2025 CPT code 74330
Radiological supervision and interpretation for combined endoscopic catheterization of the biliary and pancreatic ductal systems.
Modifiers such as 26 (professional component), 52 (reduced services), and 53 (discontinued procedure) may be applicable in certain circumstances.
Medical necessity must be established for both the endoscopic procedure and the radiological supervision and interpretation. Documentation should support the reason for the procedure and the need for imaging guidance.
The physician is responsible for supervising the radiological portion of the procedure, including guiding the placement of instruments and interpreting the fluoroscopic images. They do not perform the endoscopic portion of the procedure.
In simple words: This code covers the doctor's work in overseeing and interpreting X-ray images taken during a procedure where a small camera is inserted into the bile and pancreatic ducts. The X-rays help the doctor look for problems like blockages, stones, or growths.
This code represents the physician's supervision and interpretation of radiological imaging during a combined endoscopic catheterization of the biliary and pancreatic ducts. The physician uses fluoroscopy to guide the insertion of a catheter and injection of contrast material, and then interprets the resulting images to assess the ducts for abnormalities such as tumors, strictures, or stones. The endoscopic procedure itself is reported separately (43260-43278).
Example 1: A patient presents with jaundice and abdominal pain. An ERCP is performed to evaluate the bile ducts, and code 74330 is reported for the radiologist's supervision and interpretation of the imaging., A patient with suspected pancreatic cancer undergoes an endoscopic procedure to obtain a biopsy. Code 74330 is reported for the radiologist's supervision and interpretation of the imaging guidance during the biopsy., A patient with gallstones undergoes an ERCP with sphincterotomy. Code 74330 is reported for the radiologist's supervision and interpretation of the imaging guidance.
Documentation should include details of the radiological supervision and interpretation, including the type of imaging used, the findings, and any complications. The report from the physician performing the endoscopic procedure should also be included.
** For services paid under the Outpatient Prospective Payment System (OPPS), Medicare does not pay hospitals separately for supervision and interpretation codes considered ancillary to the primary procedure. However, the codes should still be reported for statistical purposes. Modifier 52 is used when the service is reduced. Modifier 76 is used to indicate a repeat procedure or service by the same physician. Modifier 77 is used to indicate a repeat procedure or service by another physician.
- Modifier TC rule: Modifier TC (technical component) is not applicable to this code as it represents the professional component.
- Specialties:Radiology, Gastroenterology
- Place of Service: "Ambulatory Surgical Center", "Inpatient Hospital", "Outpatient Hospital",