Consultation and report on referred material requiring preparation of slides
CPT4 code
Name of the Procedure:
Consultation and Report on Referred Material Requiring Preparation of Slides (Histopathological Consultation)
Summary
A consultation where a specialist examines tissue samples that have been referred to them, preparing microscope slides to make a detailed report about the findings.
Purpose
This procedure is used to diagnose diseases from tissue samples. It helps identify abnormalities or malignancies, guiding treatment plans.
Indications
- Unexplained abnormalities in tissue samples
- Verification of a previous diagnosis
- Need for specialized pathology input for rare conditions
Preparation
- No specific preparation for the patient.
- The tissue sample is usually prepared in advance and sent to the pathologist.
Procedure Description
- Receipt of Sample: The referred tissue sample is received from another healthcare provider.
- Preparation: The sample is processed and thin sections are cut and mounted on slides.
- Staining: Slides are stained to highlight structures and abnormalities.
- Examination: The pathologist examines the slides under a microscope.
- Report: Findings are documented in a detailed report which is sent back to the referring physician.
Duration
This process typically takes 1 to 3 days, depending on the complexity of the sample and the workload of the pathology lab.
Setting
Performed in a pathology lab within a hospital or specialized diagnostic center.
Personnel
- Pathologist
- Pathology technicians
Risks and Complications
- Minimal as the procedure does not involve the patient directly.
- Possibility of sample damage during preparation, which may require re-collection.
Benefits
Provides critical insights needed for accurate diagnosis. Guides effective treatment options quickly.
Recovery
Not applicable as there is no direct patient involvement.
Alternatives
- Imaging studies such as MRI or CT scans, though they may not provide as detailed a diagnosis for certain conditions.
- Molecular tests, which could complement tissue analysis.
Patient Experience
There is no discomfort or pain involved for the patient as the procedure targets tissue samples instead of direct interventions.