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Quantitative computed tomography (CT) tissue characterization is a specialized imaging technique that utilizes advanced CT data to assess and measure specific tissue properties, particularly bone mineral density. This method is crucial in the diagnosis and management of osteoporosis, a condition characterized by weakened bones and an increased risk of fractures. Additionally, this technique plays a significant role in cardiac assessments, specifically through cardiac CT calcium scoring, which evaluates the presence of calcified plaque within the coronary arteries. The quantification of coronary artery calcification (CAC) serves as a vital risk marker for cardiovascular diseases, including heart attacks and strokes. The process involves the acquisition of CT data, which can either be from a previously conducted CT scan or obtained concurrently with a new CT examination of any anatomical structure. The collected CT dataset is then processed using specialized software to provide detailed quantitative analysis. This analysis is subsequently reviewed by a physician, who ensures the accuracy of the results and makes necessary adjustments for any potential computer-generated errors. Finally, the physician documents the findings in a report, which is integrated into the patient's medical record or the report of the concurrent CT examination.
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The quantitative computed tomography (CT) tissue characterization procedure is indicated for the following conditions:
The procedure for quantitative computed tomography (CT) tissue characterization involves several key steps:
Post-procedure care for quantitative computed tomography (CT) tissue characterization typically involves monitoring the patient for any immediate reactions to the imaging process, although the procedure itself is non-invasive and generally well-tolerated. The physician will review the generated report with the patient, discussing the findings and any implications for treatment or further diagnostic steps. Follow-up appointments may be scheduled to monitor changes in bone mineral density or cardiovascular risk, depending on the initial indications for the procedure. It is essential for the physician to document all findings and recommendations in the patient's medical record to ensure continuity of care.
| Short Descr | QUAN CT TISS CHARAC W/CT | Medium Descr | QUAN CT TISS CHARAC I&R W/CNCRNT CT EXAM | Long Descr | Quantitative computed tomography (CT) tissue characterization, including interpretation and report, obtained with concurrent CT examination of any structure contained in the concurrently acquired diagnostic imaging dataset (List separately in addition to code for primary procedure) | Status Code | Carriers Price the Code | Global Days | ZZZ - Code Related to Another Service | PC/TC Indicator (26, TC) | 1 - Diagnostic Tests for Radiology Services | Multiple Procedures (51) | 0 - No payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 0 - Payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Procedure or Service, Not Discounted when Multiple | Berenson-Eggers TOS (BETOS) | none | MUE | 1 |
This is an add-on code that must be used in conjunction with one of these primary codes.
| 0721T | MPFS Status: Carrier Priced APC S Quantitative computed tomography (CT) tissue characterization, including interpretation and report, obtained without concurrent CT examination of any structure contained in previously acquired diagnostic imaging | 70450 | MPFS Status: Active Code APC Q3 ASC Z2 Physician Quality Reporting PUB 100 CPT Assistant Article Computed tomography, head or brain; without contrast material | 70460 | MPFS Status: Active Code APC Q3 ASC Z3 Physician Quality Reporting PUB 100 CPT Assistant Article Computed tomography, head or brain; with contrast material(s) | 70470 | MPFS Status: Active Code APC Q3 ASC Z2 Physician Quality Reporting PUB 100 CPT Assistant Article Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections | 70480 | MPFS Status: Active Code APC Q3 ASC Z2 PUB 100 CPT Assistant Article Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material | 70481 | MPFS Status: Active Code APC Q3 ASC Z2 PUB 100 CPT Assistant Article Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s) | 70482 | MPFS Status: Active Code APC Q3 ASC Z2 PUB 100 Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections | 70486 | MPFS Status: Active Code APC Q3 ASC Z2 PUB 100 CPT Assistant Article Computed tomography, maxillofacial area; without contrast material | 70487 | MPFS Status: Active Code APC Q3 ASC Z2 PUB 100 Computed tomography, maxillofacial area; with contrast material(s) | 70488 | MPFS Status: Active Code APC Q3 ASC Z2 PUB 100 Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections | 70490 | MPFS Status: Active Code APC Q3 ASC Z2 PUB 100 Computed tomography, soft tissue neck; without contrast material | 70491 | MPFS Status: Active Code APC Q3 ASC Z2 PUB 100 Computed tomography, soft tissue neck; with contrast material(s) | 70492 | MPFS Status: Active Code APC Q3 ASC Z2 PUB 100 Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) and further sections | 71250 | MPFS Status: Active Code APC Q3 ASC Z2 PUB 100 CPT Assistant Article Computed tomography, thorax, diagnostic; without