image1

Noninvasive Cellular Imaging of the Skin
The VIVASCOPE 1500 is a confocal imaging system designed to display, capture and store high resolution, cellular-level images of the skin. The image allow clinicians real-time visualization of the organization, shape and location of various cells in a patient’s skin.

Features

  • Integrated capabilities for imaging modalities
  • Image a single area several times
  • Integrated VIVACAM
  • Image from the surface to the superficial reticular dermis (depending on the skin)
  • Fully equipped with VIVASCAN and VIVANET

Literature

WORKFLOW

IMAGE ACQUISITION

The VIVASCOPE 1500 is capable of imaging cells in the epidermis of the skin and fibrous tissue, primarily collagen and fibrin, in the dermis. Additionally, the VIVASCOPE 1500 makes it possible to visualize circulation of blood cells, including erythrocytes and leukocytes, in capillaries and other small vessels.

For more information about confocal imaging, click here.

VIVACAM DERMOSCOPY
VIVACAM® captures both clinical and dermoscopic images with a high-precision optical system.
  • High-resolution images
  • Optical Zoom: x15, x30, x50, x80, x120
  • Use to navigate within the macro image to specified corresponding confocal image
SINGLE IMAGE
The VIVASCOPE 1500 generates single images of skin that are parallel to the surface or on the “horizontal plane” .

The position of the single image inside the skin can be changed by moving the objective lens up, down or laterally, relative to the skin surface.
STACK
A series of horizontal images captured while scanning laterally (”deep” or Z) into the skin. The images are captured by moving the objective lens of the VIVASCOPE 1500 up and down so that it can capture images at different horizontal depths within the skin.
MOSAIC
An array of images taken on a single horizontal plane is creates a mosaic. The VIVASCOPE 1500 allows the user to move the objective laterally which can capture a series of single images covering an area up to 8 x 8mm.
REIMBURSEMENT

2017 Medicare Reimbursement for RCM
The Current Procedural Terminology (CPT)* codes used for reimbursement for RCM (Reflectance Confocal Microscopy) procedure are:

  • 96931  Reflectance confocal microscopy (RCM) for cellular and sub-cellular imaging of skin; image acquisition and interpretation and report, first lesion
  • 96932  image acquisition only, first lesion
  • 96933  interpretation and report only, first lesion
  • 96934  image acquisition and interpretation and report, each additional lesion
  • 96935  image acquisition only, each additional lesion
  • 96936  interpretation and report only, each additional lesion

For a presentation on reimbursement by Daniel Mark Siegel MD, MS, FAAD, Clinical Professor of Dermatology, SUNY Downstate, click here. 

*CPT codes and descriptions only are copyright 2017 American Medical Association (AMA). All rights reserved. The AMA assumes no liability for data contained or not contained herein.

The coding, coverage, and payment information contained herein is gathered from various resources and is subject to change without notice. Caliber Imaging & Diagnostics, Inc. cannot guarantee success in obtaining third-party insurance payments. Third-party payment for medical products and services is affected by numerous factors. It is always the provider’s responsibility to determine and submit appropriate codes, charges, and modifiers for services that are rendered. Providers should contact their third-party payers for specific information on their coding, coverage, and payment policies.

 

HIGHLIGHTS

  • Non-invasive image capture
  • Real-time cellular-level images of tissue
  • VIVACAM Images
  • CE Mark and FDA 510(K) cleared

Have questions about reflectance confocal microscopy (RCM) reimbursement?

Click here to watch a presentation given by Daniel Mark Siegel MD, MS, CPCD, Clinical Professor of Dermatology, SUNY Downstate.