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.

Digital Subtraction Angiography (DSA) (S9022) is a computerized way of enhancing radiographic images. In digital subtraction, a computer "subtracts" a radiographic image taken before injection of an intravascular contrast material from one obtained with the contrast present. In the image produced using this technique, only contrast-filled vessels are visible.

Subtraction radiography (76350) is a technique used to eliminate overlying bone images which obscure the vascular pattern in an angiogram.

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.

Codes 76120, 76125, 76150, 76350, and S9022 are eligible for payment when reported independently.

PRN References

04/1999, Radiographic imaging techniques not covered
02/2006, Radiographic imaging techniques not covered