How To Use CPT Code 75625

CPT 75625 describes the imaging supervision and interpretation for abdominal aortography with serialography. 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 75625?

CPT 75625 can be used to represent the imaging supervision and interpretation for abdominal aortography with serialography. This code is used when a provider performs this procedure and provides the necessary imaging supervision and interpretation.

2. Official Description

The official description of CPT code 75625 is: ‘Aortography, abdominal, by serialography, radiological supervision and interpretation.’

3. Procedure

1. The provider prepares the patient and makes an incision in the groin.
2. Using a needle, the provider breaks the common femoral artery and inserts a guide wire.
3. A catheter is advanced through the guidewire into the femoral artery and up to the abdominal aorta.
4. The provider injects a contrast into the vessel and takes several images using serial radiography technique.
5. The incision is closed with sutures in layers.

4. Qualifying circumstances

CPT 75625 is used when a provider performs imaging supervision and interpretation for abdominal aortography with serialography. This procedure is typically performed on patients who require evaluation of the abdominal aorta, such as those with suspected abdominal aortic aneurysm or other vascular conditions. The provider must have the necessary qualifications and expertise to perform and interpret the procedure.

5. When to use CPT code 75625

CPT code 75625 should be used when a provider performs imaging supervision and interpretation for abdominal aortography with serialography. This code should not be used for other types of aortography procedures or for procedures performed without serialography.

6. Documentation requirements

To support a claim for CPT 75625, the provider must document the following information:

• Patient’s condition and the need for abdominal aortography
• Details of the procedure, including the use of serialography and the type of contrast used
• Date and time of the procedure
• Images obtained and their interpretation
• Any additional findings or recommendations
• Signature of the provider performing the imaging supervision and interpretation

7. Billing guidelines

When billing for CPT 75625, ensure that the provider performing the procedure also provides the necessary imaging supervision and interpretation. This code should not be reported with other codes unless the provider performs additional procedures or services that are separately reportable. Modifier TC should be appended to the code when reporting only the technical component, and modifier 26 should be appended when reporting only the professional component.

8. Historical information

CPT 75625 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 abdominal aortography with serialography to evaluate a patient with suspected abdominal aortic aneurysm.
2. An interventional radiologist providing imaging supervision and interpretation for abdominal aortography with serialography during an endovascular repair procedure for a patient with aortic dissection.
3. A vascular surgeon performing imaging supervision and interpretation for abdominal aortography with serialography to assess the patency of a previously placed aortic stent.
4. A cardiologist providing imaging supervision and interpretation for abdominal aortography with serialography as part of a preoperative evaluation for a patient undergoing complex cardiac surgery.
5. An interventional radiologist performing imaging supervision and interpretation for abdominal aortography with serialography to guide the placement of a stent in a patient with renal artery stenosis.
6. A vascular surgeon providing imaging supervision and interpretation for abdominal aortography with serialography to evaluate a patient with suspected mesenteric ischemia.
7. A radiologist performing imaging supervision and interpretation for abdominal aortography with serialography to assess the extent of atherosclerosis in a patient with peripheral arterial disease.
8. An interventional radiologist providing imaging supervision and interpretation for abdominal aortography with serialography during a transarterial chemoembolization procedure for a patient with liver cancer.
9. A vascular surgeon performing imaging supervision and interpretation for abdominal aortography with serialography to evaluate a patient with suspected renal artery stenosis.
10. A cardiologist providing imaging supervision and interpretation for abdominal aortography with serialography to assess the patency of a previously placed coronary artery bypass graft.