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2025 CPT code 75600

Thoracic aortography without serialography; radiological supervision and interpretation.

Follow current CPT coding guidelines for radiology and imaging procedures.Modifiers may be necessary depending on the specific circumstances of the procedure and payer requirements.Specifically refer to the guidelines pertaining to separate reporting of diagnostic angiography during an interventional procedure.

Modifiers 26 (professional component only), 52 (reduced services), and 59 (distinct procedural service) may be applicable under certain circumstances. Modifier TC (technical component) does not apply as this code only reflects professional services.

Medical necessity for thoracic aortography is established based on the patient's clinical presentation, history, and other diagnostic findings suggesting abnormalities in the thoracic aorta (e.g., suspected aneurysm, dissection, trauma).

The clinical responsibility for this code lies with the radiologist who oversees the imaging acquisition and interprets the resulting images to diagnose any abnormalities in the thoracic aorta.The radiologist does not perform the catheterization or injection of contrast media.

IMPORTANT:For supravalvular aortography performed during cardiac catheterization, use code 93567, which includes imaging supervision, interpretation, and report.If serialography is used, use code 75605.

In simple words: This code covers the doctor's work in overseeing and interpreting X-ray images of the aorta (the main artery in the upper chest) during a procedure where special dye is used to make the artery visible.The doctor does not perform the procedure itself, only reviews the images.

This CPT code, 75600, represents the radiological supervision and interpretation of a thoracic aortography procedure performed without serialography.The procedure involves the introduction of a catheter (typically via the femoral artery) into the thoracic aorta, followed by imaging to assess for abnormalities. The code encompasses the physician's oversight of the imaging process and the interpretation of the resulting images.It does not include the technical component of the procedure (the actual performance of the aortography).

Example 1: A patient presents with chest pain and suspected aortic dissection. A thoracic aortography is performed, and code 75600 is reported for the radiological supervision and interpretation of the images., A patient has a history of aortic aneurysm.A follow-up thoracic aortography is performed to monitor the aneurysm size, and code 75600 is used to bill for the image interpretation., A patient undergoes a cardiac catheterization, and a thoracic aortogram is obtained incidentally during the procedure.However, this is not the primary reason for the procedure, and the dedicated thoracic aortography code 75600 is not used because the imaging work is included in the primary cardiac procedure code.

Complete medical record documentation including the indication for the procedure, description of the imaging technique, the images themselves, and the radiologist's interpretation and report are required for accurate coding.

** This code should only be reported for the professional component (radiological supervision and interpretation) of the thoracic aortography. The technical component is typically billed separately by the facility or imaging center.

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