2025 CPT code 74415

Urography using infusion, drip, or bolus techniques with nephrotomography.

Adhere to current CPT coding guidelines.Specific payer guidelines and policies should also be referenced for accurate reimbursement.Appropriate modifier application (26, TC) should be considered based on the services provided.

Modifiers 26 (professional component only), TC (technical component only) may be appended as appropriate.Refer to payer guidelines regarding modifier usage for hospital-based radiology services.

Medical necessity for IVU with nephrotomography (74415) is established based on clinical presentation, such as symptoms suggestive of urinary tract pathology (e.g., flank pain, hematuria, recurrent UTIs), pre-operative evaluation before urological procedures, or to evaluate for anatomical abnormalities.

The clinical responsibility includes administering the intravenous contrast, acquiring the x-ray images using nephrotomography, interpreting the images, and generating a diagnostic report.This typically involves a radiologist.

IMPORTANT Codes 74400, 74410 may be used interchangeably with 74415, depending on the specific technique used and whether nephrotomography was performed.If only physician interpretation is reported, append modifier 26. If only the technical component is reported, append modifier TC (hospital may be exempt from this).

In simple words: This code covers a special X-ray of the kidneys, ureters, and bladder. A dye is injected into a vein, and then X-rays are taken to create clear pictures of these organs, helping doctors diagnose urinary tract problems.

This CPT code encompasses intravenous urography (IVU) performed with infusion, drip, or bolus injection techniques, incorporating nephrotomography.The procedure involves administering contrast material intravenously, followed by x-ray imaging of the kidneys, ureters, and bladder to visualize the urinary tract. Nephrotomography is a specialized imaging technique that enhances visualization of the kidneys by blurring out overlying structures.The radiologist interprets the images and generates a diagnostic report.

Example 1: A patient presents with flank pain and hematuria. An IVU with nephrotomography (74415) is ordered to evaluate the kidneys, ureters, and bladder for any abnormalities such as stones, tumors, or infections., A patient is scheduled for a pre-operative evaluation before a urological surgery.An IVU with nephrotomography (74415) is performed to assess the anatomy of the urinary tract and to rule out any contraindications to surgery., A patient presents with recurrent urinary tract infections.An IVU with nephrotomography (74415) is performed to rule out anatomical abnormalities that could contribute to recurrent infections, such as vesicoureteral reflux.

* Complete patient history and physical examination notes documenting the indication for the procedure.* Radiologist's report with detailed description of the findings, including nephrotomographic images and interpretation.* Documentation of the contrast medium used, injection technique, and any adverse reactions.

** The terms tomography and nephrotomography can be used interchangeably in the context of this code.The choice of code (74400, 74410, or 74415) should reflect the technique utilized and whether nephrotomography was performed. Always verify payer specific guidelines and coverage policies for accurate billing and reimbursement.

  • Revenue Code: I1F (STANDARD IMAGING - OTHER)
  • RVU: This information is not available in the provided source.Consult the current CPT codebook or a relevant payer's fee schedule for RVU values.
  • Global Days : This information is not available in the provided source.The global period will vary depending on payer policy and the specific circumstances of the procedure.
  • Payment Status: Active
  • Modifier TC rule: Modifier TC may be applicable if only the technical component of the service is performed.Hospitals may not be required to append modifier TC, per payer policy.
  • Fee Schedule : Fee schedule information is not available in the provided source.Consult current fee schedules for up-to-date payment information.
  • Specialties:Urology, Radiology
  • Place of Service:Office, Hospital (Inpatient or Outpatient), Ambulatory Surgical Center
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