How To Use CPT Code 75733

CPT 75733 describes the radiological supervision and interpretation of the bilateral selective placement of a catheter in the adrenal artery. 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 75733?

CPT 75733 can be used to describe the radiological supervision and interpretation of the bilateral selective placement of a catheter in the adrenal artery. This code is used when a radiologist provides the service of overseeing and interpreting the placement of a catheter in both adrenal arteries using fluoroscopy and contrast dye.

2. Official Description

The official description of CPT code 75733 is: ‘Angiography, adrenal, bilateral, selective, radiological supervision and interpretation.’

3. Procedure

1. The physician administers local anesthesia to the access site, typically the femoral artery in the groin.
2. An arterial puncture is made, and a guidewire is inserted to assist the catheter in advancing into the renal artery.
3. The catheter is guided to the target point using fluoroscopy, and the guidewire is removed.
4. Iodine contrast dye is injected, and a series of fluoroscopic images are taken to visualize both adrenal glands and evaluate any abnormalities.

4. Qualifying circumstances

CPT 75733 is used when a radiologist provides the radiological supervision and interpretation of the bilateral selective placement of a catheter in the adrenal artery. This procedure is typically performed on patients who require further evaluation of their adrenal glands, such as those with suspected adrenal tumors or adrenal gland dysfunction.

5. When to use CPT code 75733

CPT code 75733 should be used when a radiologist is involved in the radiological supervision and interpretation of the bilateral selective placement of a catheter in the adrenal artery. This code is specific to the procedure described and should not be used for other angiography procedures or interventions.

6. Documentation requirements

To support a claim for CPT 75733, the radiologist must document the following information:

• Indication for the procedure and the need for radiological supervision and interpretation
• Details of the procedure, including the use of fluoroscopy, contrast dye, and catheter placement
• Fluoroscopic images taken during the procedure
• Findings and interpretation of the images
• Signature of the radiologist providing the service

7. Billing guidelines

When billing for CPT 75733, ensure that the service is provided by a radiologist and involves the radiological supervision and interpretation of the bilateral selective placement of a catheter in the adrenal artery. This code should not be reported with other codes unless additional procedures or interventions are performed during the same session.

8. Historical information

CPT 75733 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 the radiological supervision and interpretation of the bilateral selective placement of a catheter in the adrenal artery to evaluate a patient with suspected adrenal tumors.
2. A radiologist overseeing the placement of a catheter in both adrenal arteries using fluoroscopy and contrast dye to assess adrenal gland function in a patient with adrenal gland dysfunction.
3. A radiologist interpreting fluoroscopic images of the bilateral selective placement of a catheter in the adrenal artery to evaluate abnormalities in the adrenal glands of a patient with unexplained symptoms.
4. A radiologist providing guidance and interpretation during the placement of a catheter in both adrenal arteries to assess adrenal gland blood supply in a patient with hypertension.
5. A radiologist supervising the bilateral selective placement of a catheter in the adrenal artery to investigate adrenal gland abnormalities in a patient with endocrine disorders.
6. A radiologist interpreting fluoroscopic images of the bilateral selective placement of a catheter in the adrenal artery to evaluate adrenal gland function in a patient with suspected adrenal insufficiency.
7. A radiologist overseeing the placement of a catheter in both adrenal arteries using fluoroscopy and contrast dye to assess adrenal gland blood flow in a patient with adrenal hypertension.
8. A radiologist providing guidance and interpretation during the bilateral selective placement of a catheter in the adrenal artery to investigate adrenal gland abnormalities in a patient with adrenal hyperplasia.
9. A radiologist supervising the radiological procedure of placing a catheter in both adrenal arteries to evaluate adrenal gland function in a patient with Cushing’s syndrome.
10. A radiologist interpreting fluoroscopic images of the bilateral selective placement of a catheter in the adrenal artery to assess adrenal gland abnormalities in a patient with adrenal gland tumors.