Summary & Overview
CPT 74440: Imaging of Vas Deferens, Seminal Vesicles, or Epididymis
CPT code 74440 represents radiographic imaging supervision and interpretation used to visualize the vas deferens, seminal vesicles, or epididymis to evaluate for obstruction. This diagnostic procedure matters nationally because it supports evaluation of male reproductive tract conditions—most commonly in the infertility workup or when obstructive pathology is suspected—and influences subsequent clinical management.
Key payers typically relevant to coverage and reimbursement include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers can expect a concise overview of the clinical purpose and typical settings for the service, common payer coverage considerations, and the role of the code within diagnostic pathways. The publication summarizes benchmarks where available, highlights policy and coding considerations that affect claims processing, and provides clinical context to help clinicians and billing professionals understand when the procedure is used.
The report is intended for a national audience and focuses on practical information about code use, payer applicability, and clinical relevance rather than jurisdiction-specific rules. Data not available in the input will be noted as such elsewhere in the publication.
Billing Code Overview
CPT code 74440 describes imaging supervision and interpretation to visualize the vas deferens, seminal vesicles, or epididymis using radiographic images to evaluate for obstruction. This procedure is performed to assess the male reproductive tract for blockages that can contribute to infertility or other clinical concerns.
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Service type: Diagnostic radiographic imaging with supervision and interpretation
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Typical site of service: Outpatient radiology suite, hospital radiology department, or specialized imaging center
Clinical & Coding Specifications
Clinical Context
A 32-year-old male with a 12-month history of infertility and absent sperm on two semen analyses is referred for evaluation. The urologist suspects an obstructive azoospermia and schedules imaging to visualize the vas deferens, seminal vesicles, and epididymis. On the day of service the patient presents to the outpatient radiology suite. The clinical workflow includes history review and focused physical exam by the ordering urologist, pre-procedure consent, placement of contrast (via scrotal or transurethral technique as appropriate) by the proceduralist or radiologist, fluoroscopic radiographic imaging under supervision to follow contrast flow, interpretation of images by the supervising physician, and generation of a signed radiology report documenting findings and impressions related to ductal patency or obstruction. Typical personnel include the supervising radiologist or urologist (professional component) and technologists (technical component). The service commonly occurs in an outpatient radiology department or ambulatory surgery center; it may also be performed in a hospital outpatient setting when indicated.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
26 | Professional component | Use when billing only the interpretation and supervision portion performed by the physician. |
TC |