How To Use CPT Code 75743

CPT 75743 describes the radiological supervision and interpretation of selective bilateral angiography of the pulmonary 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 75743?

CPT 75743 can be used to describe the radiological supervision and interpretation of selective bilateral angiography of the pulmonary artery. This code is used when a radiologist provides the service of overseeing and interpreting the angiography procedure, which involves visualizing the blood vessels in the lungs using X-ray technology.

2. Official Description

The official description of CPT code 75743 is: ‘Angiography, pulmonary, bilateral, selective, radiological supervision and interpretation.’

3. Procedure

1. The procedure begins with the provider administering local anesthesia to the access site.
2. A puncture is made in the femoral artery, and a guidewire is inserted to assist in advancing the catheter to the right atrium, ventricle, and finally to the pulmonary artery.
3. Using fluoroscopy, the provider guides the catheter to the target point within the pulmonary artery.
4. The guidewire is then removed, and contrast dye is injected.
5. Multiple images are taken to visualize both pulmonary arteries and identify any abnormalities, such as pulmonary embolism.

4. Qualifying circumstances

CPT 75743 is performed on patients who require selective bilateral angiography of the pulmonary artery. This procedure is typically done to diagnose and treat conditions related to the blood vessels in the lungs. It is important to note that this code specifically represents the radiological supervision and interpretation portion of the procedure, which is performed by a radiologist.

5. When to use CPT code 75743

CPT code 75743 should be used when a radiologist provides the service of overseeing and interpreting the selective bilateral angiography of the pulmonary artery. This code is reported separately from any other services performed during the procedure.

6. Documentation requirements

To support a claim for CPT 75743, the radiologist must document the following information:

• Indication for the angiography procedure
• Details of the procedure, including the use of fluoroscopy and contrast dye
• Findings and interpretation of the angiography images
• Signature of the radiologist performing the radiological supervision and interpretation

7. Billing guidelines

When billing for CPT 75743, ensure that the service is performed by a radiologist and that it represents the radiological supervision and interpretation portion of the procedure. This code should not be reported with other codes that represent different components of the angiography procedure. It is important to follow the specific guidelines provided by the payer when submitting claims for CPT 75743.

8. Historical information

CPT 75743 was added to the Current Procedural Terminology system on January 1, 1990. There have been no updates or changes to the code since its addition.

9. Examples

1. A radiologist performing the radiological supervision and interpretation of selective bilateral angiography of the pulmonary artery to diagnose a patient with suspected pulmonary embolism.
2. A radiologist overseeing and interpreting the angiography procedure to evaluate the blood vessels in the lungs of a patient with a known pulmonary arterial abnormality.
3. A radiologist providing the service of radiological supervision and interpretation during selective bilateral angiography of the pulmonary artery to guide the treatment of a patient with a pulmonary vascular disorder.
4. A radiologist interpreting the angiography images obtained during the procedure to assess the extent of pulmonary artery stenosis in a patient with congenital heart disease.
5. A radiologist overseeing and interpreting the selective bilateral angiography of the pulmonary artery to evaluate the effectiveness of a previous pulmonary embolism treatment in a patient.
6. A radiologist performing the radiological supervision and interpretation of the angiography procedure to identify any abnormalities in the blood vessels of a patient with unexplained respiratory symptoms.
7. A radiologist providing the service of radiological supervision and interpretation during selective bilateral angiography of the pulmonary artery to assist in the diagnosis of a patient with suspected pulmonary hypertension.
8. A radiologist interpreting the angiography images obtained during the procedure to assess the presence of any pulmonary arteriovenous malformations in a patient with a known hereditary hemorrhagic telangiectasia.
9. A radiologist overseeing and interpreting the selective bilateral angiography of the pulmonary artery to evaluate the response to treatment in a patient with pulmonary vasculitis.
10. A radiologist performing the radiological supervision and interpretation of the angiography procedure to assess the patency of the pulmonary artery in a patient who underwent previous cardiac surgery.