How To Use CPT Code 75805

CPT 75805 describes the radiological supervision and interpretation of lymphangiography on one side of the pelvic or abdominal area. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, similar codes and billing examples.

1. What is CPT Code 75805?

CPT 75805 can be used to describe the radiological supervision and interpretation of lymphangiography on one side of the pelvic or abdominal area. This code is used when a provider performs fluoroscopy and takes X-rays to analyze the movement of contrast medium through the lymphatic system in the abdominal area.

2. Official Description

The official description of CPT code 75805 is: ‘Lymphangiography, pelvic/abdominal, unilateral, radiological supervision and interpretation.’

3. Procedure

1. The provider inserts a needle or catheter into a lymphatic channel in either the foot or arm.
2. A contrast medium is administered through the catheter.
3. The provider removes the catheter and sutures and sterilizes the catheter site.
4. Fluoroscopy is performed to analyze the movement of the contrast medium through the lymphatic system.
5. X-rays of the lymphatic system in the abdominal area are taken.

4. Qualifying circumstances

CPT 75805 is used when the provider performs radiological supervision and interpretation of lymphangiography on one side of the pelvic or abdominal area. This procedure is typically performed to evaluate the lymphatic system in patients with specific medical conditions or symptoms.

5. When to use CPT code 75805

CPT code 75805 should be used when a provider performs radiological supervision and interpretation of lymphangiography on one side of the pelvic or abdominal area. It is important to ensure that the procedure is medically necessary and that the provider is qualified to perform and interpret the imaging.

6. Documentation requirements

To support a claim for CPT 75805, the provider must document the following information:

• Medical necessity for the lymphangiography procedure
• Specific details of the procedure, including the site of catheter insertion and contrast administration
• Date and time of the procedure
• Fluoroscopy findings and analysis of contrast movement
• X-ray images of the lymphatic system in the abdominal area
• Signature of the provider performing the radiological supervision and interpretation

7. Billing guidelines

When billing for CPT 75805, it is important to ensure that the procedure meets the necessary criteria for medical necessity. The provider should append the appropriate modifier (26 for professional component or TC for technical component) based on the specific circumstances of the billing. It is also important to follow payer policies regarding the use of modifiers and the reporting of global services.

8. Historical information

CPT 75805 was added to the Current Procedural Terminology system on January 1, 1990. There have been no updates to the code since its addition.

9. Examples

1. A radiologist performing radiological supervision and interpretation of lymphangiography on one side of the pelvic area to evaluate a patient with suspected lymphatic system abnormalities.
2. A vascular surgeon analyzing the movement of contrast medium through the lymphatic system in the abdominal area using fluoroscopy and X-rays during lymphangiography.
3. An interventional radiologist performing radiological supervision and interpretation of lymphangiography on one side of the abdominal area to assess lymphatic flow in a patient with lymphedema.
4. A diagnostic radiologist interpreting the X-ray images of the lymphatic system in the pelvic area obtained during lymphangiography to aid in the diagnosis of a patient with suspected lymphatic obstruction.
5. A nuclear medicine physician analyzing the fluoroscopy findings and contrast movement during lymphangiography to evaluate the lymphatic system in a patient with recurrent infections.
6. A radiology technician assisting the provider during lymphangiography by preparing the contrast medium and ensuring proper positioning of the patient for fluoroscopy and X-ray imaging.
7. A radiology resident observing and assisting the attending physician during the radiological supervision and interpretation of lymphangiography on one side of the abdominal area.
8. A radiology nurse providing patient education and support before, during, and after the lymphangiography procedure.
9. A radiology technologist performing the fluoroscopy and taking X-rays of the lymphatic system in the pelvic area during lymphangiography under the supervision of a radiologist.
10. A physician assistant documenting the details of the lymphangiography procedure, including the site of catheter insertion and contrast administration, for the provider’s review and signature.