2025 CPT code 74440
(Active) Effective Date: N/A Revision Date: N/A Diagnostic Imaging - Diagnostic Radiology Radiology Feed
Radiological supervision and interpretation of vasography, vesiculography, or epididymography to assess for blockage.
Modifiers 26 (professional component only), 52 (reduced services), and potentially TC (technical component only) can be used, depending on the services rendered and payer policies.
Medical necessity is established when there is clinical suspicion of obstruction in the male reproductive tract, typically due to symptoms of infertility or following procedures like vasectomy reversal. Imaging is required to assess patency and guide further management.
The clinical responsibility lies with the radiologist who oversees and interprets the imaging studies. This does not include performing the injection of contrast material or any surgical aspects involved in accessing the vas deferens, seminal vesicles, or epididymis.The radiologist is solely responsible for image analysis and report generation.
In simple words: The doctor reviews X-ray images of the tubes and glands in the male reproductive system to check for blockages that may cause infertility.
This CPT code encompasses the radiological supervision and interpretation of imaging studies, including vasography, vesiculography, and epididymography.These procedures utilize radiographic images to visualize the vas deferens, seminal vesicles, and epididymis, respectively, to identify potential blockages. The radiologist's role is limited to the oversight and analysis of the images, not the performance of the injection or surgical aspects of the procedures.
Example 1: A male patient presents with infertility. His urologist orders vasography, vesiculography, and epididymography.The radiologist supervises the technical aspects of the imaging and interprets the resulting images to determine if there are any blockages in the vas deferens, seminal vesicles, or epididymis., A patient undergoing a vasectomy reversal procedure has post-operative imaging to assess patency.The radiologist interprets the vasography images to confirm the success of the procedure., A patient with a history of scrotal trauma undergoes imaging to rule out any damage to the reproductive tract.The radiologist reviews the images from vesiculography and epididymography to check for obstruction or injury.
* Detailed patient history including symptoms and reason for referral.* Complete imaging reports including image quality assessment.* Specific findings in each study (vasography, vesiculography, and epididymography) detailing the presence or absence of blockages, their location and extent.
** This code only covers the radiological supervision and interpretation.Separate codes would be reported for the performance of the injections or any surgical aspects of the procedure.The level of detail in the radiological report and the specific findings on the images are critical for proper reimbursement. Always refer to current CPT guidelines and payer-specific policies for the most up-to-date information.
- Revenue Code: I1F (STANDARD IMAGING - OTHER)
- Payment Status: Active
- Modifier TC rule: Modifier TC may apply in certain scenarios where only the technical component of the imaging service is provided.
- Specialties:Urology, Radiology
- Place of Service:Office, Outpatient Hospital, Ambulatory Surgical Center