How To Use CPT Code 75833

CPT 75833 describes the radiological supervision and interpretation of bilateral selective venography of the renal veins. 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 75833?

CPT 75833 can be used to describe the radiological supervision and interpretation of bilateral selective venography of the renal veins. This code is used when a radiologist performs and interprets X-rays of the veins after injecting dye to identify the location and degree of a blood clot in both kidneys.

2. Official Description

The official description of CPT code 75833 is: ‘Venography, renal, bilateral, selective, radiological supervision and interpretation.’

3. Procedure

1. The radiologist administers local anesthesia to the access site.
2. A needle is used to puncture the femoral vein, and a guidewire is inserted to assist in advancing the catheter to reach the vessels.
3. Once the catheter is in the target point, the guidewire is removed.
4. The radiologist uses fluoroscopy to visualize the vessels after injecting contrast medium.
5. This procedure is performed for both the left and right renal veins.
6. The radiologist interprets the images obtained to make a definitive diagnosis.

4. Qualifying circumstances

CPT 75833 is performed on patients who require a radiological evaluation of the renal veins. It is typically used to identify the presence and extent of blood clots in the kidneys. The procedure is performed by a radiologist who has the expertise to perform and interpret the images obtained.

5. When to use CPT code 75833

CPT code 75833 should be used when a radiologist performs and interprets bilateral selective venography of the renal veins. It is appropriate when there is a need to evaluate the presence and extent of blood clots in both kidneys. This code should not be used for other types of venography or for procedures performed on a single kidney.

6. Documentation requirements

To support a claim for CPT 75833, the radiologist must document the following information:

• Indication for the procedure and the need for renal venography
• Details of the procedure, including the use of local anesthesia, puncture of the femoral vein, and advancement of the catheter
• Date and time of the procedure
• Specific findings and interpretation of the images obtained
• Signature of the radiologist performing the procedure and interpreting the images

7. Billing guidelines

When billing for CPT 75833, ensure that the procedure is performed and interpreted by a radiologist. Use the appropriate modifiers (such as modifier 26 for professional component or modifier TC for technical component) if necessary, based on the payer’s requirements. It is important to follow the payer’s guidelines regarding the reporting of CPT code 75833 with other codes, as well as the use of modifiers.

8. Historical information

CPT 75833 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 performs and interprets bilateral selective venography of the renal veins to evaluate a patient with suspected renal vein thrombosis.
2. A patient with a history of blood clotting disorders undergoes bilateral selective venography of the renal veins, which is performed and interpreted by a radiologist.
3. A radiologist performs and interprets bilateral selective venography of the renal veins to assess the extent of blood clots in a patient with renal dysfunction.
4. A patient with unexplained flank pain undergoes bilateral selective venography of the renal veins, which is performed and interpreted by a radiologist.
5. A radiologist performs and interprets bilateral selective venography of the renal veins to evaluate a patient with suspected renal artery stenosis.
6. A patient with a known renal vein thrombosis undergoes bilateral selective venography of the renal veins, which is performed and interpreted by a radiologist to assess the response to treatment.
7. A radiologist performs and interprets bilateral selective venography of the renal veins to evaluate a patient with uncontrolled hypertension.
8. A patient with a history of renal artery stenosis undergoes bilateral selective venography of the renal veins, which is performed and interpreted by a radiologist to assess the patency of the veins.
9. A radiologist performs and interprets bilateral selective venography of the renal veins to evaluate a patient with suspected renal cell carcinoma.
10. A patient with recurrent urinary tract infections undergoes bilateral selective venography of the renal veins, which is performed and interpreted by a radiologist to assess the presence of any anatomical abnormalities.