How To Use CPT Code 75716

CPT 75716 is a code used for angiography of the extremities, specifically for bilateral 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 75716.

1. What is CPT 75716?

CPT 75716 is a code used in medical billing and coding to represent the radiological supervision and interpretation of angiography for extremities, specifically for bilateral procedures. This code is essential for medical coders and billers to accurately represent the services provided by healthcare professionals during an angiography procedure involving both extremities.

2. 75716 CPT code description

The official description of CPT code 75716 is: “Angiography, extremity, bilateral, radiological supervision and interpretation.”

3. Procedure

The 75716 procedure involves the following steps:

1. Anesthetizing the access site, such as any of the peripheral arteries.
2. Making an arterial puncture.
3. Inserting a guidewire over which a catheter is advanced into the respective peripheral artery.
4. Advancing the catheter to the target point with the help of fluoroscopy and removing the guidewire.
5. Visualizing the respective bilateral extremity arteries after injecting contrast medium, with the help of continuous images obtained.
6. Interpreting the images and providing radiological supervision throughout the procedure.

4. Qualifying circumstances

Patients who are eligible to receive CPT code 75716 services are those who require angiography of both extremities for diagnostic or therapeutic purposes. This may include patients with peripheral arterial disease, vascular malformations, or other conditions affecting the blood vessels in the extremities. The decision to perform bilateral angiography and use CPT code 75716 should be based on the clinical judgment of the healthcare provider and the specific needs of the patient.

5. When to use CPT code 75716

It is appropriate to bill the 75716 CPT code when a healthcare provider performs angiography on both extremities, with radiological supervision and interpretation. This code should be used when the procedure is performed for diagnostic or therapeutic purposes and involves the use of a radiopaque substance to visualize the blood vessels under X-ray.

6. Documentation requirements

To support a claim for CPT 75716, the following information should be documented:

• Patient’s medical history and reason for the angiography procedure.
• Details of the procedure, including the access site, use of guidewire and catheter, and injection of contrast medium.
• Findings from the angiography, including any abnormalities or issues identified in the blood vessels of the extremities.
• Radiological supervision and interpretation provided by the healthcare professional during the procedure.
• Any additional procedures or interventions performed during the angiography, if applicable.

7. Billing guidelines

When billing for CPT code 75716, it is essential to follow the appropriate guidelines and rules. Some tips and codes that apply to CPT code 75716 include:

• Use 75719 for unilateral extremity artery RS&I.
• Report +75774 for selective angiography of additional vessels in addition to the 75716 service, when applicable.
• 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.
• Do not report 75716 in conjunction with 36836, 36837.

8. Historical information

CPT 75716 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 75716

Five similar codes to CPT 75716 and how they differentiate from CPT 75716 are:

• CPT 75710: This code is used for unilateral extremity angiography, as opposed to bilateral angiography in CPT 75716.
• CPT 75719: This code is used for unilateral extremity artery radiological supervision and interpretation, whereas CPT 75716 is for bilateral extremity artery radiological supervision and interpretation.
• CPT 75722: This code is for visceral angiography, which focuses on the abdominal organs, while CPT 75716 is for extremity angiography.
• CPT 75726: This code is for renal angiography, which involves the kidneys, while CPT 75716 is for extremity angiography.
• CPT 75774: This add-on code is used for selective angiography of additional vessels in addition to the primary service, such as CPT 75716.

10. Examples

Here are 10 detailed examples of CPT code 75716 procedures:

1. A patient with peripheral arterial disease undergoes bilateral lower extremity angiography to assess the severity of the disease and plan for possible interventions.
2. A patient with a history of deep vein thrombosis undergoes bilateral upper extremity angiography to evaluate for any residual thrombus or underlying vascular abnormalities.
3. A patient with a suspected vascular malformation in both lower extremities undergoes bilateral angiography for diagnostic confirmation and treatment planning.
4. A patient with a history of trauma to both upper extremities undergoes bilateral angiography to assess for any vascular injuries.
5. A patient with bilateral lower extremity claudication undergoes angiography to evaluate the extent of arterial occlusive disease and determine the need for revascularization.
6. A patient with a suspected arteriovenous fistula in both lower extremities undergoes bilateral angiography for diagnostic confirmation and treatment planning.
7. A patient with bilateral upper extremity swelling undergoes angiography to evaluate for venous outflow obstruction or other vascular abnormalities.
8. A patient with a history of vasculitis undergoes bilateral lower extremity angiography to assess the extent of vascular involvement and monitor disease progression.
9. A patient with a suspected aneurysm in both upper extremities undergoes bilateral angiography for diagnostic confirmation and treatment planning.
10. A patient with bilateral lower extremity ulcers undergoes angiography to evaluate the underlying arterial supply and determine the need for revascularization or other interventions.