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2025 CPT code 75746

Radiological supervision and interpretation of pulmonary angiography by nonselective catheter or venous injection.

Diagnostic angiography performed at the time of an interventional procedure is separately reportable under specific circumstances.

Modifiers such as 26 (professional component), 59 (distinct procedural service), and others may be applicable.

Medical necessity for this procedure is established when there is a clinical suspicion of pulmonary embolism or other pulmonary vascular abnormalities.

The radiologist is responsible for supervising the procedure, interpreting the images, and creating a report.

IMPORTANT:For nonselective pulmonary arterial angiography by catheter injection performed at the time of cardiac catheterization, use 93568.

In simple words: This procedure uses X-rays and dye to create images of the arteries in your lungs. The doctor inserts a thin tube (catheter) into a vein, usually in your groin, and guides it to the pulmonary artery. Dye is injected, and X-ray images are taken to check for blockages or other problems.

This code represents the physician's work involved in supervising and interpreting a pulmonary angiogram performed using a nonselective catheter or venous injection. It includes reviewing the images and providing a report.

Example 1: A patient presents with shortness of breath and chest pain, raising suspicion of a pulmonary embolism. A pulmonary angiogram is performed using a nonselective catheter placement to visualize the pulmonary arteries and assess for blockage., A patient with a history of deep vein thrombosis experiences sudden onset of dyspnea. A pulmonary angiogram with nonselective venous injection is performed to evaluate for pulmonary embolism., A patient undergoing a cardiac catheterization also requires assessment of the pulmonary arteries. A nonselective pulmonary arterial angiography by catheter injection is performed at the same time, and code 93568 is used.

Documentation should include the reason for the angiogram, the approach used (nonselective catheter or venous injection), the interpretation of the images, and any relevant findings.

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