Billing for digitization of glass microscope slides, CPT codes 0751T-0763T

Effective for claims received on or after August 5, 2023

Providers shall provide a statement on Item 19 of the CMS-1500 claim form, or the electronic equivalent, to document how the digitization of glass microscope slides is medically reasonable and necessary. An example of a potentially reasonable and necessary service includes if a slide requires an outside consultation that would normally require mailing of the slide, digitization could potentially be medically reasonable and necessary if either the slide represents the only slide demonstrating the pathology of interest (and loss of the slide would mean loss of irreplaceable material), or the consultation is required urgently and mailing a slide would take too much time and the delay would put the patient’s health at risk.
Failure to provide a statement on Item 19 of the CMS-1500 claim to document the need for the digitization of glass microscope slides may result in claims rejected as unprocessable.

Source: https://medicare.fcso.com/Billing_news/0504346.asp