0397T Ercp with optical endomicroscpy
Also known as: ERCP with optical microscopy, confocal ERCP
Endoscopic retrograde cholangiopancreatography with optical endomicroscopy for tissue examination. ERCP with real-time microscopic tissue assessment during procedure.
In Plain Language
Pancreas and bile duct examination with microscopic imaging; Advanced duct examination
Clinical Context
Used for suspected cholangiocarcinoma, pancreatic cancer surveillance, and Barrett's esophagus evaluation. Improves tissue diagnosis.
RVU Information
CPT 0397T does not have a physician work RVU assigned by CMS. Category III codes for emerging technology do not receive RVU assignments. Reimbursement is negotiated with individual payers.
Billing & Documentation
Category III codes are temporary codes for emerging technology, services, and procedures. They are not assigned RVU values by CMS. Coverage and reimbursement vary by payer — check with individual insurers before billing. These codes sunset after 5 years if not converted to Category I.
Specialties
Frequently Asked Questions
What is CPT code 0397T?
CPT 0397T (Ercp with optical endomicroscpy) is a Category III code. Endoscopic retrograde cholangiopancreatography with optical endomicroscopy for tissue examination. ERCP with real-time microscopic tissue assessment during procedure.
Is 0397T a permanent CPT code?
No — 0397T is a Category III temporary code for emerging technology. It may be converted to a permanent Category I code if widely adopted. Category III codes expire after 5 years without renewal.
When is CPT 0397T used?
Used for suspected cholangiocarcinoma, pancreatic cancer surveillance, and Barrett's esophagus evaluation. Improves tissue diagnosis.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.