HyCoSy and CPT 74740
When the following service (Office HSG/HyCoSy) is performed but no x-ray/fluoroscopic imaging is performed, and only an ultrasound is done, is it appropriate to bill CPT code 74740? A new physician to our practice noted the following: The office HSG is a procedure otherwise known as HyCoSy. Tubal patency is assessed via additional infusion of air bubbles through the fallopian tubes and confirming patency by ultrasound. It does not require x-ray equipment. 74740 captures the additional performance of tubal patency in addition to the codes otherwise used for SIS.
The definition of 74740 is Hysterosalpingography, radiological supervision, and interpretation. Is this code allowed to be billed if an X-ray is not actually performed and only an ultrasound is performed? Am I misinterpreting the definition of what this code defines? How would one properly code HyCoSy?
The definition of 74740 is Hysterosalpingography, radiological supervision, and interpretation. Is this code allowed to be billed if an X-ray is not actually performed and only an ultrasound is performed? Am I misinterpreting the definition of what this code defines? How would one properly code HyCoSy?
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