CPT® Code 0174T | Case2Code

Official Description

Computer-aided detection (CAD) (computer algorithm analysis of digital image data for lesion detection) with further physician review for interpretation and report, with or without digitization of film radiographic images, chest radiograph(s), performed concurrent with primary interpretation (List separately in addition to code for primary procedure)

Common Language Description

Computer-aided detection (CAD) is a sophisticated technology that utilizes computer algorithms to analyze digital image data for the purpose of detecting lesions, such as pulmonary nodules, within chest radiographs. This procedure is performed in conjunction with routine chest radiographs, which may be reported separately. CAD can be executed with or without the digitization of film radiographic images, depending on the format of the original images. The process involves a concurrent interpretation of the primary radiographs, allowing for a comprehensive assessment of the images. The CAD system enhances the standard two-dimensional images by employing advanced software that identifies and marks regions of interest that may require further examination. It is important to note that the markings generated by the CAD system do not automatically indicate malignancy; rather, they highlight areas that warrant additional scrutiny by a qualified radiologist. The complexity of interpreting standard images of three-dimensional structures, such as those found in the chest, is addressed through this technology, which aids in the detection and classification of lesions. The CAD process includes scanning and digitizing the radiographs, followed by a detailed review by the radiologist, who compares the original images with the enhanced versions produced by the CAD analysis. Ultimately, the physician synthesizes the findings from both the routine radiographs and the CAD output to generate a comprehensive written report, ensuring a thorough evaluation of potential abnormalities.

1. Indications

The procedure is indicated for the following conditions:

Lesion Detection CAD is utilized for the detection of lesions, such as pulmonary nodules, in chest radiographs.
Routine Chest Radiographs The procedure is performed in conjunction with routine chest radiographs, which may be necessary for various clinical evaluations.

2. Procedure

The procedure involves several key steps that ensure effective lesion detection and interpretation:

Step 1: Image Acquisition The initial step involves obtaining chest radiographs, which can be captured either digitally or on film. If the images are on film, they may need to be digitized for further analysis.
Step 2: CAD Processing Once the images are available, the CAD system scans and digitizes the radiographs if necessary. The computer software then analyzes the digitized images, marking regions of interest that may indicate potential lesions.
Step 3: Radiologist Review An experienced radiologist reviews both the original routine radiographs and the enhanced images produced by the CAD analysis. This review includes identifying abnormalities and comparing the marked regions of interest with the original images.
Step 4: Interpretation and Reporting After thorough evaluation, the physician interprets the findings from both sets of images. A comprehensive written report is then generated, detailing the observations and any recommendations for further action.

3. Post-Procedure

Post-procedure care involves the radiologist providing a detailed report based on the findings from the CAD analysis and the original radiographs. The report may include recommendations for follow-up imaging or additional diagnostic procedures if any abnormalities are detected. The physician may also discuss the results with the patient, depending on the clinical context and findings. Continuous monitoring and further evaluations may be necessary based on the interpretation of the images and the clinical scenario.

Short Descr	CAD CXR WITH INTERP
Medium Descr	CAD CHEST RADIOGRAPH CONCURRENT W/INTERPRETATION
Long Descr	Computer-aided detection (CAD) (computer algorithm analysis of digital image data for lesion detection) with further physician review for interpretation and report, with or without digitization of film radiographic images, chest radiograph(s), performed concurrent with primary interpretation (List separately in addition to code for primary procedure)
Status Code	Carriers Price the Code
Global Days	XXX - Global Concept Does Not Apply
PC/TC Indicator (26, TC)	0 - Physician Service Code
Multiple Procedures (51)	0 - No payment adjustment rules for multiple procedures apply.
Bilateral Surgery (50)	0 - 150% payment adjustment for bilateral procedures does NOT apply.
Physician Supervisions	09 - Concept does not apply.
Assistant Surgeon (80, 82)	0 - Payment restriction for assistants at surgery applies to this procedure...
Co-Surgeons (62)	0 - Co-surgeons not permitted for this procedure.
Team Surgery (66)	0 - Team surgeons not permitted for this procedure.
Diagnostic Imaging Family	99 - Concept Does Not Apply
APC Status Indicator	Items and Services Packaged into APC Rates
Type of Service (TOS)	4 - Diagnostic Radiology
Berenson-Eggers TOS (BETOS)	I4B - Imaging/procedure - other
MUE	1
CCS Clinical Classification	183 - Routine chest X-ray

This is an add-on code that must be used in conjunction with one of these primary codes.

71045	MPFS Status: Active Code APC Q3 ASC Z3 Radiologic examination, chest; single view
71046	MPFS Status: Active Code APC Q3 ASC Z3 Radiologic examination, chest; 2 views
71047	MPFS Status: Active Code APC Q1 ASC N1 Radiologic examination, chest; 3 views
71048	MPFS Status: Active Code APC Q1 ASC N1 Radiologic examination, chest; 4 or more views