2025 HCPCS code G9554
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Procedures/Professional Services - Additional Assorted Quality Measures Ad Feed
Final report for chest or neck imaging (CT, CTA, MRI, or MRA) with follow-up imaging recommended.
Medical necessity is established when the initial imaging study was clinically indicated and when the follow-up imaging recommendation is supported by findings in the final report, aligned with appropriate clinical guidelines and program measure requirements.The appropriateness of the recommended follow-up should be demonstrable.
The clinical responsibility lies with the physician or qualified healthcare professional who interprets the imaging studies, generates the final report, and makes recommendations for follow-up imaging based on their clinical judgment and the relevant program guidelines.
In simple words: This code is for when a doctor creates a report after looking at images of your chest or neck (using special scans like CT, MRI, etc.) and recommends more scans in the future.
This HCPCS code represents the creation of a final report for chest or neck imaging studies utilizing computed tomography (CT), CT angiography (CTA), magnetic resonance imaging (MRI), or MR angiography (MRA).The report includes a recommendation for follow-up imaging, aligning with relevant program measure requirements. This code is specifically for performance measurement tracking and may be used by providers participating in programs aimed at enhancing patient care quality.
Example 1: A radiologist reviews a CT scan of a patient's chest, detects a suspicious nodule, and in the final report recommends further evaluation with a CT-guided biopsy., A neuroradiologist interprets an MRA of the neck, identifies a stenosis of the carotid artery, and recommends a follow-up MRA in six months to assess the progression of the stenosis., An interventional radiologist performs a CTA of the chest to evaluate pulmonary embolism.In the final report, he/she suggests follow-up imaging after treatment to assess response.
* Original imaging studies (CT, CTA, MRI, or MRA).* Final radiology report including the interpretation and recommendation for follow-up imaging.* Supporting clinical documentation justifying the need for the initial imaging study.* Documentation of compliance with the relevant program measure requirements.
** This code is primarily used for quality reporting and may not have direct reimbursement implications in all circumstances.Consult with your payer or program administrator for specific guidance.
- Payment Status: Active
- Specialties:Radiology, Interventional Radiology, Neuroradiology
- Place of Service:Office, Hospital Outpatient, Ambulatory Surgery Center