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CPT 9004F: Aortic Aneurysm ≥6.0 cm on CT
CPT code 9004F denotes provider documentation of an aortic aneurysm with a maximum diameter of 6.0 cm or greater identified on CT imaging. This measure codifies a clinically significant aneurysm size that typically informs surveillance, referral, or intervention pathways and is relevant for quality reporting and risk stratification. Nationally, standardized capture of large aortic aneurysms supports population health monitoring, surgical planning, and value-based contracting metrics tied to vascular care.
Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of the code’s clinical meaning, typical service settings, and the reporting context. The publication also summarizes benchmark usage patterns, common billing considerations where available, and implications for coding workflows and documentation standards.
The report focuses on clinical context and documentation capture rather than treatment recommendations. It highlights what organizations need to track when this finding is present on CT imaging, how the code is used in administrative and quality measurement contexts, and where documentation supports downstream care coordination and surgical referral decisions.
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Billing Code Overview
CPT code 9004F documents an aortic aneurysm with a maximum diameter of 6.0 cm or greater measured on a computed tomographic (CT) imaging study. The code captures the provider’s documentation that the largest artery in the body contains a weakened, bulging segment meeting or exceeding the specified diameter threshold.
Service type: Imaging-based vascular assessment and clinical documentation
Typical site of service: Hospital outpatient radiology departments, imaging centers, or inpatient/ED settings where CT imaging of the chest/abdomen is performed
Data not available in the input.