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Cineradiography/videoradiography is a specialized imaging technique that integrates cinematographic, fluoroscopic, and radiographic methods to produce a dynamic visual representation of a specific anatomical region. This procedure involves the use of a camera that is connected to the output port of a fluoroscopic image intensifier, allowing for the capture of body movements in real-time. The resulting video images can be displayed on a monitor for immediate viewing or recorded for subsequent analysis. This capability enables radiologists to examine the individual frames in both stop action and fast action formats, facilitating a thorough review and interpretation of the captured motion. The CPT® Code 76120 is designated for reporting cineradiography/videoradiography, except in instances where it is explicitly included as part of another examination. It is important to note that CPT® Code 76125 is used to report cineradiography/videoradiography when it is performed as an adjunct to a routine examination, and it is billed separately in addition to the primary procedure code.
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The indications for cineradiography/videoradiography include the need to visualize dynamic processes within the body that cannot be adequately assessed through static imaging techniques. This procedure is particularly useful in evaluating anatomical structures and functions in real-time, allowing for a comprehensive analysis of movement and interaction within the body. Specific indications may include, but are not limited to, the assessment of joint motion, swallowing mechanisms, and other physiological activities that require a motion picture view for accurate diagnosis and treatment planning.
The procedure for cineradiography/videoradiography involves several key steps to ensure accurate imaging and analysis. First, the patient is positioned appropriately to allow optimal visualization of the anatomical area of interest. Next, a fluoroscopic image intensifier is utilized, which enhances the visibility of the internal structures. A camera is then attached to the output port of the fluoroscopic device, enabling the capture of motion as the body part is examined. The fluoroscopic images are converted into real-time video, which can be displayed on a monitor for immediate review. The radiologist can manipulate the playback speed, allowing for both stop action and fast action viewing of the individual frames. This flexibility aids in the detailed examination of the captured motion, facilitating a thorough interpretation of the findings. Finally, the recorded video may be saved for further analysis or documentation, ensuring that all relevant data is available for review.
After the cineradiography/videoradiography procedure, the radiologist will review the recorded video images to interpret the findings. The results will be documented in a report, which may include observations regarding the anatomical structures and any abnormalities noted during the examination. Depending on the findings, further diagnostic tests or follow-up procedures may be recommended. Patients may be advised on any necessary post-procedure care, although specific instructions are not typically required for this imaging technique. It is essential for healthcare providers to ensure that the results are communicated effectively to the referring physician for appropriate management of the patient's condition.
| Short Descr | CINE/VIDEO X-RAYS | Medium Descr | CINERADIOGRAPY/VIDRADIOGRAPY XCPT WHERE SPEC | Long Descr | Cineradiography/videoradiography, except where specifically included | 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 | STV-Packaged Codes | ASC Payment Indicator | Packaged service/item; no separate payment made. | Type of Service (TOS) | 4 - Diagnostic Radiology | Berenson-Eggers TOS (BETOS) | I1F - Standard imaging - other | MUE | 1 | CCS Clinical Classification | 226 - Other diagnostic radiology and related techniques |
| 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. | TC | Technical component; under certain circumstances, a charge may be made for the technical component alone; under those circumstances the technical component charge is identified by adding modifier 'tc' to the usual procedure number; technical component charges are institutional charges and not billed separately by physicians; however, portable x-ray suppliers only bill for technical component and should utilize modifier tc; the charge data from portable x-ray suppliers will then be used to build customary and prevailing profiles | GC | This service has been performed in part by a resident under the direction of a teaching physician | 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. | 77 | Repeat procedure by another physician or other qualified health care professional: it may be necessary to indicate that a basic procedure or service was repeated by another physician or other qualified health care professional subsequent to the original procedure or service. this circumstance may be reported by adding modifier 77 to the repeated procedure or service. note: this modifier should not be appended to an e/m service. | FY | X-ray taken using computed radiography technology/cassette-based imaging | GW | Service not related to the hospice patient's terminal condition | GY | Item or service statutorily excluded, does not meet the definition of any medicare benefit or, for non-medicare insurers, is not a contract benefit | LT | Left side (used to identify procedures performed on the left side of the body) | 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) |
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| 2002-01-01 | Changed | Code description changed. |
| Pre-1990 | Added | Code added. |
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