2025 CPT code 73615
Radiological supervision and interpretation of an ankle arthrography.
Modifiers 26, 50, 52, 53, 59, 76, 77, 79, 80, 81, 82, and 99 are applicable as described in the provided source.
Medical necessity for ankle arthrography must be established based on the patient's clinical presentation and the suspected diagnosis. The documentation should clearly indicate the reason for the procedure and how the results will impact the patient's treatment plan.
The physician is responsible for supervising the injection of contrast material into the ankle joint under fluoroscopic guidance and interpreting the resulting arthrographic images. This includes reviewing the images, diagnosing any abnormalities, and communicating the findings to the referring physician.
In simple words: This code covers the doctor's work in overseeing and interpreting X-ray images of your ankle joint after a special dye is injected to make the images clearer.This helps them diagnose problems inside your ankle joint.
This code represents the physician's work involved in supervising and interpreting the radiological images taken during an ankle arthrography.The procedure involves inserting a needle into the ankle joint, potentially removing fluid for analysis, and injecting contrast material to enhance the X-ray images. The radiologist then uses fluoroscopy to guide the procedure and interpret the resulting images.
Example 1: A patient presents with chronic ankle pain and limited range of motion.Ankle arthrography is performed to evaluate for ligament tears or cartilage damage. Code 73615 is reported for the radiologist's supervision and interpretation of the procedure., A patient has persistent ankle swelling following a sports injury. Arthrography is used to assess for synovitis or a joint effusion. The radiologist reports 73615 for their services., A patient with a history of ankle instability undergoes arthrography to evaluate the integrity of the joint capsule and ligaments.73615 is reported by the radiologist.
Documentation should include a detailed report of the arthrographic findings, including the type and amount of contrast used, the fluoroscopic views obtained, and a diagnosis based on the images. Any fluid removed for analysis should also be documented.
- Modifier TC rule: Modifier TC is not applicable to this code as it represents the professional component. TC modifier is used for the technical component, which is typically billed by the facility.
- Specialties:Radiology, Orthopedic Surgery, Sports Medicine
- Place of Service:Office, Hospital, Ambulatory Surgical Center, Independent Clinic