2025 CPT code 75580
(New) Effective Date: N/A Cardiology - Diagnostic Radiology Procedures Radiology Feed
Noninvasive estimate of coronary fractional flow reserve (FFR) derived from augmentative software analysis of coronary computed tomography angiography (CCTA) data, with interpretation and report.
Modifiers 26 (professional component) and TC (technical component) may be applicable depending on the circumstances of service delivery.
Medical necessity for this procedure is established when there is a clinical indication suggesting potential coronary artery disease requiring a noninvasive assessment of FFR. This may include symptoms such as chest pain, shortness of breath, or abnormal results from other cardiac tests. The physician's clinical judgment should justify the use of this test for guiding patient care.
The clinical responsibility includes acquisition of the coronary computed tomography angiography (CCTA),performance of the augmentative software analysis of the CCTA dataset, interpretation of the results by a qualified healthcare professional, and generation of a comprehensive report.
In simple words: This test uses special computer software to analyze images from a heart scan (a type of CT scan) to check how well blood flows through the heart's arteries. A doctor then reviews the computer results and explains what they mean.
This CPT code (75580) encompasses the noninvasive estimation of coronary fractional flow reserve (FFR) using augmentative software analysis of a separately acquired coronary computed tomography angiography (CCTA) dataset.The software analyzes the CCTA images to determine the severity of coronary artery blood flow blockages. A qualified healthcare professional (physician or other qualified individual) interprets the software's analysis and generates a report.The code includes both the software analysis and the professional interpretation and report.
Example 1: A patient presents with chest pain and suspected coronary artery disease. A CCTA is performed, and the resulting data is analyzed using augmentative software to estimate FFR.The physician reviews the software's FFR estimate and the CCTA images, then prepares a report detailing the findings and their clinical significance., A patient with known coronary artery disease undergoes a follow-up CCTA. The FFR is estimated using augmentative software to assess the effectiveness of previous treatment and to guide further management.A report including the FFR findings and their interpretation is created., A patient with atypical chest pain undergoes a diagnostic CCTA. Augmentative software is used to estimate FFR, helping to rule out or confirm significant coronary artery stenosis. The report includes the FFR assessment, along with visual interpretation of the CCTA images, to guide the clinical management of the patient's chest pain.
* Complete patient history and reason for the CCTA.* Technical specifications of the CCTA scan (e.g., slice thickness, reconstruction algorithms).* Raw CCTA image data.* Software analysis report (including FFR values and other relevant parameters).* Physician's interpretation and report, including clinical correlation and management recommendations.
** The augmentative software used for FFR estimation must be FDA-cleared or approved. Documentation should clearly specify the software used and its version.Accurate billing requires careful documentation of the CCTA scan and the interpretation of the FFR estimate.The absence of the CCTA invalidates this code.This code should be reported only when performed on the same day as the CCTA (75574).
- Revenue Code: T2D (OTHER TESTS - OTHER)
- Payment Status: Active
- Modifier TC rule: Modifier TC may be applied if only the technical component (the software analysis of the CCTA) is provided without professional interpretation.This scenario is less common given the clinical context of this test.
- Specialties:Cardiology, Radiology, Cardiovascular Surgery
- Place of Service:Office, Hospital (Inpatient and Outpatient), Ambulatory Surgical Center