How To Use CPT Code 74775

CPT 74775 describes the perineogram procedure, which is used to visualize the perineum in females for sex determination or to assess the extent of any anomalies in the reproductive tract. 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 74775?

CPT 74775 is a code used to describe the perineogram procedure. This procedure involves imaging the perineum in females to determine their sex or to assess the extent of any deformities in their reproductive tract. It is a diagnostic radiology procedure that utilizes X-ray imaging to visualize the anatomy of the perineum.

2. Official Description

The official description of CPT code 74775 is: ‘Perineogram (eg, vaginogram, for sex determination or extent of anomalies).’ This code is used when the provider performs a perineogram procedure to visualize the perineum in females for sex determination or to assess the extent of any anomalies present in the reproductive tract.

3. Procedure

1. The provider begins by having the patient lie down on an X-ray table.
2. A small balloon catheter is then inserted into the vaginal opening.
3. The provider injects a contrast dye to enhance the visualization of the vagina, if present.
4. The balloon catheter is inflated to prevent any leakage of the dye.
5. X-ray images are taken of the perineum to define the anatomy and assess any abnormalities.

4. Qualifying circumstances

CPT 74775 is used for patients who require a perineogram procedure to determine their sex or assess the extent of any deformities in their reproductive tract. This procedure is typically performed on females. The provider must use X-ray imaging and a contrast dye to visualize the perineum and assess any anomalies present. The procedure is usually performed to diagnose or evaluate congenital deformities or abnormalities in the reproductive tract.

5. When to use CPT code 74775

CPT code 74775 should be used when a perineogram procedure is performed to visualize the perineum in females for sex determination or to assess the extent of any anomalies in the reproductive tract. This code is specific to the perineogram procedure and should not be used for other imaging or diagnostic procedures.

6. Documentation requirements

To support a claim for CPT code 74775, the provider must document the following information:

• Reason for performing the perineogram procedure, such as sex determination or evaluation of anomalies
• Details of the procedure, including the use of a balloon catheter and contrast dye
• Date and time of the procedure
• Findings from the imaging, including any abnormalities or deformities observed
• Signature of the provider performing the procedure

7. Billing guidelines

When billing for CPT code 74775, ensure that the procedure meets the criteria for sex determination or evaluation of anomalies in the perineum. It is important to use the appropriate documentation and coding modifiers, such as modifier 26 for the professional component or modifier TC for the technical component, if applicable. Be aware of payer policies regarding the use of modifiers and the reporting of global services.

8. Historical information

CPT code 74775 was added to the Current Procedural Terminology system on January 1, 1990. There have been no updates or changes to the code since its addition.

9. Examples

1. A radiologist performs a perineogram procedure to determine the sex of a newborn baby.
2. A gynecologist uses a perineogram to assess the extent of anomalies in the reproductive tract of a patient with suspected congenital deformities.
3. A reproductive endocrinologist performs a perineogram to evaluate the reproductive anatomy of a patient undergoing fertility treatment.
4. A pediatric radiologist uses a perineogram to assess the reproductive tract of a young girl with developmental abnormalities.
5. An obstetrician performs a perineogram to evaluate the reproductive anatomy of a pregnant patient with suspected anomalies.
6. A radiology technician assists the provider in performing a perineogram procedure on a female patient for sex determination.
7. A urologist uses a perineogram to assess the extent of anomalies in the reproductive tract of a patient with urinary incontinence.
8. A pediatrician orders a perineogram to evaluate the reproductive anatomy of a newborn baby with suspected congenital deformities.
9. A radiology resident assists the attending physician in performing a perineogram procedure on a female patient for sex determination.
10. An infertility specialist performs a perineogram to assess the reproductive anatomy of a patient undergoing assisted reproductive technology.