How To Use CPT Code 75605

CPT 75605 describes the procedure of thoracic aortography with serialography, which involves imaging supervision and interpretation by a provider. 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 75605?

CPT 75605 can be used to represent the imaging supervision and interpretation for thoracic aortography with serialography. This procedure involves the injection of contrast dye into the thoracic aorta and the capture of multiple images using serial radiography technique. The provider who performs the imaging supervision and interpretation reports this code.

2. Official Description

The official description of CPT code 75605 is: ‘Aortography, thoracic, by serialography, radiological supervision and interpretation.’

3. Procedure

1. The provider makes an incision in the groin and accesses the common femoral artery.
2. A guide wire is inserted through the artery, and a catheter is advanced into the femoral artery.
3. The catheter is further advanced up to the thoracic aorta.
4. A contrast dye is injected into the thoracic aorta.
5. Multiple images are taken using serial radiography technique.
6. The catheter is removed, and the incision is closed with sutures.

4. Qualifying circumstances

CPT 75605 is used when a provider performs imaging supervision and interpretation for thoracic aortography with serialography. This procedure is typically performed to evaluate the condition of the thoracic aorta and surrounding structures. It may be necessary for patients with suspected aortic abnormalities or diseases. The provider must have the necessary expertise to perform and interpret the imaging.

5. When to use CPT code 75605

CPT code 75605 should be used when a provider performs imaging supervision and interpretation for thoracic aortography with serialography. It is important to note that this code represents only the imaging supervision and interpretation component of the procedure. If the provider performs additional services, such as the actual performance of the aortography, a different code should be used.

6. Documentation requirements

To support a claim for CPT 75605, the provider must document the following information:

• Indication for the thoracic aortography
• Details of the procedure, including the use of serialography and the type of contrast dye used
• Date and time of the procedure
• Images obtained and their interpretation
• Signature of the provider who performed the imaging supervision and interpretation

7. Billing guidelines

When billing for CPT 75605, ensure that the provider who performs the imaging supervision and interpretation reports this code. 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 multiple providers are involved in the service, each provider should report the code with the appropriate modifiers.

8. Historical information

CPT 75605 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 imaging supervision and interpretation for thoracic aortography with serialography to evaluate a patient with suspected aortic aneurysm.
2. An interventional cardiologist interpreting the images obtained from thoracic aortography with serialography to assess the extent of aortic dissection in a patient.
3. A vascular surgeon reviewing the images captured during thoracic aortography with serialography to determine the need for surgical intervention in a patient with aortic stenosis.
4. A cardiothoracic surgeon analyzing the images obtained from thoracic aortography with serialography to plan the surgical repair of a thoracic aortic aneurysm.
5. An interventional radiologist performing imaging supervision and interpretation for thoracic aortography with serialography to guide the placement of a stent in a patient with aortic coarctation.
6. A cardiac electrophysiologist reviewing the images obtained from thoracic aortography with serialography to assess the presence of coronary artery anomalies in a patient with arrhythmias.
7. A vascular medicine specialist interpreting the images captured during thoracic aortography with serialography to evaluate the patency of a previously placed stent in a patient with aortic occlusion.
8. An interventional radiologist analyzing the images obtained from thoracic aortography with serialography to assess the response to endovascular treatment in a patient with aortic dissection.
9. A cardiothoracic surgeon performing imaging supervision and interpretation for thoracic aortography with serialography to evaluate the success of a surgical repair in a patient with aortic regurgitation.
10. A vascular surgeon reviewing the images captured during thoracic aortography with serialography to assess the presence of aortic atherosclerosis in a patient with peripheral arterial disease.