Summary & Overview

CPT 0517F: Clinical Service, Unspecified

CPT code 0517F is a Current Procedural Terminology code with no summary available in the source description. As part of the national CPT registry, this code denotes a specific clinical or administrative service whose details are not supplied in the input. The code matters nationally because CPT codes are the common language for reporting medical services across payers, influencing claims processing, coverage determinations, and aggregated utilization metrics.

Key payers covered in the analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find an overview of what this code represents (to the extent information is available), the expected service type and typical site of service where derivable, and a guide to common analytic elements that are typically reviewed for CPT entries: payer coverage patterns, billing and coding context, and related policy considerations. Where specific data points are not present in the input, the report indicates "Data not available in the input." The publication is intended for national audiences seeking a concise reference and context for 0517F within billing workflows and payer engagements.

AetnaBlue Cross Blue ShieldCigna HealthUnitedHealthcareMedicare0517FCPTmedical codingbillingclinical serviceprocedure codingclaims processinghealthcare policyservice description

Billing Code Overview

CPT code 0517F — No Summary found for this code. This entry represents a clinical or administrative service defined by the CPT code set. Service type: Data not available in the input. Typical site of service: Data not available in the input.

Clinical & Coding Specifications

Clinical Context

A typical patient is an adult undergoing a percutaneous or image-guided cardiac or vascular procedure where performance and documentation of hemodynamic assessment or physiologic measurement is required for quality reporting. The patient often presents to the hospital cardiac catheterization laboratory or an outpatient interventional suite with symptoms such as exertional chest pain, progressive shortness of breath, syncope, or known coronary or peripheral arterial disease scheduled for diagnostic catheterization or intervention.

Pre-procedure workflow includes informed consent, medication reconciliation (antiplatelet and anticoagulant review), and vascular access planning. During the procedure, arterial and/or venous access is obtained, diagnostic angiography or hemodynamic monitoring is performed, and physiologic measurements (for example pressure measurements across a stenosis, fractional flow reserve, or cardiac output determinations) are recorded per protocol. Post-procedure workflow includes hemostasis, vascular site monitoring, and documentation of measured values in the operative report and the medical record for coding and quality reporting purposes.

Coding Specifications

Modifier	Description	When to Use
`26`	Professional component	Use when only the physician/provider professional component of a service is billed separate from technical components provided by the facility or another provider.
`TC`	Technical component	Use when billing only the technical component (equipment, supplies, technologist) of a service.
`59`	Distinct procedural service	Use when a separate and distinct procedure is performed on the same day that is not normally reported together with the primary service.
`79`	Unrelated procedure or service by same physician during postoperative period	Use when an unrelated procedure is performed by the same provider during the global period of a prior surgery.
`76`	Repeat procedure by same physician	Use when the same procedure is repeated by the same physician subsequent to the initial service on the same day.
`77`	Repeat procedure by another physician	Use when another physician repeats the same procedure on the same day.
`GA`	Waiver of liability statement on file (Medicare)	Use when a voluntary ABN/waiver is on file for an expected non-covered service.
`CG`	Service related to transplant (Medicare)	Use when the service is related to an organ transplant; applies to transplant-specific billing scenarios.
`RT`	Right side	Use to indicate the procedure was performed on the right side when laterality is reportable.
`LT`	Left side	Use to indicate the procedure was performed on the left side when laterality is reportable.

Taxonomy Code	Specialty	Notes
`207RC0000X`	Cardiovascular Disease (Cardiology)	Interventional and diagnostic cardiologists commonly perform cardiac catheterization and physiologic measurements.
`208100000X`	Interventional Cardiology	Specialists performing percutaneous coronary interventions and invasive physiologic assessments.
`213E00000X`	Vascular Surgery	Vascular surgeons perform peripheral vascular interventions and hemodynamic assessments.
`243V00000X`	Radiology - Diagnostic	Interventional radiologists perform image-guided vascular access and measurements in the angiography suite.
`261QA1900X`	Critical Care Medicine	Intensivists may perform invasive hemodynamic monitoring in critically ill patients.

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`I20.0`	Unstable angina	Physiologic measurements during catheterization help assess ischemia and guide revascularization decisions.
`I25.10`	Atherosclerotic heart disease of native coronary artery without angina pectoris	Used when evaluating chronic coronary disease with invasive physiologic assessment.
`I50.9`	Heart failure, unspecified	Hemodynamic measurements assist in assessing cardiac output and filling pressures.
`I26.9`	Pulmonary embolism without acute cor pulmonale	Right heart catheterization and pulmonary artery pressure measurement are used in evaluation.
`I80.2`	Phlebitis and thrombophlebitis of other deep vessels of lower extremities	Peripheral vascular interventions and physiologic flow assessments may be indicated in thrombotic disease.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`93458`	Combined right and left heart catheterization including intraprocedural guidance for coronary angiography when performed; with left ventriculography, when performed	Often performed before or with physiologic measurements during comprehensive cardiac catheterization.
`93452`	Left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed; with coronary angiography, when performed	May accompany pressure measurements or coronary physiologic assessment.
`93503`	Insertion and placement of flow-directed catheter (eg, Swan-Ganz) for monitoring of pulmonary artery pressures and cardiac output; initial insertion	Used when pulmonary artery catheterization and hemodynamic measurement are required.
`92980`	Percutaneous transluminal coronary thrombectomy; with or without intracoronary thrombolytic therapy	May be performed after physiologic assessment identifies a flow-limiting thrombotic lesion requiring intervention.
`93461`	Fluoroscopic guidance for placement of cardiac electrophysiology catheter(s) with diagnostic injection(s), when performed	May be performed in catheterization lab workflows that include device placement and physiologic monitoring.