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The procedure described by CPT® Code 75731 refers to a selective angiography of the adrenal gland performed unilaterally, which involves the use of radiopaque contrast medium and fluoroscopy to visualize the adrenal arteries. This imaging technique is crucial for assessing the vascular structure of the adrenal glands, which can be instrumental in diagnosing various adrenal conditions. The adrenal glands are small, triangular-shaped glands located on top of each kidney, and they play a significant role in hormone production. The procedure is particularly useful in identifying abnormalities such as adrenal hyperplasia, which is an enlargement of the adrenal glands; adrenal adenomas, which are benign tumors; pheochromocytomas, which are tumors that can affect hormone production; and metastatic lesions, which indicate the spread of cancer to the adrenal glands. During the procedure, a large bore needle is inserted into a blood vessel, typically in the groin area, allowing for the introduction of a guidewire. This guidewire facilitates the advancement of a catheter into the abdominal aorta under x-ray guidance. The adrenal arteries, which receive blood supply from branches of the abdominal aorta and renal artery, are selectively catheterized. Once the catheter is positioned correctly, a contrast dye is injected to enhance the visibility of the adrenal glands and surrounding tissues on the imaging studies. The procedure includes not only the angiographic imaging but also the radiological supervision and interpretation of the findings, culminating in a comprehensive written report that details the results of the examination.
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The indications for performing a unilateral selective adrenal angiography (CPT® Code 75731) include the following conditions:
The procedure for unilateral selective adrenal angiography involves several critical steps to ensure accurate visualization of the adrenal arteries:
After the completion of the unilateral selective adrenal angiography, the patient is monitored for any immediate complications, such as bleeding or hematoma at the access site. The patient may be advised to rest and avoid strenuous activities for a specified period. Follow-up care may include reviewing the imaging results with the healthcare provider to discuss any findings and potential next steps in management or treatment based on the results of the angiography. It is essential to ensure that the access site is kept clean and dry, and any signs of infection or unusual symptoms should be reported to a healthcare professional promptly.
| Short Descr | ARTERY X-RAYS ADRENAL GLAND | Medium Descr | ANGIOGRAPHY ADRENAL UNILATERAL SLCTV RS&I | Long Descr | Angiography, adrenal, unilateral, selective, 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) | 6 - Special payment adjustment rules on the technical component (TC) of multiple diagnostic cardiovascular services 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 | Hospital Part B services paid through a comprehensive APC | ASC Payment Indicator | Radiology service paid separately when provided integral to a surgical procedure on ASC list; payment based on MPFS nonfacility PE RVUs. | Type of Service (TOS) | 4 - Diagnostic Radiology | Berenson-Eggers TOS (BETOS) | I4B - Imaging/procedure - other | MUE | 1 | CCS Clinical Classification | 191 - Arterio- or venogram (not heart and head) |
This is a primary code that can be used with these additional add-on codes.
| 37252 | Addon Code MPFS Status: Active Code APC N ASC N1 Intravascular ultrasound (noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation; initial noncoronary vessel (List separately in addition to code for primary procedure) | 37253 | Addon Code MPFS Status: Active Code APC N ASC N1 Intravascular ultrasound (noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation; each additional noncoronary vessel (List separately in addition to code for primary procedure) |
| 26 | Professional component: certain procedures are a combination of a physician or other qualified health care professional component and a technical component. when the physician or other qualified health care professional component is reported separately, the service may be identified by adding modifier 26 to the usual procedure number. | 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | Q1 | Routine clinical service provided in a clinical research study that is in an approved clinical research study | RT | Right side (used to identify procedures performed on the right side of the body) | X5 | Diagnostic services requested by another clinician: for reporting services by a clinician who furnishes care to the patient only as requested by another clinician or subsequent and related services requested by another clinician; this modifier is reported for patient relationships that may not be adequately captured by the above alternative categories; reporting clinician service examples include but are not limited to, the radiologist's interpretation of an imaging study requested by another clinician | XS | Separate structure, a service that is distinct because it was performed on a separate organ/structure | XU | Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service |
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| 2011-01-01 | Changed | Short description changed. |
| Pre-1990 | Added | Code added. |
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