No additional allowance is paid for radiographic imaging techniques. When one of the procedures below is reported, the imaging technique is denied as not covered. A participating, preferred, or network provider cannot bill the member for the denied service. These codes are not representative of the actual radiological study being performed.

If only the code was reported and the radiological procedure was not specified, the claim will be developed for the radiological study performed.

Description

Cineradiography/Videoradiography (76120, 76125) is a rapid-sequence x-ray examination that films motion.

Subtraction radiography or digital subtraction angiography (DSA)(76350) are image enhancing methods. Subtraction radiography is a technique that can eliminate overlying bone images that may obscure the vascular pattern in an angiogram. In digital subtraction angiography, a computer "subtracts" a radiographic image taken prior to the administration of an intravascular contrast material from an image obtained with the contrast present. This technique produces an image where only the contrast-filled vessels are visible.

Videofluoroscopy (76499) is the recording on videotape of the images appearing on a fluoroscopic screen. (This is also referred to as dynamic motion imaging, dynamic motion x-rays, DMX imaging, and/or digital motion x-rays.)

Xeroradiography (76150) is a system of developing images of specific areas of the body using x-rays. It differs from conventional radiography only in the nature of the recording medium that is employed.

This medical policy may not apply to FEP. Medical policy is not an authorization, certification, explanation of benefits, or a contract. Benefits are determined by the Federal Employee Program.