2025 CPT code 74329
(Active) Effective Date: N/A Radiology - Diagnostic Radiology Feed
Radiological supervision and interpretation for endoscopic catheterization of the pancreatic ductal system.
Modifiers 26 (Professional Component) and 52 (Reduced Services) may be applicable if the radiologist only interprets the images and does not supervise the imaging portion of the procedure.
Medical necessity for this code must be supported by the diagnosis and the need for radiological imaging during the endoscopic procedure.The documentation should clearly establish the clinical rationale for both the endoscopic procedure and the radiological supervision and interpretation.
The radiologist is responsible for supervising the imaging during the procedure, administering contrast if needed, and interpreting the resulting images to identify any abnormalities in the pancreatic ductal system.
In simple words: This code covers the radiologist's work in overseeing and interpreting X-ray images taken during a procedure where a small camera is inserted into the pancreas. This helps doctors see the pancreatic ducts and diagnose problems.
This code represents the radiological supervision and interpretation of images obtained during an endoscopic catheterization of the pancreatic ductal system.It includes the use of fluoroscopy and other imaging guidance to visualize the pancreatic ducts and surrounding structures, aiding in the diagnosis and treatment of pancreatic conditions. The endoscopic catheterization procedure itself is reported separately (43260-43278).
Example 1: A patient presents with abdominal pain and suspected pancreatic duct blockage. An ERCP (Endoscopic Retrograde Cholangiopancreatography) with pancreatic duct catheterization is performed, and a radiologist supervises the imaging and interprets the fluoroscopic images, reporting 74329., A patient with chronic pancreatitis undergoes endoscopic pancreatic duct catheterization for stent placement.A radiologist provides radiological supervision and interpretation during the procedure, using fluoroscopy to guide the stent placement, and reports 74329., A patient with a suspected pancreatic tumor undergoes endoscopic pancreatic duct catheterization for tissue sampling.A radiologist supervises and interprets the imaging during the procedure, using fluoroscopy to guide the biopsy, and reports 74329.
Documentation should include details of the radiological supervision and interpretation, including the type of imaging used (e.g., fluoroscopy), the findings of the imaging, and any contrast administered. The report should also clearly indicate that the radiologist supervised and interpreted the imaging during the endoscopic procedure. The endoscopic procedure itself should be documented separately.
- Specialties:Radiology, Gastroenterology
- Place of Service:Ambulatory Surgical Center, Inpatient Hospital, Outpatient Hospital