One of my doctors sent me this email this morning... "What is the correct CPT code and is the run-off (femoral to foot) included in this code and if not is there a separate code for the run-off? What is the complete description for the CPT code or codes? We will be performing CTAs with run-off iliac to toes." I have an answer to this but I want to make sure that I
am correct that although the imaging goes to the foot it is all reported as 75635. Does anyone have any resources or good explanations that I can use for my response? This is what I have typed so far but I feel I need a better explanation... The correct code for the procedure would be: 75635- Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image
postprocessing ►(Do not report 75635 in conjunction with 72191,73706, 74174 -74175) ◄ 72191 CTA, Pelvis This code contains instructions to not report it with the above codes so this would be the only code reportable for this exam.
73706 CTA, Lower Extremity
74174 CTA, Abdomen and Pelvis
74175 CTA, Abdomen
- #2
Is he also imaging the aorta? He asked only about the legs.
If all he is doing is the legs, then you would code 73706 (x 2 if both are ordered and medically necessary, x 1 if one was comparison or just because it was there)
Fully-Specified Name
ComponentMultisection^WO & W contrast IVPropertyFindTimePtSystemAbdomen>Aorta.abdominal & Pelvis+Lower extremity.bilateral>RO vesselsScaleDocMethodCT.angioAdditional Names
Short NameCTA Abd Aorta+ROves-Bl WO+WcontrIVAssociated Observations
This panel contains the recommended sections for diagnostic imaging reports based on HL7 Implementation Guide for CDA® Release 2: Consolidated CDA Templates for Clinical Notes (US Realm) DSTU Releases 2.0 & 2.1.
| 81220-6 | Diagnostic imaging report - recommended C-CDA R2.0 and R2.1 sections | |||
| Indent11329-0 | History general | O | ||
| Indent55115-0 | Request (Radiology) | O | ||
| Indent55111-9 | Current imaging procedure descriptions Document | O | ||
| Indent55114-3 | Prior procedure descriptions | O | ||
| Indent18834-2 | Radiology Comparison study - observation | O | ||
| Indent18782-3 | Radiology Study observation (findings) | R | ||
| Indent19005-8 | Radiology - Impression | O | ||
| Indent18783-1 | Radiology Study recommendation | O | ||
| Indent55110-1 | Conclusions | O | ||
| Indent55107-7 | Addendum | O | ||
| Indent18785-6 | Radiology Reason for study | O | ||
| Indent55108-5 | Patient presentation | O | ||
| Indent55109-3 | Complications | O | ||
| Indent55112-7 | Summary | O | ||
| Indent55113-5 | Key images | O |
Associated Observations
This panel contains the recommended sections for diagnostic imaging reports based on the HL7 Implementation Guide for CDA® Release 2: Consolidated CDA Templates for Clinical Notes (US Realm) DSTU Release 1.1.
| 72230-6 | Diagnostic imaging report - recommended C-CDA R1.1 sections | |||
| Indent18782-3 | Radiology Study observation (findings) | R | ||
| Indent55107-7 | Addendum | O | ||
| Indent55108-5 | Patient presentation | O | ||
| Indent55109-3 | Complications | O | ||
| Indent55110-1 | Conclusions | O | ||
| Indent55111-9 | Current imaging procedure descriptions Document | O | ||
| Indent11329-0 | History general | O | ||
| Indent55113-5 | Key images | O | ||
| Indent55114-3 | Prior procedure descriptions | O | ||
| Indent19005-8 | Radiology - Impression | O | ||
| Indent18834-2 | Radiology Comparison study - observation | O | ||
| Indent18785-6 | Radiology Reason for study | O | ||
| Indent18783-1 | Radiology Study recommendation | O | ||
| Indent55115-0 | Request (Radiology) | O | ||
| Indent55112-7 | Summary | O |
Basic Attributes
ClassRADTypeClinicalFirst ReleasedVersion 2.52Last UpdatedVersion 2.61Change ReasonRemoved "bilateral" from the imaging focus of "RO vessels" since the laterality is specified in the corresponding region imaged (Lower extremity.bilateral). Updated System to conform with the LOINC/Radlex unified model.Order vs. ObservationBothHL7 Attachment StructureImplementation guide existsMember of these Groups
Language Variants Get Info
zh-CNChinese (China)多层^不采用 & 采用静脉注射对比剂:发现:时间点:腹部>主动脉.腹腔段 & 盆腔+下肢.双侧>流出道血管类:文档型:CT.血管造影术it-ITItalian (Italy)Sezioni multiple^Con & senza constrasto EV:Osservazione:Pt:Addome+Bacino+Estremità inferiore.bilaterale>Aorta.addominale+Vasi di deflusso:Doc:TC.angioes-MXSpanish (Mexico)Multisección ^ Contraste WO y W IV:Tipo:Punto temporal:Abdomen> Aorta.abdominal y Pelvis + Extremidad inferior.bilateral> Vasos OI:Documento:CT.angioLOINC FHIR® API Example - CodeSystem Request Get Info
//fhir.loinc.org/CodeSystem/$lookup?system=//loinc.org&code=78031-2LOINC Copyright
Copyright © 2022 Regenstrief Institute, Inc. All Rights Reserved. To the extent included herein, the LOINC table and LOINC codes are copyright © 1995-2022, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee. See //loinc.org/license for the full LOINC copyright and license.