How To Use CPT Code 76125

CPT 76125 describes the use of cineradiography/videoradiography to complement routine examinations. 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 76125?

CPT 76125 is used to describe the use of cineradiography/videoradiography to complement routine examinations. This code is used when a provider uses a special camera to capture a series of images of an organ or system in motion. These recorded movements are then played back in rapid succession, allowing the provider to diagnose various disorders and visualize functions such as swallowing, vocal cord movement, heart cycle, or dynamic motion of the spine or joints.

2. Official Description

The official description of CPT code 76125 is: ‘Cineradiography/videoradiography to complement routine examination (List separately in addition to code for primary procedure).’ This code is an add-on code and should be listed separately in addition to the code for the primary procedure.

3. Procedure

1. During a routine examination, the provider uses a special camera to capture a series of images of an organ or system in motion.
2. These images are recorded and played back at a rapid rate, creating a motion picture-like effect.
3. The provider analyzes the individual frames of the recorded movements to diagnose various disorders and visualize functions.
4. This procedure can be used to visualize swallowing function, vocal cord movement, heart cycle, or dynamic motion of the spine or joints.

4. Qualifying circumstances

CPT 76125 can be used when the cineradiography/videoradiography is performed to complement a routine examination. It is typically used to visualize specific functions or movements that cannot be adequately assessed through static imaging alone. This procedure may be referred to as cineradiofluorography, cinefluorography, or videofluorography.

5. When to use CPT code 76125

CPT code 76125 should be used when the provider performs cineradiography/videoradiography to complement a routine examination. It is important to note that this code is an add-on code and should be listed separately in addition to the code for the primary procedure.

6. Documentation requirements

To support a claim for CPT 76125, the provider must document the following information:

• The primary procedure code for which CPT 76125 is being listed as an add-on
• A detailed description of the cineradiography/videoradiography procedure performed
• The specific organ or system in motion that was visualized
• The recorded movements and their analysis
• Any relevant findings or diagnoses made based on the recorded images

7. Billing guidelines

When billing for CPT 76125, ensure that the procedure is performed to complement a routine examination. This code should be listed separately in addition to the code for the primary procedure. If only the physician’s interpretation is being reported, append modifier 26 to the radiology code. If only the technical component is being reported, append modifier TC to the radiology code. However, note that payer policies may exempt hospitals from appending modifier TC. When reporting a global service in which one provider renders both the professional and technical components, do not append a professional or technical modifier to the radiology code.

8. Historical information

CPT 76125 was added to the Current Procedural Terminology system on January 1, 1990. The code was later changed on January 1, 2002 to its current description of cineradiography/videoradiography to complement routine examination.

9. Examples

1. A provider performs cineradiography to visualize the swallowing function of a patient with dysphagia during a routine examination.
2. During a routine examination, a provider uses videoradiography to assess the vocal cord movement of a patient with voice disorders.
3. A provider utilizes cineradiography to visualize the heart cycle of a patient with suspected cardiac abnormalities during a routine examination.
4. During a routine examination, a provider performs videoradiography to assess the dynamic motion of the spine in a patient with back pain.
5. A provider uses cineradiography to visualize the dynamic motion of a patient’s joints during a routine examination to assess for joint abnormalities.