How To Use CPT Code 75705

CPT 75705 describes the radiological supervision and interpretation of the selective placement of a catheter in the spinal area. 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 75705?

CPT 75705 can be used to describe the radiological supervision and interpretation of the selective placement of a catheter in the spinal area. This code is used when a radiologist provides their services during the entire procedure of placing a catheter in the spinal artery, visualizing it for any abnormalities using contrast medium and obtaining continuous images using fluoroscopy.

2. Official Description

The official description of CPT code 75705 is: ‘Angiography, spinal, selective, radiological supervision and interpretation.’

3. Procedure

1. The provider anesthetizes the access site, typically the common femoral artery, and punctures it.
2. A guidewire is inserted over which a catheter is advanced into the aorta to reach the spinal artery.
3. With the help of fluoroscopy, the catheter is advanced to the target point, and the guidewire is removed.
4. The provider visualizes the spinal artery for any abnormalities by injecting contrast medium and obtains continuous images using fluoroscopy.

4. Qualifying circumstances

CPT 75705 is reported by a radiologist to describe their “radiological supervision and interpretation (RSI)” part of the procedure. The procedure involves the selective placement of a catheter in the spinal area, visualizing the spinal artery using contrast medium, and obtaining continuous images using fluoroscopy. This code reports only the radiologist’s service during the entire procedure.

5. When to use CPT code 75705

CPT code 75705 should be used when a radiologist provides their services for the radiological supervision and interpretation of the selective placement of a catheter in the spinal area. It should be reported when the entire procedure, including the visualization of the spinal artery and obtaining continuous images using fluoroscopy, is performed by the radiologist.

6. Documentation requirements

To support a claim for CPT 75705, the radiologist must document the following information:

• Details of the procedure performed, including the access site, catheter placement, and use of contrast medium
• Images obtained during the procedure, demonstrating the visualization of the spinal artery
• Continuous monitoring of the procedure using fluoroscopy
• Any abnormalities or findings observed during the procedure
• Signature of the radiologist providing the service

7. Billing guidelines

When billing for CPT 75705, ensure that the service is provided by a radiologist and includes the radiological supervision and interpretation of the selective placement of a catheter in the spinal area. There are no specific guidelines regarding reporting CPT 75705 with other codes. However, it is important to follow any applicable bundling or unbundling rules and guidelines provided by payers.

8. Historical information

CPT 75705 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 providing radiological supervision and interpretation during the selective placement of a catheter in the spinal area for a patient with suspected spinal artery abnormalities.
2. A radiologist visualizing the spinal artery using contrast medium and obtaining continuous images using fluoroscopy for a patient undergoing a spinal catheter placement procedure.
3. A radiologist performing radiological supervision and interpretation during the selective placement of a catheter in the spinal area for a patient with a history of spinal artery abnormalities.
4. A radiologist monitoring the visualization of the spinal artery and obtaining continuous images using fluoroscopy during a spinal catheter placement procedure for a patient with spinal canal pressure concerns.
5. A radiologist providing their services for the radiological supervision and interpretation of the selective placement of a catheter in the spinal area for a patient with spinal artery anomalies.
6. A radiologist visualizing the spinal artery and obtaining continuous images using fluoroscopy during a spinal catheter placement procedure for a patient with suspected spinal artery stenosis.
7. A radiologist performing radiological supervision and interpretation during the selective placement of a catheter in the spinal area for a patient with spinal artery malformations.
8. A radiologist monitoring the visualization of the spinal artery and obtaining continuous images using fluoroscopy during a spinal catheter placement procedure for a patient with spinal canal pressure concerns.
9. A radiologist providing their services for the radiological supervision and interpretation of the selective placement of a catheter in the spinal area for a patient with suspected spinal artery abnormalities.
10. A radiologist visualizing the spinal artery and obtaining continuous images using fluoroscopy during a spinal catheter placement procedure for a patient with spinal artery anomalies.