CPT Code 75860 | Description & Clinical Information
CPT 75860 describes the process in which the healthcare provider supervises and interprets the placement of a catheter in the petrosal and inferior sagittal regions, followed by imaging of the venous sinus or jugular vein after the administration of contrast material.
Official Description
The CPT book defines CPT code 75860 as: “Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological supervision and interpretation”.
Clinical Information
The procedure described by CPT code 75860 is used as a diagnostic tool to identify the location and degree of blood clots in the veins. This invasive procedure involves taking X-rays of the veins after a special dye is injected into the bone marrow or veins, allowing for precise imaging of the veins.
To begin the procedure, the patient is given a local anesthetic at the access site to minimize discomfort. The provider then punctures the cephalic vein, and a guidewire is inserted to assist in advancing the catheter to reach the vessel for imaging the venous sinus, such as the petrosal or inferior sagittal, or jugular.
Once the catheter has reached the target point, the guidewire is removed, and the provider uses fluoroscopy to visualize the venous sinus after injecting the contrast medium. This contrast medium allows for clear and accurate imaging of the veins, aiding in the process of identifying any blood clots or other abnormalities.
With the help of fluoroscopy, the provider then interprets the images obtained to make a precise and definitive diagnosis. This procedure is typically performed by a radiologist as a surgical procedure, and is reported using CPT code 75860 to describe the radiological supervision and interpretation part of the process.
While venography is considered an invasive procedure, it is generally well-tolerated by patients, with minimal side effects or complications. It is an invaluable tool in the diagnosis and treatment of blood clots and other vascular abnormalities, allowing healthcare providers to identify and address these issues in a timely and effective manner.
Overall, the procedure described by CPT code 75860 plays a crucial role in the diagnosis and treatment of vascular issues, allowing for precise imaging and accurate interpretation of results. It is an important tool used by healthcare providers to ensure the best possible outcomes for their patients.
