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CPT®
75722

CPT® Code 75722
Deleted

Code deleted, see 36251, 36253

Official Description

Angiography, renal, unilateral, selective (including flush aortogram), radiological supervision and interpretation

© Copyright 2025 American Medical Association. All rights reserved.

Common Language Description

The procedure described by CPT® Code 75722 refers to a unilateral selective renal angiography, which is a diagnostic imaging technique used to visualize the blood vessels of one kidney. In this procedure, a physician utilizes a catheter, a thin flexible tube, which is inserted into the artery supplying blood to the kidney. Once the catheter is in place, a contrast dye is injected through it. This dye enhances the visibility of the renal artery and its branches on X-ray images. As the dye circulates through the artery, a series of X-ray images are captured, allowing the physician to assess the condition of the blood vessels. This imaging technique is particularly useful for identifying abnormalities such as plaque build-up, which can indicate atherosclerosis, or hardening of the arterial walls, which may lead to reduced blood flow to the kidney. The procedure is performed under radiological supervision, ensuring that the images obtained are interpreted accurately for diagnostic purposes.

© Copyright 2025 Coding Ahead. All rights reserved.

1. Indications

The indications for performing a unilateral selective renal angiography include the following:

  • Renal artery stenosis - This condition involves the narrowing of the renal artery, which can lead to hypertension and kidney dysfunction.
  • Evaluation of renal masses - Angiography can help in assessing the vascularity of tumors or cysts in the kidney.
  • Assessment of renal transplant viability - This procedure may be used to evaluate blood flow in a transplanted kidney.
  • Investigation of hematuria - The presence of blood in the urine may necessitate angiography to identify potential vascular causes.

2. Procedure

The procedure for unilateral selective renal angiography involves several key steps, which are detailed below:

  • Step 1: Catheter Insertion - The physician begins by inserting a catheter into the femoral artery, typically located in the groin area. This is done using a technique called percutaneous access, where a small incision is made to facilitate the entry of the catheter into the vascular system.
  • Step 2: Navigation to the Renal Artery - Once the catheter is in the femoral artery, the physician carefully navigates it through the arterial system towards the renal artery of the selected kidney. This may involve the use of fluoroscopy, a real-time imaging technique, to guide the catheter accurately.
  • Step 3: Injection of Contrast Dye - After the catheter is positioned in the renal artery, a contrast dye is injected through the catheter. This dye is crucial for enhancing the visibility of the renal blood vessels during imaging.
  • Step 4: Imaging Acquisition - As the contrast dye flows through the renal artery, the physician captures a series of X-ray images. These images allow for the assessment of the renal vasculature, including the detection of any abnormalities such as blockages or irregularities.
  • Step 5: Flush Aortogram (if applicable) - In some cases, a flush aortogram may be performed, where additional dye is injected to ensure that the entire renal artery and its branches are adequately visualized. This step helps in evaluating the overall blood flow and identifying any potential issues.

3. Post-Procedure

After the completion of the unilateral selective renal angiography, the patient is typically monitored for a short period to ensure there are no immediate complications, such as bleeding or allergic reactions to the contrast dye. The insertion site is usually bandaged, and the patient may be advised to rest and avoid strenuous activities for a specified duration. Follow-up imaging or tests may be scheduled based on the findings from the angiography, and the physician will discuss the results with the patient to determine any further necessary interventions or treatments.
Short Descr ARTERY X-RAYS KIDNEY
Medium Descr ANGRPH RNL UNI SLCTV W/FLUSH AORTOGRAM RS&I
Long Descr Angiography, renal, unilateral, selective (including flush aortogram), radiological supervision and interpretation
Status Code Active Code
Global Days XXX - Global Concept Does Not Apply
PC/TC Indicator (26, TC) 1 - Diagnostic Tests for Radiology Services
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 Discontinued Code
Type of Service (TOS) 4 - Diagnostic Radiology
Berenson-Eggers TOS (BETOS) none
MUE Not applicable/unspecified.
CCS Clinical Classification 191 - Arterio- or venogram (not heart and head)
Date
Action
Notes
2012-01-01 Deleted Code deleted, see 36251, 36253
2011-01-01 Changed Short description changed.
Pre-1990 Added Code added.
Code
Description
Code
Description
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