How To Use CPT Code 75559

CPT 75559 describes the use of cardiac magnetic resonance imaging (MRI) for examining the structure and function of the heart without the administration of contrast material, along with stress imaging. 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 75559?

CPT 75559 can be used to describe the use of cardiac MRI to examine the morphology and function of the heart without the use of contrast material. This code also includes stress imaging, which involves introducing a medicine into the patient’s blood to increase blood flow and heart rate, allowing the provider to assess any narrowing or blockage in the heart’s vessels.

2. Official Description

The official description of CPT code 75559 is: ‘Cardiac magnetic resonance imaging for morphology and function without contrast material; with stress imaging.’

3. Procedure

1. The provider prepares the patient for the cardiac MRI by removing any foreign objects or metal from the patient’s body.
2. The patient lies in a narrow tunnel that contains the MRI machine.
3. The provider takes multiple images of the cross-section of the heart using the MRI machine, which utilizes the patient’s hydrogen to create high-resolution images.
4. During the procedure, the provider also performs stress imaging by introducing a medicine into the patient’s blood to increase blood flow and heart rate.
5. The provider examines the images to assess the structure and function of the heart, as well as any narrowing or blockage in the heart’s vessels.

4. Qualifying circumstances

CPT 75559 is used when the provider performs cardiac MRI to examine the morphology and function of the heart without the use of contrast material. The procedure may also include stress imaging to assess the heart’s response to increased blood flow and heart rate. This code is typically used for patients who require a detailed evaluation of their heart’s structure and function.

5. When to use CPT code 75559

CPT code 75559 should be used when the provider performs cardiac MRI without the use of contrast material and includes stress imaging. This code is appropriate when the purpose of the procedure is to evaluate the morphology and function of the heart, as well as any narrowing or blockage in the heart’s vessels. It is important to note that this code should not be used if contrast material is administered during the procedure.

6. Documentation requirements

To support a claim for CPT 75559, the provider must document the following information:

• Reason for performing the cardiac MRI without contrast material
• Details of the stress imaging, including the medicine used and the patient’s response
• Date and duration of the procedure
• Findings from the cardiac MRI, including any abnormalities or narrowing/blockage in the heart’s vessels
• Signature of the provider performing the procedure

7. Billing guidelines

When billing for CPT 75559, ensure that the procedure was performed without the use of contrast material and includes stress imaging. It is important to follow payer guidelines and any specific requirements for reporting this code. Additionally, be aware of any modifiers that may be necessary to accurately report the professional and technical components of the service.

8. Historical information

CPT 75559 was added to the Current Procedural Terminology system on January 1, 2008. There have been no updates to the code since its addition.

9. Examples

1. A patient undergoes cardiac MRI without contrast material to assess the structure and function of their heart, along with stress imaging to evaluate their heart’s response to increased blood flow and heart rate.
2. A provider performs cardiac MRI without contrast material on a patient with suspected heart abnormalities, including stress imaging to assess any narrowing or blockage in the heart’s vessels.
3. During a cardiac MRI without contrast material, the provider utilizes stress imaging to evaluate the heart’s response to increased blood flow and heart rate in a patient with a history of heart disease.
4. A patient undergoes cardiac MRI without contrast material, including stress imaging, to assess the morphology and function of their heart and evaluate any potential narrowing or blockage in the heart’s vessels.
5. A provider performs cardiac MRI without contrast material on a patient with symptoms of heart disease, utilizing stress imaging to assess the heart’s response to increased blood flow and heart rate.
6. During a cardiac MRI without contrast material, the provider includes stress imaging to evaluate the heart’s function and assess any potential narrowing or blockage in the heart’s vessels in a patient with a history of heart conditions.
7. A patient undergoes cardiac MRI without contrast material, including stress imaging, to assess the structure and function of their heart and evaluate any potential narrowing or blockage in the heart’s vessels.
8. A provider performs cardiac MRI without contrast material on a patient with suspected heart abnormalities, utilizing stress imaging to assess the heart’s response to increased blood flow and heart rate.
9. During a cardiac MRI without contrast material, the provider includes stress imaging to evaluate the heart’s function and assess any potential narrowing or blockage in the heart’s vessels in a patient with symptoms of heart disease.
10. A patient undergoes cardiac MRI without contrast material, including stress imaging, to assess the morphology and function of their heart and evaluate any potential narrowing or blockage in the heart’s vessels.