Summary & Overview
CPT 74740: Imaging Supervision and Interpretation for Uterine and Fallopian Tube Visualization
CPT code 74740 designates imaging supervision and interpretation for visualization of the uterine cavity and fallopian tubes, representing both the professional and technical components of the procedure. This code applies when the provider documents supervision and interpretation services for hysterosalpingography or similar fluoroscopic examinations of the uterine cavity and fallopian tubes. Nationally, accurate use of this code matters for consistent reporting of reproductive tract imaging services and for clear separation of imaging interpretation from other procedural components.
Key payers included in the analysis are Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare and Medicare. Readers will find a concise account of what the code covers clinically and operationally, typical sites where the service is delivered, and which payers are commonly involved in coverage and claims adjudication. The publication highlights benchmark considerations for reporting the combined technical and professional components and summarizes policy and billing contexts relevant to imaging supervision and interpretation. Additionally, the reader will gain clarity on how this code fits into service line reporting for radiology and reproductive health imaging. Data not available in the input is noted where specific payer policies, associated taxonomies, ICD-10 pairings, and related procedural codes would otherwise be detailed.
Billing Code Overview
CPT code 74740 describes imaging supervision and interpretation for visualization of the uterine cavity and fallopian tubes. This code represents the combined technical and professional components of the procedure and is used to report only the imaging supervision and interpretation portion of the service.
Service type: Imaging supervision and interpretation for hysterosalpingography (uterine cavity and fallopian tube visualization)
Typical site of service: Hospital outpatient radiology suite or ambulatory imaging center
Clinical & Coding Specifications
Clinical Context
A 32-year-old woman with a 12-month history of infertility and suspected tubal factor undergoes hysterosalpingography with fluoroscopic contrast to evaluate uterine cavity shape and fallopian tube patency. The patient presents to the radiology suite after a reproductive endocrinology consultation. After obtaining informed consent and confirming pregnancy test negativity, the technologist positions the patient on the fluoroscopy table. A radiologist or qualified practitioner performs sterile speculum placement and cervical cannulation; contrast medium is instilled under fluoroscopic guidance while the provider supervises imaging and interprets real-time filling of the uterine cavity and spill of contrast from the fallopian tubes. Images and fluoroscopic loops are recorded; a final interpretive report documents uterine contour, endometrial cavity findings, tubal patency, any filling defects, and recommendations for further evaluation. The service typically occurs in an outpatient radiology or hospital imaging department, includes both technical and professional components when billed with 74740, and may be accompanied by pelvic radiographs or procedural sedation as clinically indicated.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
26 | Professional component | When reporting only the physician interpretation portion separated from the technical component. |