How To Use CPT Code 73202

CPT 73202 describes the procedure for computed tomography (CT) imaging of the upper extremity. This article will cover the official description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, similar codes and billing examples.

1. What is CPT Code 73202?

CPT 73202 is used to describe the CT imaging of the upper extremity. This procedure involves taking cross-sectional images of the arm using X-ray technology. The provider may perform the imaging without using contrast material and then repeat the process after injecting contrast material for better image quality.

2. Official Description

The official description of CPT code 73202 is: ‘Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections.’

3. Procedure

1. The patient is positioned in a supine position on the scanner table.
2. An intravenous (IV) line is inserted into the patient for the administration of contrast material.
3. The provider supervises the administration of the IV contrast and takes scout films or preliminary images.
4. The CT scanner moves around the patient’s body, taking pictures of the upper extremity.
5. The provider reviews the images, analyzes them, and interprets the results.
6. A report is prepared summarizing the findings.

4. Qualifying circumstances

CPT 73202 is used for patients who require CT imaging of the upper extremity. This procedure may be necessary for diagnosing, managing, and treating various diseases and conditions affecting the arm. The use of contrast material may be required to enhance the visibility of internal structures or organs. Providers who perform this procedure must have the necessary qualifications and expertise in CT imaging.

5. When to use CPT code 73202

CPT code 73202 should be used when a provider performs CT imaging of the upper extremity without contrast material, followed by the administration of contrast material for better image quality. This code is appropriate for cases where the imaging is focused on the arm and its structures. If the imaging involves other body parts or requires different techniques, other CPT codes may be more suitable.

6. Documentation requirements

To support a claim for CPT 73202, the provider must document the following information:

• Reason for the CT imaging of the upper extremity
• Details of the procedure, including the use of contrast material
• Date and time of the imaging
• Analysis and interpretation of the images
• Summary of the findings

7. Billing guidelines

When billing for CPT 73202, ensure that the procedure meets the specific criteria outlined in the code description. It is important to accurately report whether the provider is billing for the professional component (modifier 26) or the technical component (modifier TC) of the service. Additionally, check payer policies regarding the reporting of contrast material and any separately reportable supply codes.

8. Historical information

CPT 73202 was added to the Current Procedural Terminology system on January 1, 1990. There have been historical changes to the code, including a code change on January 1, 2003, which modified the description to include the use of contrast material.

9. Examples

1. A patient undergoes CT imaging of the upper extremity without contrast material to assess a suspected fracture.
2. A provider performs CT imaging of the upper extremity with contrast material to evaluate a tumor in the arm.
3. CT imaging of the upper extremity is conducted on a patient with suspected vascular abnormalities.
4. A provider uses CT imaging of the upper extremity to guide a needle biopsy procedure.
5. A patient with a history of trauma undergoes CT imaging of the upper extremity to assess for internal injuries.
6. CT imaging of the upper extremity is performed on a patient with chronic pain to identify potential causes.
7. A provider orders CT imaging of the upper extremity to evaluate the progression of a degenerative joint disease.
8. A patient with a suspected infection in the arm undergoes CT imaging of the upper extremity to aid in diagnosis.
9. CT imaging of the upper extremity is conducted on a patient with a suspected nerve impingement.
10. A provider performs CT imaging of the upper extremity to assess the response to a previous treatment.