US · guidance
CMS SOM App. C, Tag D5635
§493.1274 Standard: Cytology
(d)(1)(i) The workload limit is based on the individual’s performance using
evaluations of the following:
Interpretive Guidelines §493.1274(d)(1)(i)
The technical supervisor maintains documentation of the slide performance and provides
feedback.
Probes §493.1274(d)(1)(i)
What records are maintained to document the technical supervisor’s evaluation of the
slide performance of each individual?
(d)(1)(i)(A) Review of 10 percent of the cases interpreted as negative for the
conditions defined in paragraph (e)(1) of this section.
(d)(1)(i)(B) Comparison of the individual’s interpretation with the technical
supervisor’s confirmation of patient smears specified in paragraphs (e)(1) and (e)(3)
of this section.
Probes §493.1274(d)(1)(i)(B)
How does the technical supervisor ensure that feedback is provided on slide examination
performance to each person evaluating slides?
What mechanism is used to allow individuals an opportunity to discuss instances of
misdiagnosis?
History
Rev. 233; Issued: 09-12-25; Effective: 09-12-25; Implementation: 09-12-25
Provenance
- Source
- cms.gov
- Retrieved
- 2026-07-22
- Edition
- som-2026-07-22
- Content hash
509677666ef20f20e07e7477d3e505a3401ec2da680117162a6f6c096f653955
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