CPT 75625Radiology

Contrast exam abdominl aorta

CPT 75625 covers a contrast imaging study of the abdominal aorta, the large blood vessel that supplies blood to the abdomen and lower body. This involves injecting contrast dye and taking X-ray images to assess the aorta for aneurysms, blockages, or other abnormalities.

Showing rates for

National Average

Base Medicare rate

$121.62

This calculator gives a typical-case estimate using standard Medicare modifier rules. Actual payment depends on payer policies, documentation, code-specific CMS status indicators, and locality. Verify before billing.

RVU breakdown

Work RVU

1.44

PE RVU (NF)

2.1

MP RVU

0.22

Total RVU

3.76

Conversion factor: 32.3465 · Source: CMS MPFS RVU25A · Confidence: High

NCCI bundling edits

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Billing tips

Verify component billing: In hospital settings, facility typically bills TC and radiologist bills 26; failure to append correct modifier results in claim rejection
Impact: Prevents 100% claim denial or duplicate payment recovery; ensures correct distribution of $121.62 between facility and professional
Document contrast administration separately: The injection procedure (36200 or 36245-36248) is billed separately from 75625; ensure both are documented and billed when applicable
Impact: Additional $50-$300 in reimbursement depending on catheter placement complexity
Distinguish from CT/MR angiography: 75625 is for conventional catheter-based angiography; CTA (74175) and MRA (74185) are separate codes with different rates and should not be confused
Impact: Prevents incorrect code selection that could result in $100+ payment variance
Include all required imaging in single study: 75625 includes complete abdominal aortography; billing multiple codes for the same anatomical territory on same date invites bundling edits
Impact: Prevents denial of duplicate services and potential audit flags
Verify medical necessity documentation before billing: Requires documented indication such as aneurysm evaluation, vascular disease assessment, or surgical planning; screening studies are not covered
Impact: Prevents medical necessity denials that result in 100% payment loss of $121.62
Check for ABN when Medicare coverage questionable: If procedure may not meet LCD criteria, obtain advance beneficiary notice to shift liability to patient
Protects practice from $121.62 write-off if claim is denied as not medically necessary

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Frequently asked questions

What is the Medicare reimbursement rate for CPT 75625 in 2025?

The 2025 Medicare national average reimbursement rate for CPT 75625 is $121.62 for both facility and non-facility settings, based on 3.76 total RVUs and the conversion factor of 32.3465.

What is the difference between CPT 75625 and CT angiography of the abdomen?

CPT 75625 is conventional catheter-based angiography with contrast injection directly into the abdominal aorta, while CT angiography (74175) is a non-invasive cross-sectional imaging study with IV contrast. They are distinct procedures with different indications, risks, and coding.

Can CPT 75625 be billed with the catheter placement code?

Yes, 75625 represents only the radiological supervision and interpretation. The catheter placement (typically 36200 for aorta or 36245-36248 for selective catheterization) should be billed separately when the physician performs the access and catheterization.

Does CPT 75625 require modifier 26 or TC?

In split billing scenarios, modifier 26 is appended for professional component (interpretation only) and TC for technical component (equipment/contrast/staff). When one entity provides both components in a non-facility setting, no modifier is needed for global billing.

What are the RVU values for CPT code 75625?

CPT 75625 has a work RVU of 1.44, non-facility PE RVU of 2.1, facility PE RVU of 2.1, and malpractice RVU of 0.22, totaling 3.76 RVUs for 2025.

Is prior authorization required for CPT 75625?

Prior authorization requirements vary by payer and state. Many Medicare Advantage plans and commercial insurers require prior authorization for invasive vascular imaging procedures. Always verify with the specific payer before scheduling.

What diagnosis codes support medical necessity for CPT 75625?

Common supporting diagnoses include abdominal aortic aneurysm (I71.4), atherosclerosis of aorta (I70.0), chronic mesenteric ischemia (K55.1), aortic dissection (I71.00-I71.03), and pre-operative evaluation for vascular surgery. Documentation must justify the need for invasive imaging over non-invasive alternatives.