How To Use CPT Code 75557

CPT 75557 describes the procedure for cardiac magnetic resonance imaging (MRI) to examine the structure and function of the heart without the use of contrast material. This article will cover the description, official description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, similar codes and billing examples.

1. What is CPT Code 75557?

CPT 75557 can be used to describe the procedure of cardiac magnetic resonance imaging (MRI) to assess the morphology and function of the heart without the administration of contrast material. This code is used when the provider uses magnetic fields and radio waves to visualize the heart’s tissues and diagnose, manage, and treat diseases.

2. Official Description

The official description of CPT code 75557 is: ‘Cardiac magnetic resonance imaging for morphology and function without contrast material.’

3. Procedure

1. The provider prepares the patient for the procedure by removing any metal or foreign objects from their body.
2. The patient lies down on a narrow table that slides into the MRI machine.
3. The MRI machine takes several cross-sectional images, or slices, of the heart to examine its structure and function.
4. The MRI uses the patient’s body’s hydrogen to create strong electromagnetic fields, which produce high-resolution images.

4. Qualifying circumstances

CPT 75557 is used when the provider performs cardiac MRI to examine the morphology and function of the heart without the use of contrast material. This procedure is typically performed on patients who require a non-invasive assessment of their heart’s structure and function.

5. When to use CPT code 75557

CPT code 75557 should be used when the provider performs cardiac MRI to evaluate the morphology and function of the heart without the administration of contrast material. It is important to note that if the provider performs stress imaging along with the examination, a different CPT code should be used.

6. Documentation requirements

To support a claim for CPT 75557, the provider must document the following information:

• Reason for the cardiac MRI
• Procedure details, including the absence of contrast material
• Date and time of the procedure
• Findings and interpretation of the MRI
• Signature of the provider

7. Billing guidelines

When billing for CPT 75557, ensure that the procedure performed is cardiac MRI without the use of contrast material. It is important to follow payer guidelines and append the appropriate modifiers, such as modifier 26 for the professional component or modifier TC for the technical component, if applicable. If reporting a global service, where one provider renders both the professional and technical components, modifiers may not be necessary.

8. Historical information

CPT 75557 was added to the Current Procedural Terminology system on January 1, 2008. There have been no updates or changes to the code since its addition.

9. Examples

1. A patient undergoes cardiac MRI to assess the structure and function of their heart without the use of contrast material.
2. A provider performs cardiac MRI on a patient with suspected heart abnormalities, using magnetic fields and radio waves to visualize the heart’s tissues.
3. A cardiac MRI is conducted on a patient to evaluate the morphology and function of their heart without the administration of contrast material.
4. A provider uses cardiac MRI to diagnose and manage a patient’s heart condition, obtaining high-resolution images without the use of contrast material.
5. A patient undergoes cardiac MRI to assess the structure and function of their heart, with the provider ensuring the absence of contrast material during the procedure.
6. A provider performs cardiac MRI on a patient to evaluate the morphology and function of their heart, utilizing the patient’s body’s hydrogen to create strong electromagnetic fields for high-resolution imaging.
7. A cardiac MRI is conducted on a patient to assess the structure and function of their heart without the use of contrast material, aiding in the diagnosis and treatment of heart diseases.
8. A provider uses cardiac MRI to visualize the heart’s tissues and assess its morphology and function, without administering any contrast material to the patient.
9. A patient undergoes cardiac MRI to evaluate the structure and function of their heart, with the provider utilizing magnetic fields and radio waves to obtain detailed images without the use of contrast material.
10. A provider performs cardiac MRI on a patient to assess the morphology and function of their heart, ensuring the absence of contrast material during the procedure for accurate imaging results.