US · guidance
CMS SOM App. A, Tag A-0586
§482.27(a)(4) - The medical staff and a pathologist must determine which tissue specimens
require a macroscopic (gross) examination and which require both macroscopic and
microscopic examinations.
Interpretive Guidelines §482.27(a)(4)
Laboratory written policies, approved by the medical staff and a pathologist, must state which
tissue specimens require a macroscopic examination and which tissue specimens require both
macroscopic and microscopic examination.
Survey Procedures §482.27(a)(4)
• Verify that the hospital has a written policy for examination requirements.
• Review the written policies and tissue reports to assure that tissue specimens are
examined in accordance with the written policies.
• Verify that the policies are in accordance with these requirements and other Federal and
State laws, regulations, and guidelines.
History
Rev. 37, Issued: 10-17-08; Effective/Implementation Date: 10-17-08
Provenance
- Source
- cms.gov
- Retrieved
- 2026-07-22
- Edition
- som-2026-07-22
- Content hash
54b1f98c68363460d60214c98d731cd0c576f6535a095138ad27eb3b57ec4945
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