2025 CPT code 75605
(Active) Effective Date: N/A Revision Date: N/A Radiology - Diagnostic Radiology Procedures Radiology Feed
Thoracic aortography with serialography; radiological supervision and interpretation.
Modifiers 26, TC, and 59 may apply depending on the circumstances of the service and the payer's requirements.
Medical necessity for thoracic aortography with serialography is established when there is a clinical indication such as suspected aortic aneurysm, dissection, trauma, or other pathology requiring detailed visualization of the thoracic aorta.
The clinical responsibility lies with the radiologist who supervises and interprets the aortography images. They do not perform the catheter insertion or contrast injection but review the images produced by the procedure to assess the condition of the thoracic aorta.
In simple words: This code covers the doctor's review and interpretation of x-ray images of the upper chest area's main artery (thoracic aorta) taken with a special rapid imaging technique (serialography) after a dye is injected. The doctor doesn't perform the procedure itself, only reviews the images.
This CPT code encompasses the radiological supervision and interpretation of a thoracic aortography procedure performed using serialography.The procedure involves injecting contrast material into the thoracic aorta and acquiring a series of images to visualize the vessel. This code represents only the imaging supervision and interpretation aspect of the procedure; the technical component is not included.
Example 1: A patient presents with suspected thoracic aortic aneurysm.A thoracic aortography with serialography is ordered. The radiologist reviews the images and creates a report detailing the findings, which then informs the patient's treatment plan., A patient has a history of trauma to the chest.Thoracic aortography with serialography is conducted to evaluate for possible aortic injury. The radiologist reviews the images and reports the findings, guiding subsequent management decisions., A patient with known thoracic aortic dissection undergoes a follow-up thoracic aortography with serialography to assess the progression of the dissection. The radiologist's interpretation of the images guides further treatment.
* Detailed history and physical examination findings relevant to the indication for aortography.*Physician’s order specifying the need for thoracic aortography with serialography.* Consent form signed by the patient.* Radiologist's report including image interpretation, measurements, and findings.* Images of the aortography procedure.
** This code should only be reported for the radiological supervision and interpretation of the aortography.The technical aspects of the procedure are not included.Refer to the CPT guidelines for additional information on appropriate coding practices.
- Revenue Code: I4B (IMAGING/PROCEDURE - OTHER)
- Payment Status: Active
- Modifier TC rule: Modifier TC can be appended to indicate that only the technical component of the service is reported.However, payer policies may vary.
- Specialties:Cardiology, Radiology, Vascular Surgery
- Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center