How To Use CPT Code 77054

CPT 77054 describes the radiological supervision and interpretation of a ductogram or galactogram on multiple ducts. 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 77054?

CPT 77054 can be used to describe the radiological supervision and interpretation of a ductogram or galactogram on multiple ducts. This code is used when a physician performs a procedure to view the breast ducts and diagnose conditions such as nipple discharge, ductal ectasia, fibrocystic changes, intraductal papillomas, and breast cancer.

2. Official Description

The official description of CPT code 77054 is: ‘Mammary ductogram or galactogram, multiple ducts, radiological supervision and interpretation.’

3. Procedure

1. The physician cleanses the nipple and areola with an antiseptic liquid.
2. A cannula is inserted into the target duct.
3. Contrast dye is injected into the duct.
4. A mammogram is performed to visualize the ducts and interpret the results.

4. Qualifying circumstances

CPT 77054 is used when a physician performs a ductogram or galactogram on multiple ducts. This procedure is typically done to diagnose conditions related to the breast ducts, such as nipple discharge, ductal ectasia, fibrocystic changes, intraductal papillomas, and breast cancer.

5. When to use CPT code 77054

CPT code 77054 should be used when a physician performs a ductogram or galactogram on multiple ducts. It is important to use this code when the procedure involves multiple ducts, as there is a separate code (CPT 77053) for a single duct.

6. Documentation requirements

To support a claim for CPT 77054, the physician must document the following information:

• Reason for performing the ductogram or galactogram
• Number of ducts examined
• Details of the procedure, including the use of contrast dye
• Interpretation of the results
• Signature of the physician performing the procedure

7. Billing guidelines

When billing for CPT 77054, ensure that the procedure involves the radiological supervision and interpretation of a ductogram or galactogram on multiple ducts. It is important to use the appropriate code based on the number of ducts examined (77053 for a single duct, 77054 for multiple ducts). There are no specific guidelines regarding reporting CPT 77054 with other codes.

8. Historical information

CPT 77054 was added to the Current Procedural Terminology system on January 1, 2007. There have been no updates to the code since its addition.

9. Examples

1. A physician performing a ductogram on multiple ducts to diagnose nipple discharge in a patient.
2. A radiologist interpreting a galactogram on multiple ducts to assess for intraductal papillomas in a patient with breast abnormalities.
3. A surgeon performing a ductogram on multiple ducts to evaluate fibrocystic changes in a patient with breast pain.
4. A radiologist interpreting a galactogram on multiple ducts to screen for breast cancer in a patient with a family history of the disease.
5. A physician performing a ductogram on multiple ducts to investigate ductal ectasia in a patient with recurrent mastitis.
6. A radiologist interpreting a galactogram on multiple ducts to assess the extent of breast cancer spread in a patient prior to surgery.
7. A surgeon performing a ductogram on multiple ducts to guide the placement of a breast biopsy needle in a patient with suspicious mammographic findings.
8. A radiologist interpreting a galactogram on multiple ducts to evaluate the response to treatment in a patient with a known breast condition.
9. A physician performing a ductogram on multiple ducts to investigate nipple discharge in a patient with a previous history of breast surgery.
10. A radiologist interpreting a galactogram on multiple ducts to assess the presence of breast abnormalities in a patient undergoing fertility treatments.