2025 CPT code 75630
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Diagnostic Radiology - Angiography Diagnostic Radiology (Diagnostic Imaging) Procedures of the Aorta and Arteries Feed
Aortography of the abdomen and bilateral iliofemoral arteries in the lower extremities using serialography, including radiological supervision and interpretation.
Modifiers 26 (professional component), TC (technical component), 59 (distinct procedural service), and others may be applicable depending on the circumstances. Consult the CPT manual and payer guidelines for more information.
Medical necessity for 75630 is established by the presence of symptoms or clinical findings suggestive of abdominal aortic or lower extremity arterial disease.This may include but is not limited to claudication, rest pain, or signs of diminished peripheral pulses. The procedure should be deemed medically necessary by the ordering physician.
The clinical responsibility includes catheter placement, contrast injection, image acquisition, and interpretation of the resulting images.This may be performed by a radiologist or other qualified healthcare professional.
- Diagnostic Radiology (Diagnostic Imaging) Procedures of the Aorta and Arteries
- Diagnostic Radiology (Diagnostic Imaging) Procedures of the Aorta and Arteries
In simple words: This code describes an X-ray test that uses dye to show pictures of the main artery in your belly (aorta) and the major arteries in your legs. The doctor injects dye, takes several X-ray pictures, and interprets the images to check for blockages or problems.
This CPT code encompasses the radiological imaging of the abdominal aorta and both iliofemoral arteries of the lower extremities using serialography (multiple X-ray images).The procedure involves catheter placement, contrast injection, image acquisition, and radiological supervision and interpretation. The code includes both the technical and professional components of the service.Imaging should be obtained without repositioning the catheter, using contrast runoff from a single catheter placement above the renal arteries to visualize the abdominal aorta and bilateral iliofemoral arteries.
Example 1: A patient presents with intermittent claudication (leg pain with exertion) and suspected peripheral artery disease.A 75630 is performed to assess the abdominal aorta and bilateral iliofemoral arteries for stenosis or occlusion., A patient with a history of abdominal aortic aneurysm (AAA) undergoes a follow-up 75630 to monitor the size of the aneurysm and assess for any changes in the iliofemoral arteries., A patient with trauma to the lower extremities requires a 75630 to evaluate for vascular injury involving the abdominal aorta and iliofemoral arteries.
Complete medical record documenting the indication for the procedure, catheter placement, contrast used, number of images obtained, and the interpretation of the images.The report should specify that the imaging was performed without repositioning the catheter.
** Incidental imaging of the common iliac arteries is included in 75630 and should not be separately coded.If the catheter is moved to a different location to image other vessels, additional codes may be required.Always refer to current CPT guidelines and payer-specific instructions for accurate coding.
- Revenue Code: I4B (Imaging/Procedure - Other)
- RVU: The relative value units (RVUs) for this code vary based on geographic location, payer, and other factors.Consult the appropriate fee schedule for current reimbursement information.
- Global Days: Not applicable.
- Payment Status: Active
- Modifier TC rule: Modifier TC (technical component) can be appended if only the technical component of the service is reported.
- Fee Schedule: Historical fee schedules are not provided in this dataset. Consult the appropriate fee schedule for the relevant period.
- Specialties:Vascular Surgery, Interventional Radiology, Cardiology
- Place of Service:Office, Hospital (Inpatient and Outpatient), Ambulatory Surgical Center