Optical Coherence Tomography During Breast Surgery (0351T-0354T) (April 2015)

April 2015 page 6 Optical Coherence Tomography During Breast Surgery (0351T-0354T) A clean surgical margin, which is important to diminishing or eliminating tumor recurrence and reoperation, has become more of a challenge as increases in breast cancer screening rates have resulted in more numerous and smaller lesions being identified earlier. Optical coherence tomography (OCT) is an intraoperative high-resolution imaging technique that assesses both excised surgical breast tumor/lymph node margins and margins in the surgical cavity. In this technique, excised breast or lymph node tissue, or the surgical cavity is penetrated by OCT light and intra-operative real-time multidimensional images of...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This CPT® Assistant article covers optical coherence tomography (OCT) in the breast surgery setting, including how the service is categorized for reporting and the general context for intraoperative imaging of excised tissue and the surgical cavity. It is relevant to coders, billers, surgeons, and compliance staff who need to understand which breast surgery OCT services are discussed and how the article frames reporting considerations. The article also includes broad reporting tips and references related to the technique and its use in surgical margin assessment.

Why This Topic Matters

Breast surgery coding can be affected by whether intraoperative imaging is performed on excised tissue or within the surgical cavity, and by how the service is documented and reported. Understanding the article helps users recognize the applicable CPT Category III framework and the scope of the accompanying reporting guidance.

Article Sections

  1. April 2015 page 6

    Introductory page header and article context for the breast surgery OCT topic.

  2. Optical Coherence Tomography During Breast Surgery (0351T-0354T)

    Overview of OCT use in breast surgery, including the general clinical context for intraoperative margin assessment and the code family discussed in the article.

  3. OCT Reporting Tips

    General reporting notes and cautionary guidance associated with the breast surgery OCT services discussed in the article.

  4. References

    Cited literature supporting the discussion of OCT in breast tissue and surgical margin assessment.

What You Will Learn

  • The general purpose of OCT in breast surgery
  • How the article frames reporting for specimen-based and cavity-based OCT services
  • The broad type of coding guidance included in the article
  • The clinical context in which breast surgery OCT is discussed

Who Should Read This

  • Medical coders
  • Billing professionals
  • Surgeons
  • Compliance staff
  • Documentation specialists

Codes Discussed


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