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The procedure described by CPT® Code 74415 is known as urography, specifically utilizing infusion techniques such as drip or bolus, combined with nephrotomography. This imaging study is essential for visualizing the urinary tract, which includes the kidneys, ureters, bladder, and urethra. The process involves the injection of a contrast agent into a vein, which enhances the visibility of these structures on imaging studies. The primary purpose of this procedure is to assess the normal functioning of the urinary system, identify any anatomical variations or congenital anomalies, and detect obstructions or tumors within the urinary tract. To initiate the procedure, intravenous access is established, and preliminary scout films of the kidneys, ureters, and bladder (commonly referred to as KUB) may be taken to provide baseline images. The contrast material is then infused either through a bolus technique, which delivers a rapid injection for immediate opacification, or through a drip technique, which administers a continuous flow over a longer duration. The choice of technique affects the imaging process; bolus infusion results in greater renal opacification but requires more fluoroscopic images, thereby increasing radiation exposure to the patient. In contrast, the drip infusion method allows for a larger volume of contrast to be administered over time, resulting in fewer images and reduced radiation exposure. Nephrotomography, an integral part of this procedure, involves imaging the urinary system in sections to create a three-dimensional representation. This technique provides detailed insights into the anatomy and function of the kidneys and surrounding structures. After the contrast has passed through the kidneys and ureters, collecting in the bladder, the patient is asked to void. Additional imaging may be performed post-void to evaluate the function of the urethra and to confirm that the bladder has been completely emptied. It is important to note that while CPT® Code 74410 covers urography with infusion techniques, CPT® Code 74415 specifically includes the additional component of nephrotomography, enhancing the diagnostic capabilities of the procedure.
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The procedure described by CPT® Code 74415 is indicated for various clinical scenarios related to the urinary system. The following conditions may warrant the performance of this urography with nephrotomography:
The procedure for CPT® Code 74415 involves several key steps that are crucial for obtaining accurate imaging of the urinary tract. The following outlines the procedural steps:
After the completion of the urography with nephrotomography, patients may be monitored for any immediate reactions to the contrast material. It is essential to ensure that the patient is stable and does not exhibit any adverse effects. The imaging results will be analyzed to assess the urinary system's function and structure. Follow-up care may include discussing the findings with the patient and determining if any further diagnostic procedures or treatments are necessary based on the results obtained from the imaging study.
| Short Descr | UROGRAPHY NFS DRIP&/BLS W/NF | Medium Descr | UROGRAPHY NFS DRIP &/BOLUS W/NEPHROTOMOGRAPHY | Long Descr | Urography, infusion, drip technique and/or bolus technique; with nephrotomography | 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 | Procedure or Service, Not Discounted when Multiple | ASC Payment Indicator | Radiology service paid separately when provided integral to a surgical procedure on ASC list; payment based on OPPS relative payment weight. | 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. | Q6 | Service furnished under a fee-for-time compensation arrangement by a substitute physician or by a substitute physical therapist furnishing outpatient physical therapy services in a health professional shortage area, a medically underserved area, or a rural area | 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 | 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 |
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| 2021-01-01 | Changed | Short and medium descriptions changed. |
| 2011-01-01 | Changed | Short description changed. |
| Pre-1990 | Added | Code added. |
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