How To Use CPT Code 74440

CPT 74440 describes the radiological supervision and interpretation of vasography, vesiculography, or epididymography. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, similar codes and billing examples.

1. What is CPT Code 74440?

CPT 74440 can be used to describe the radiological supervision and interpretation of vasography, vesiculography, or epididymography. This code is used when a healthcare provider performs imaging to visualize the vas deferens, seminal vesicles, or epididymis using radiographic images to check for any blockages or obstructions.

2. Official Description

The official description of CPT code 74440 is: ‘Vasography, vesiculography, or epididymography, radiological supervision and interpretation.’

3. Procedure

1. The healthcare provider performs imaging supervision and interpretation to visualize the vas deferens, seminal vesicles, or epididymis using radiographic images.
2. The provider may inject blue dye or contrast material into the vas deferens to test for any obstruction of the ejaculatory duct.
3. If performing vesiculography, the provider injects contrast into the seminal vesicles to check for any obstruction.
4. If performing epididymography, the provider injects contrast into the epididymis to determine if there is any obstruction in this area.
5. Report CPT code 74440 to represent only the imaging supervision and interpretation for this procedure.

4. Qualifying circumstances

CPT 74440 is used when a healthcare provider performs the radiological supervision and interpretation for vasography, vesiculography, or epididymography. These procedures are used to evaluate the patency of the vas deferens, seminal vesicles, or epididymis. The provider may inject contrast material to visualize these structures and check for any obstructions or blockages.

5. When to use CPT code 74440

CPT code 74440 should be used when a healthcare provider performs the radiological supervision and interpretation for vasography, vesiculography, or epididymography. This code should be reported when the provider visualizes the vas deferens, seminal vesicles, or epididymis using radiographic images and injects contrast material to check for any obstructions or blockages.

6. Documentation requirements

To support a claim for CPT code 74440, the healthcare provider must document the following information:

• Details of the procedure performed, including whether vasography, vesiculography, or epididymography was conducted
• Specific structures visualized and any abnormalities or obstructions observed
• Date of the procedure
• Signature of the healthcare provider performing the imaging supervision and interpretation

7. Billing guidelines

When billing for CPT code 74440, ensure that the healthcare provider performs the radiological supervision and interpretation for vasography, vesiculography, or epididymography. This code should be reported for the professional component of the service. If the radiology service is supervised by one provider and interpreted by another, both providers should report the code with reduced service modifier 52 and append modifier 26 to represent only the professional component.

8. Historical information

CPT code 74440 was added to the Current Procedural Terminology system on January 1, 1990. There have been no updates to the code since its addition.

9. Examples

1. A radiologist performing the radiological supervision and interpretation for vasography to visualize the vas deferens and check for any obstructions.
2. A urologist conducting vesiculography to inject contrast into the seminal vesicles and evaluate for any blockages, with a radiologist providing the imaging supervision and interpretation.
3. A radiologist performing epididymography to inject contrast into the epididymis and assess for any obstructions or abnormalities.
4. A healthcare provider using radiographic images to visualize the vas deferens, seminal vesicles, or epididymis and interpret the findings to determine if there are any blockages or obstructions.
5. A radiologist supervising and interpreting the imaging for vasography, vesiculography, or epididymography to evaluate the patency of the reproductive structures.
6. A healthcare provider performing the radiological supervision and interpretation for vasography, vesiculography, or epididymography with the assistance of contrast material to visualize the structures and check for any abnormalities.
7. A radiologist conducting vasography to assess the vas deferens and interpret the radiographic images to identify any obstructions or blockages.
8. A urologist performing vesiculography to inject contrast into the seminal vesicles and a radiologist providing the imaging supervision and interpretation to evaluate for any abnormalities.
9. A healthcare provider using radiographic images to visualize the epididymis and interpret the findings to determine if there are any obstructions or abnormalities.
10. A radiologist supervising and interpreting the imaging for vasography, vesiculography, or epididymography to assess the reproductive structures and identify any blockages or obstructions.