2025 CPT code 75774
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Diagnostic Radiology - Angiography Radiology Feed
Angiography, selective, each additional vessel studied after basic examination, radiological supervision and interpretation.
Modifier 59 may be appended to 75774 if it represents a distinct procedural service from the initial procedure, performed following the guidelines outlined in the CPT manual.
Medical necessity for 75774 is established when additional selective vessel studies are performed after an initial examination and provide clinically relevant information not obtained in the initial study. This might involve evaluation of new pathology, changes in the patient's clinical condition, or inadequate visualization of the original study.
The radiologist is responsible for performing the angiogram, interpreting the images, and reporting the findings. The add-on code 75774 indicates additional work beyond the initial study.
In simple words: This code covers the extra X-ray pictures of blood vessels taken after the doctor does a main blood vessel X-ray.The extra pictures are of smaller blood vessels connected to the main one. It's an additional charge added to the main X-ray procedure.
This CPT code, 75774, represents the radiological supervision and interpretation of each additional vessel studied selectively after a basic angiographic examination.It's an add-on code, meaning it's reported in addition to the code for the primary procedure. This code is used when contrast is injected and images are obtained from a second, third, or higher-order vessel within the same vascular family following the initial examination.The additional study must follow a basic examination, and the initial study must be reported separately.
Example 1: A patient undergoes a selective right common carotid artery angiogram (75720). During the procedure, the catheter is advanced selectively into the right internal carotid artery (75774), then the middle cerebral artery is catheterized and imaged (75774). Both additional vessel studies (75774 x 2) are reported in addition to 75720., A patient has a renal angiogram (75710).After imaging the main renal arteries, further selective catheterization and imaging is performed of smaller, branch renal arteries requiring additional radiological supervision and interpretation. Code 75774 is added to 75710., A lower extremity angiogram is performed, and additional imaging is needed in a different vascular bed (e.g., selective catheterization of a branch of the femoral artery after imaging the main femoral artery). Code 75774 is reported in addition to the primary angiogram code, along with the appropriate catheterization code if necessary.
The documentation must include the following:
** Always refer to the most up-to-date CPT manual and NCCI edits for the most accurate coding practices and reimbursement guidelines.Misuse of this add-on code can result in claim denials.
- Revenue Code: I4B (Imaging/Procedure - Other)
- RVU: Refer to CMS fee schedules for current RVU values.These values vary by location and payer.
- Global Days: Not applicable. This is an add-on code for radiological supervision and interpretation.
- Payment Status: Active
- Modifier TC rule: Modifier TC does not apply to this professional service.
- Fee Schedule: Refer to historical CMS fee schedules for past payment rates. These are subject to change.
- Specialties:Interventional Radiology, Vascular Surgery
- Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center