How To Use CPT Code 75831

CPT 75831 describes the radiological supervision and interpretation of selective venography for one kidney. 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 75831?

CPT 75831 can be used to describe the radiological supervision and interpretation of selective venography for one kidney. This code is used when a physician performs the procedure to visualize the renal vessels after injecting contrast medium, in order to identify the location and degree of a blood clot.

2. Official Description

The official description of CPT code 75831 is: ‘Venography, renal, unilateral, selective, radiological supervision and interpretation.’

3. Procedure

1. The physician administers local anesthesia to the access site.
2. A needle is used to puncture the femoral vein.
3. A guidewire is inserted to assist the catheter in advancing and reaching the vessel.
4. Once the catheter has reached the target point, the guidewire is removed.
5. The physician visualizes the renal vessels using fluoroscopy after injecting contrast medium.
6. The images obtained are interpreted by the physician to obtain a definitive diagnosis.

4. Qualifying circumstances

CPT 75831 is performed on patients who require selective venography of one kidney. This procedure is used to identify the location and degree of a blood clot. It is typically performed by a physician and requires the use of fluoroscopy to visualize the renal vessels.

5. When to use CPT code 75831

CPT code 75831 should be used when a physician performs the radiological supervision and interpretation of selective venography for one kidney. It is important to note that this code should not be reported if the physician only provides the interpretation for the radiology service or if the technical component is reported separately.

6. Documentation requirements

To support a claim for CPT 75831, the physician must document the following information:

• Specific details of the procedure performed, including the use of fluoroscopy and contrast medium
• Date and time of the procedure
• Location and degree of any blood clot identified
• Physician’s interpretation of the images obtained
• Signature of the physician performing the procedure

7. Billing guidelines

When billing for CPT 75831, ensure that the procedure is performed by a physician and that the radiological supervision and interpretation are included. If only the professional or technical component is reported, the appropriate modifiers should be appended to the code. It is important to review payer policies regarding the use of modifiers for hospitals.

8. Historical information

CPT 75831 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 physician performs radiological supervision and interpretation of selective venography for one kidney to identify the location and degree of a blood clot.
2. A patient undergoes the procedure to visualize the renal vessels after injecting contrast medium, in order to diagnose a potential blood clot.
3. A physician uses fluoroscopy to guide the catheter and visualize the renal vessels during the procedure.
4. The images obtained are interpreted by the physician to determine the presence and severity of a blood clot.
5. The procedure is performed on a patient with suspected renal vein thrombosis.
6. A physician performs the radiological supervision and interpretation of selective venography for one kidney as part of a preoperative evaluation.
7. The procedure is performed on a patient with a history of renal vein thrombosis to monitor the condition.
8. A physician uses the procedure to assess the effectiveness of a previous treatment for a blood clot in the renal vessels.
9. The radiological supervision and interpretation of selective venography for one kidney is performed to guide further treatment decisions.
10. A patient undergoes the procedure to rule out the presence of a blood clot in the renal vessels.