How To Use CPT Code 75710

CPT 75710 refers to the angiography of a unilateral extremity, including radiological supervision and interpretation. This article will cover the description, procedure, qualifying circumstances, documentation requirements, billing guidelines, historical information, similar codes, and examples of CPT 75710.

1. What is CPT 75710?

CPT 75710 is a medical code used to describe the angiography of a unilateral extremity, which involves the radiological supervision and interpretation of the procedure. Angiography is an X-ray study of blood vessels that helps physicians diagnose and treat medical conditions. This specific code is used for the radiological supervision and interpretation of the unilateral placement of a catheter in an extremity.

2. 75710 CPT code description

The official description of CPT code 75710 is: “Angiography, extremity, unilateral, radiological supervision and interpretation.”

3. Procedure

1. Anesthetize the access site, such as any of the peripheral arteries.
2. Make an arterial puncture.
3. Insert a guidewire over which a catheter is advanced into the respective peripheral artery.
4. Advance the catheter to the target point with the help of fluoroscopy, and then remove the guidewire.
5. Visualize the respective unilateral extremity artery after injecting contrast medium, with the help of continuous images obtained.

4. Qualifying circumstances

Patients who are eligible to receive CPT code 75710 services are those who require diagnostic evaluation or treatment of blood vessel conditions in a unilateral extremity. This may include patients with peripheral artery disease, blood clots, or other vascular abnormalities. The procedure is typically performed by a radiologist or an interventional radiologist.

5. When to use CPT code 75710

It is appropriate to bill the 75710 CPT code when a physician performs angiography on a unilateral extremity, including the radiological supervision and interpretation of the procedure. This code should be used for the radiologist’s service in the entire procedure, specifically for the radiological supervision and interpretation (RSI) part of a surgical procedure performed on a patient.

6. Documentation requirements

To support a claim for CPT 75710, the following information should be documented:

• Patient’s medical history and reason for the procedure.
• Details of the procedure, including the access site, catheter placement, and use of contrast medium.
• Radiological supervision and interpretation, including the findings and any abnormalities detected.
• Any complications or additional procedures performed during the angiography.
• Post-procedure care and follow-up recommendations.

7. Billing guidelines

When billing for CPT code 75710, keep in mind the following guidelines:

• Use 75716 for bilateral extremity artery RS&I.
• Report +75774 for selective angiography of additional vessels in addition to the 75710 service.
• Follow CPT® guidelines regarding when diagnostic angiography is separately reportable when performed at the same session as an interventional procedure.
• Append professional component modifier 26 to the radiology code when reporting only the physician’s interpretation for the radiology service.
• Append modifier TC to the radiology code when reporting only the technical component for the radiology service. Note that payer policy may exempt hospitals from appending modifier TC because the hospital’s portion is inherently technical.
• Do not append a professional or technical modifier to the radiology code when reporting a global service in which one provider renders both the professional and technical components.

8. Historical information

CPT 75710 was added to the Current Procedural Terminology system on January 1, 1990. There have been no updates to the code since its addition.

9. Similar codes to CPT 75710

Five similar codes to CPT 75710 and how they differentiate from CPT 75710 are:

1. CPT 75716: This code is used for angiography of bilateral extremity arteries, including radiological supervision and interpretation.
2. CPT 75722: This code is used for angiography of the visceral arteries, including radiological supervision and interpretation.
3. CPT 75726: This code is used for angiography of the renal arteries, including radiological supervision and interpretation.
4. CPT 75731: This code is used for adrenal angiography, including radiological supervision and interpretation.
5. CPT 75733: This code is used for adrenal venography, including radiological supervision and interpretation.

10. Examples

Here are 10 detailed examples of CPT code 75710 procedures:

1. Angiography of the left upper extremity to evaluate peripheral artery disease.
2. Angiography of the right lower extremity to assess blood flow following a vascular bypass surgery.
3. Angiography of the left lower extremity to diagnose a suspected blood clot.
4. Angiography of the right upper extremity to evaluate the patency of a dialysis access graft.
5. Angiography of the left lower extremity to assess the severity of arterial blockages in a diabetic patient.
6. Angiography of the right upper extremity to evaluate blood flow in a patient with Raynaud’s disease.
7. Angiography of the left lower extremity to assess the need for angioplasty or stenting in a patient with claudication.
8. Angiography of the right upper extremity to evaluate the cause of unexplained limb swelling.
9. Angiography of the left lower extremity to assess the success of a recent angioplasty procedure.
10. Angiography of the right upper extremity to evaluate blood flow in a patient with a history of deep vein thrombosis.