thoroughly. The results may have significant implications for ongoing investigations or treatment plans. Additionally, any necessary follow-up actions based on the report's conclusions should be determined, ensuring that all relevant medical or legal considerations are addressed appropriately.