contrast material | 71260 | MPFS Status: Active Code APC Q3 ASC Z2 PUB 100 CPT Assistant Article Computed tomography, thorax, diagnostic; with contrast material(s) | 71270 | MPFS Status: Active Code APC Q3 ASC Z2 PUB 100 CPT Assistant Article Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections | 71271 | Adult 15-124 MPFS Status: Active Code APC S Computed tomography, thorax, low dose for lung cancer screening, without contrast material(s) | 72125 | MPFS Status: Active Code APC Q3 ASC Z2 PUB 100 Computed tomography, cervical spine; without contrast material | 72126 | MPFS Status: Active Code APC Q3 ASC Z3 PUB 100 Computed tomography, cervical spine; with contrast material | 72127 | MPFS Status: Active Code APC Q3 ASC Z2 PUB 100 Computed tomography, cervical spine; without contrast material, followed by contrast material(s) and further sections | 72128 | MPFS Status: Active Code APC Q3 ASC Z2 PUB 100 Computed tomography, thoracic spine; without contrast material | 72129 | MPFS Status: Active Code APC Q3 ASC Z2 PUB 100 Computed tomography, thoracic spine; with contrast material | 72130 | MPFS Status: Active Code APC Q3 ASC Z2 PUB 100 Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and further sections | 72131 | MPFS Status: Active Code APC Q3 ASC Z2 PUB 100 Computed tomography, lumbar spine; without contrast material | 72132 | MPFS Status: Active Code APC Q3 ASC Z3 PUB 100 CPT Assistant Article Computed tomography, lumbar spine; with contrast material | 72133 | MPFS Status: Active Code APC Q3 ASC Z2 PUB 100 Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further sections | 72192 | MPFS Status: Active Code APC Q3 ASC Z2 PUB 100 CPT Assistant Article Computed tomography, pelvis; without contrast material | 72193 | MPFS Status: Active Code APC Q3 ASC Z2 PUB 100 CPT Assistant Article Computed tomography, pelvis; with contrast material(s) | 72194 | MPFS Status: Active Code APC Q3 ASC Z2 PUB 100 CPT Assistant Article Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further sections | 73200 | MPFS Status: Active Code APC Q3 ASC Z2 PUB 100 Computed tomography, upper extremity; without contrast material | 73201 | MPFS Status: Active Code APC Q3 ASC Z3 PUB 100 Computed tomography, upper extremity; with contrast material(s) | 73202 | MPFS Status: Active Code APC Q3 ASC Z2 PUB 100 Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections | 73700 | MPFS Status: Active Code APC Q3 ASC Z2 PUB 100 CPT Assistant Article Computed tomography, lower extremity; without contrast material | 73701 | MPFS Status: Active Code APC Q3 ASC Z2 PUB 100 Computed tomography, lower extremity; with contrast material(s) | 73702 | MPFS Status: Active Code APC Q3 ASC Z2 PUB 100 CPT Assistant Article Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections | 74150 | MPFS Status: Active Code APC Q3 ASC Z2 PUB 100 CPT Assistant Article Computed tomography, abdomen; without contrast material | 74160 | MPFS Status: Active Code APC Q3 ASC Z2 PUB 100 CPT Assistant Article Computed tomography, abdomen; with contrast material(s) | 74170 | MPFS Status: Active Code APC Q3 ASC Z2 PUB 100 CPT Assistant Article Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections | 74176 | MPFS Status: Active Code APC Q3 ASC Z3 Computed tomography, abdomen and pelvis; without contrast material | 74177 | MPFS Status: Active Code APC Q3 ASC Z2 Computed tomography, abdomen and pelvis; with contrast material(s) | 74178 | MPFS Status: Active Code APC Q3 ASC Z2 Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions | 74261 | MPFS Status: Active Code APC Q3 ASC Z2 CPT Assistant Article Illustration for Code Computed tomographic (CT) colonography, diagnostic, including image postprocessing; without contrast material | 74262 | MPFS Status: Active Code APC Q3 ASC Z2 CPT Assistant Article Illustration for Code Computed tomographic (CT) colonography, diagnostic, including image postprocessing; with contrast material(s) including non-contrast images, if performed | 74263 | MPFS Status: Active Code APC S CPT Assistant Article Illustration for Code Computed tomographic (CT) colonography, screening, including image postprocessing | 75571 | MPFS Status: Active Code APC Q1 ASC N1 CPT Assistant Article Illustration for Code Computed tomography, heart, without contrast material, with quantitative evaluation of coronary calcium | 75572 | MPFS Status: Active Code APC S ASC Z3 CPT Assistant Article Illustration for Code Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology (including 3D image postprocessing, assessment of cardiac function, and evaluation of venous structures, if performed) | 75573 | MPFS Status: Active Code APC S ASC Z3 CPT Assistant Article Illustration for Code Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology in the setting of congenital heart disease (including 3D image postprocessing, assessment of left ventricular [LV] cardiac function, right ventricular [RV] structure and function and evaluation of vascular structures, if performed) | 76497 | MPFS Status: Carrier Priced APC Q1 ASC N1 PUB 100 CPT Assistant Article Unlisted computed tomography procedure (eg, diagnostic, interventional) |
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| 2023-01-01 | Added | First appearance in codebook. |
| 2022-07-01 | Added | Code added. |
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