2025 CPT code 73580
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Diagnostic Radiology - Arthrography Radiology Feed
Imaging supervision and interpretation of a knee arthrogram.
Modifiers 26 (professional component) and 52 (reduced services) may be applied depending on the circumstances.Other modifiers may also be applicable based on payer guidelines and the specific circumstances.
Medical necessity for a knee arthrogram is typically established by the presence of symptoms suggestive of intra-articular pathology (e.g., pain, swelling, instability), previous knee trauma, or other clinical findings that cannot be adequately assessed with other imaging modalities.The ordering physician must document this clinical indication clearly.
The clinical responsibility for this code involves the radiological supervision and interpretation of the arthrogram.This includes injecting contrast material into the knee joint under fluoroscopic guidance and obtaining X-ray images from various angles.The radiologist interprets the images to diagnose any abnormalities or injuries within the knee joint.
In simple words: This code covers the doctor's work in looking at and interpreting X-ray images of the knee joint after a special dye has been injected.The doctor watches the dye on an X-ray screen and takes pictures to check the knee's health. The injection itself is billed separately.
This CPT code, 73580, reports the imaging supervision and interpretation of a knee arthrogram.The procedure involves injecting contrast material into the knee joint under fluoroscopic guidance, followed by taking a series of X-rays to evaluate the joint structures.This code only covers the radiological supervision and interpretation; the injection procedure itself is reported separately using code 27369.
Example 1: A patient presents with chronic knee pain and suspected meniscus tear. An arthrogram is ordered to visualize the menisci and other intra-articular structures. The radiologist performs the imaging supervision and interpretation, reporting 73580., A patient has undergone knee surgery and is experiencing post-operative pain and swelling.An arthrogram is performed to evaluate for possible complications such as infection or synovitis. The radiologist reports 73580 for their professional component. A separate code reflects the technical component., A trauma patient sustains a knee injury, and an arthrogram is needed to assess the extent of ligamentous and other intra-articular injuries.The radiologist supervises the injection and interprets the images; 73580 accurately captures this contribution.
* Complete patient history and clinical indication for the arthrogram.* Radiologist's report detailing the procedure, including contrast material used, fluoroscopic guidance, number of views, and image interpretations.* Images of the arthrogram.* Documentation of the injection itself (coded separately).
** This code represents only the professional component of an arthrogram.The technical component of the arthrogram is usually billed separately by the facility providing the service. Always check payer-specific guidelines for modifiers and billing practices.
- Revenue Code: I4B (IMAGING/PROCEDURE - OTHER)
- RVU: RVU data not available in source. Consult current fee schedules and local payers for accurate RVU values.
- Global Days: Global period information not available in source. Refer to payer-specific guidelines.
- Payment Status: Active
- Modifier TC rule: Modifier TC (Technical Component) applies to the technical aspect of the procedure (separate code). The radiologist reports the professional component using 73580 with modifier 26 if necessary.
- Fee Schedule: Historical fee schedule data not available in source.Refer to historical CPT manuals and payer fee schedules for historical data.
- Specialties:Radiology, Orthopedics, Sports Medicine
- Place of Service:Office, Outpatient Hospital, Ambulatory Surgical Center