2025 CPT code 75625
(Active) Effective Date: N/A Revision Date: N/A Diagnostic Radiology - Angiography Radiology Feed
Abdominal aortography with serialography; radiological supervision and interpretation.
Modifiers may be appended to this code depending on the circumstances. Modifier 59 (distinct procedural service) may be necessary if the procedure is performed in the same session as another procedure and is distinct enough to warrant separate reimbursement. Modifiers 26 (professional component) and TC (technical component) may be applicable depending on payer requirements and who performed which part of the service.
Medical necessity for an abdominal aortogram is established when there is a clinical suspicion of aortic pathology such as an aneurysm, stenosis, or dissection. This may be based on physical examination findings, symptoms, and other diagnostic tests.
The clinical responsibility for this code rests with the radiologist or physician who supervises the procedure and interprets the resulting images. This includes reviewing the images, identifying any abnormalities, and generating a report summarizing the findings.
- Radiology
- Radiology Procedures > Diagnostic Radiology (Diagnostic Imaging) Procedures > Angiography
In simple words: This code covers the doctor's work in taking and interpreting X-ray images of the abdominal aorta (the main artery in the belly) after injecting a special dye to make the blood vessels clearer.Multiple X-rays are taken in quick succession.
This CPT code encompasses the radiological supervision and interpretation of an abdominal aortogram performed using serialography (a rapid sequence of X-ray images).The procedure involves injecting contrast material into the abdominal aorta to visualize the aorta and its branches. The interpretation of these images is included in the code.It is crucial that the documentation clearly supports that the catheter is placed at or above the renal arteries and that imaging is limited to the abdominal aorta; incidental imaging of the common iliac arteries is not separately codable.
Example 1: A patient presents with abdominal pain and suspected abdominal aortic aneurysm (AAA).An abdominal aortogram with serialography is performed to visualize the aorta and its branches. The radiologist supervises the procedure and interprets the images, reporting code 75625., A patient has undergone a prior abdominal aortogram, but due to a change in clinical presentation (e.g., new onset of symptoms), a repeat study is deemed necessary. Code 75625 is reported, along with modifier 59 (distinct procedural service) if performed in the same session as a previous procedure. , A patient with known vascular disease undergoes a follow-up abdominal aortogram. Imaging is limited to the abdominal aorta, ruling out 75630.The radiologist supervises and interprets the images, utilizing code 75625.
* Detailed patient history, including the indication for the study.* Description of the catheter placement (must be at or above renal arteries).* Confirmation that imaging is limited to the abdominal aorta (incidental visualization of iliac arteries is not separately codable).* Radiologist's interpretation report, including images, measurements, and findings.
** This code specifically excludes imaging of the lower extremities.If the lower extremities are imaged as part of the same procedure, 75630 should be utilized.Accurate documentation is critical for proper code selection.
- Revenue Code: I4B (IMAGING/PROCEDURE - OTHER)
- RVU: The relative value units (RVUs) for this code will vary based on geographic location and other factors.Consult the appropriate fee schedule for accurate RVU values. Note that this code covers only the professional component (physician work in supervision and interpretation).
- Global Days: Not applicable. This is a diagnostic imaging code, not a surgical procedure.
- Payment Status: Active
- Modifier TC rule: The technical component (TC) modifier may apply in certain circumstances (e.g., when billed by a facility separately from the professional component). Refer to payer-specific guidelines for clarification.
- Fee Schedule: Historical fee schedule data is not readily available in this context.Consult appropriate fee schedules for specific years.
- Specialties:Vascular Surgery, Radiology, Interventional Radiology, Cardiology
- Place of Service:Office, Hospital (Inpatient or Outpatient), Ambulatory Surgical Center