2025 CPT code 74455

Voiding urethrocystography, radiological supervision and interpretation.

Follow current CPT coding guidelines for radiology services.Modifiers may be needed depending on the specific circumstances (e.g., 26 for professional component only).

Modifiers 26 (professional component) and TC (technical component) may be appended as appropriate.Refer to payer specific guidelines and the CPT manual for accurate modifier usage.

Medical necessity for a voiding urethrocystography is established when there is a clinical indication suggesting a problem with bladder emptying, such as recurrent urinary tract infections, urinary incontinence, or post-trauma evaluation.

The radiologist's responsibility is to review and interpret the images from the voiding urethrocystography.They do not perform the injection or catheterization aspect of the procedure.

IMPORTANT Code 51600 (Injection procedure for cystography or voiding urethrocystography) is used for the injection procedure itself.74450 (Urethrocystography, retrograde, radiological supervision and interpretation) is used for retrograde urethrocystography.

In simple words: This code covers the doctor's review and interpretation of x-ray images taken during a special bladder and urethra test (voiding urethrocystography). The test shows how well the bladder and urethra are working. The doctor doesn't perform the test itself; this code is just for looking at and interpreting the images.

This CPT code encompasses the radiological supervision and interpretation of a voiding urethrocystography.The procedure involves imaging the urethra and bladder while the patient is voiding to assess the urinary system's function and identify any abnormalities. This code represents both the technical and professional components of the service. It is reported only for imaging supervision and interpretation; the injection procedure (51600) is billed separately.

Example 1: A 5-year-old child presents with recurrent urinary tract infections. A voiding cystourethrogram is ordered to evaluate for vesicoureteral reflux. The radiologist reviews the images and reports the findings., An adult patient reports urinary incontinence.A voiding urethrocystography is performed, and the radiologist interprets the images to determine the cause and severity of the incontinence., A patient with a history of pelvic trauma undergoes a voiding urethrocystography to evaluate for urethral injury.The radiologist interprets the images and reports the findings to the urologist.

* Patient demographics and medical record number.* Reason for the procedure (clinical indication).* Imaging study report including detailed description of findings and interpretation.* Relevant clinical history.

** This code should only be reported for the radiological supervision and interpretation. The injection procedure (51600) is reported separately.Always refer to payer-specific guidelines for reimbursement policies.

  • Revenue Code: I1F (STANDARD IMAGING - OTHER)
  • RVU: Information not available in provided source. Consult the current CPT manual or a medical billing resource for RVU data.
  • Global Days : Not applicable. This is an imaging interpretation code, not a surgical procedure with a global period.
  • Payment Status: Active
  • Modifier TC rule: Modifier TC might apply if only the technical component (image acquisition) is billed separately; however, this is usually handled by the facility.Modifier 26 would be used for the professional interpretation component only.
  • Fee Schedule : Information not available in the provided sources. Consult fee schedules from relevant payers for historical fee information.
  • Specialties:Urology, Radiology
  • Place of Service:Office, Hospital (Inpatient or Outpatient), Ambulatory Surgical Center
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