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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

  1. Receipt of Sample: The referred tissue sample is received from another healthcare provider.
  2. Preparation: The sample is processed and thin sections are cut and mounted on slides.
  3. Staining: Slides are stained to highlight structures and abnormalities.
  4. Examination: The pathologist examines the slides under a microscope.
  5. 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.

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