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Official Description

Optical coherence tomography of breast, surgical cavity; interpretation and report, real-time or referred

© Copyright 2026 American Medical Association. All rights reserved.

Common Language Description

Optical coherence tomography (OCT) is a sophisticated, non-invasive imaging technique that is employed during surgical procedures to provide detailed visualization of the microscopic features of breast tissue and the surrounding area within the surgical cavity. This advanced imaging modality operates in real-time, utilizing high-resolution near-infrared light to capture images that reveal the microstructure of the tissue. The primary advantage of OCT is its ability to differentiate between normal low-scattering adipocytes, which are the typical fat cells found in breast tissue, and the high-scattering, heterogeneous patterned tissue that is indicative of tumor cells. By providing this level of detail, OCT assists surgeons in making informed decisions during breast surgeries, particularly in conserving healthy breast tissue while ensuring that clear surgical margins are achieved. The CPT® Code 0354T specifically pertains to the interpretation and reporting of the findings obtained from the optical coherence tomography procedure, distinguishing it from the real-time intraoperative imaging captured under CPT® Code 0353T.

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