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2025 CPT code 74301

Radiological supervision and interpretation of additional intraoperative images during contrast imaging of the common bile duct.

This code should only be reported when additional intraoperative images are obtained and interpreted by a radiologist. The code should be reported in addition to the code for the primary surgical procedure.Modifiers may be necessary depending on the payer’s policies.

Modifiers 26 (professional component), 52 (reduced services), TC (technical component), and others may be applicable depending on payer policies and the circumstances of the service.Consult payer guidelines for specific requirements.

Medical necessity for this code is established when the additional imaging is necessary to guide the surgical procedure, assess for complications (such as residual stones or strictures), or to optimize the surgical outcome.Documentation must clearly support the need for additional imaging.

The radiologist is responsible for performing the radiological supervision and interpretation of the additional images taken during the surgical procedure. This includes reviewing the images, providing a diagnosis, and communicating findings to the surgeon.

IMPORTANT This code is typically used as an add-on code to 74300.Modifiers may be necessary depending on the circumstances of the service provided (e.g., modifier 26 for professional component only, modifier 52 for reduced services).

In simple words: This code covers the doctor's review and interpretation of extra X-ray images taken during a surgery of the bile duct to look for problems like stones or tumors.It's only used if extra images were needed besides the main surgery.

This CPT code reports the radiological supervision and interpretation (S&I) of additional imaging studies obtained during a surgical procedure involving contrast imaging of the common bile duct.These additional images are often requested by the surgeon to better visualize the biliary system and detect residual stones, tumors, or strictures. The service includes the physician's review and interpretation of the images, which are performed in addition to a primary surgical procedure.This code should only be reported when additional images are obtained and interpreted.

Example 1: A patient undergoes a cholecystectomy (gallbladder removal). During the procedure, the surgeon requests additional intraoperative cholangiography to assess for common bile duct stones. The radiologist provides real-time fluoroscopic guidance and interprets the additional images., A patient undergoes a pancreaticoduodenectomy (Whipple procedure).During the surgery, the surgical team suspects a common bile duct obstruction. The radiologist is consulted for additional intraoperative cholangiography and pancreatography. The radiologist performs the imaging supervision and interpretation and reports the findings to the surgical team., A patient is undergoing an ERCP (Endoscopic Retrograde Cholangiopancreatography).During the procedure, the endoscopist requests additional fluoroscopic imaging to better visualize a suspected stricture. The radiologist provides the supervision and interpretation of these additional images.

* Operative report detailing the indication for intraoperative cholangiography/pancreatography.* Radiology report including the number of additional images, findings, and clinical correlation with the surgical procedure.* Documentation of the radiologist's direct supervision and interpretation of the images during the procedure.

** This code is considered an add-on code and should always be reported in addition to the primary surgical procedure code.Accurate documentation is crucial to support medical necessity and ensure proper reimbursement.

  • Revenue Code: I1D (STANDARD IMAGING - CONTRAST GASTROINTESTINAL)
  • RVU: The RVUs for this code vary depending on the payer and geographic location.Consult your payer's specific fee schedule for accurate RVU information.
  • Global Days : This is an add-on code, therefore does not have a global period.
  • Payment Status: Active
  • Modifier TC rule: Modifier TC is not typically reported with this add-on code.Refer to payer policies.
  • Fee Schedule : Fee schedules vary by payer and geographic location. Historical fee data can be found in publicly available Medicare fee schedules or through private payer websites.
  • Specialties:Surgery, Radiology
  • Place of Service:Inpatient Hospital, Ambulatory Surgical Center
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