CPT® Code 74455

The CPT® Code 74455 refers to a specific radiological procedure known as voiding urethrocystography, which involves the examination of the urethra and bladder using fluoroscopy in conjunction with a radiopaque contrast medium. This procedure is essential for visualizing the urinary tract and is particularly useful in diagnosing various conditions that may affect the urethra and bladder. During the procedure, a contrast agent is introduced through the external urethral orifice, which serves to distend and fill both the urethra and bladder, allowing for enhanced imaging. The use of fluoroscopy enables real-time visualization, which is critical for assessing the anatomy and function of these structures. The indications for performing voiding urethrocystography include the evaluation of potential injuries, congenital anomalies, tumors, diverticula, stones, fistulas, strictures, or any obstructions that may be present within the urinary tract. The procedure involves obtaining X-ray images of the urethra and bladder from multiple angles to ensure comprehensive assessment. Following the initial imaging, the patient is asked to void while additional X-rays are taken to observe the flow of the contrast medium as it exits the bladder and passes through the urethra. This dynamic assessment is crucial for identifying any abnormalities in the urinary system. The CPT® Code 74455 encompasses not only the technical aspects of the procedure but also the radiological supervision, review of the obtained records, and the interpretation of the findings, culminating in a written report that documents the results of the examination.