2025 CPT code 74425
(Active) Effective Date: N/A Revision Date: N/A Radiology Procedures - Diagnostic Radiology Radiology Feed
Radiological supervision and interpretation of antegrade urography.
Modifiers 26 and 52 are commonly used with this code.Other modifiers may apply depending on the specific circumstances of the service.
Medical necessity for antegrade urography is established when other imaging modalities (e.g., retrograde pyelography) are not feasible or when there is a need for direct visualization of the pelvicaliceal system to evaluate suspected obstructions.
The radiologist's responsibility involves overseeing the antegrade urography procedure, interpreting the resulting radiographic images, and assessing the findings to help determine the appropriate treatment plan. The radiologist does not perform the technical aspects of the procedure (injection of contrast, etc.).
In simple words: This code covers the doctor's work in overseeing and interpreting X-ray images of the urinary tract after a special dye has been injected. The X-rays are used to see if there are any blockages, such as kidney stones, and help determine the next steps in treatment.
This CPT code encompasses the radiological supervision and interpretation of an antegrade urography examination.Antegrade urography, also known as antegrade pyelography, involves the percutaneous introduction of a contrast agent into the pelvicaliceal system under fluoroscopic guidance. The contrast agent's flow is observed radiographically to identify any obstructions within the urinary tract, such as calculi. The radiologist assesses the location and size of any identified obstruction to inform further treatment planning.This code only covers the radiological supervision and interpretation aspects; it does not include the technical component of the procedure.
Example 1: A patient presents with suspected ureteral obstruction.The radiologist supervises the antegrade urography procedure, interprets the resulting images, and identifies a calculus causing partial obstruction.The report informs the urologist's decision regarding treatment options., A patient has a history of recurrent kidney stones.The radiologist performs the radiological supervision and interpretation of an antegrade urogram to assess the patency of the urinary tract after a recent lithotripsy procedure. The images show no residual stones or significant obstructions., A patient presents with flank pain and hematuria.Antegrade urography is performed under fluoroscopic guidance, and the radiologist interprets the images, identifying a significant stricture in the ureter. The findings are used for surgical planning.
The documentation should include the patient's clinical history, indications for the procedure, details of the contrast agent used, radiographic images, and the radiologist's interpretation of the findings, including location, size, and nature of any detected obstructions.The report should clearly state that the code represents only the professional component (supervision and interpretation).
** This code is for the professional component only.The technical component (the actual procedure) is billed separately.
- Revenue Code: I1F (STANDARD IMAGING - OTHER)
- Payment Status: Active
- Modifier TC rule: Modifier TC does not apply to this code as it only represents the professional component (interpretation).
- Specialties:Urology, Radiology
- Place of Service:Office, Hospital (Inpatient and Outpatient), Ambulatory Surgical Center