How To Use CPT Code 75860

CPT 75860 describes the radiological supervision and interpretation of a petrosal and inferior sagittal catheter placement and imaging of the venous sinus or jugular vein after the administration of contrast material. 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 75860?

CPT 75860 can be used to describe the radiological supervision and interpretation of a procedure involving the placement of a catheter in the petrosal and inferior sagittal veins, followed by imaging of the venous sinus or jugular vein using contrast material. This code is used when a provider performs the radiological aspects of the procedure to obtain a definitive diagnosis.

2. Official Description

The official description of CPT code 75860 is: ‘Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological supervision and interpretation.’

3. Procedure

1. The provider administers local anesthesia to the access site and punctures the cephalic vein.
2. A guidewire is inserted to assist the catheter in advancing and reaching the target vessel for imaging.
3. Using fluoroscopy, the provider visualizes the venous sinus or jugular vein after injecting contrast medium.
4. The provider interprets the images obtained to make a definitive diagnosis.

4. Qualifying circumstances

CPT 75860 is used when a provider performs the radiological supervision and interpretation of a petrosal and inferior sagittal catheter placement and imaging of the venous sinus or jugular vein. This procedure is typically performed to identify the location and degree of a blood clot. It requires the expertise of a radiologist or other qualified provider trained in radiological procedures.

5. When to use CPT code 75860

CPT code 75860 should be used when a provider performs the radiological supervision and interpretation of a petrosal and inferior sagittal catheter placement and imaging of the venous sinus or jugular vein. It should not be used for other procedures or services unrelated to this specific diagnostic imaging procedure.

6. Documentation requirements

To support a claim for CPT 75860, the provider must document the following information:

• Specific details of the procedure performed, including the placement of the catheter and the imaging of the venous sinus or jugular vein
• Date and time of the procedure
• Use of contrast material
• Interpretation of the images obtained
• Signature of the provider performing the radiological supervision and interpretation

7. Billing guidelines

When billing for CPT 75860, ensure that the provider performing the service is qualified and trained in radiological procedures. Use the appropriate modifiers, such as modifier 26 for the professional component or modifier TC for the technical component, if applicable. It is important to follow payer policies regarding the use of modifiers and the reporting of global services.

8. Historical information

CPT 75860 was added to the Current Procedural Terminology system on January 1, 1990. There have been no updates or changes to the code since its addition.

9. Examples

1. A radiologist performing the radiological supervision and interpretation of a petrosal and inferior sagittal catheter placement and imaging of the venous sinus for a patient with suspected blood clot.
2. A qualified provider trained in radiological procedures interpreting the images obtained from the placement of a catheter in the jugular vein for a patient with suspected venous abnormalities.
3. A radiologist supervising and interpreting the imaging of the venous sinus after the placement of a catheter in the petrosal vein for a patient with suspected vascular malformation.
4. A provider trained in radiological procedures performing the radiological supervision and interpretation of a catheter placement in the inferior sagittal vein and imaging of the jugular vein for a patient with suspected thrombosis.
5. A radiologist interpreting the images obtained from the placement of a catheter in the petrosal and inferior sagittal veins for a patient with suspected venous sinus stenosis.
6. A qualified provider trained in radiological procedures supervising and interpreting the imaging of the jugular vein after the placement of a catheter in the petrosal vein for a patient with suspected venous abnormalities.
7. A radiologist performing the radiological supervision and interpretation of a petrosal and inferior sagittal catheter placement and imaging of the venous sinus for a patient with suspected vascular malformation.
8. A provider trained in radiological procedures interpreting the images obtained from the placement of a catheter in the jugular vein for a patient with suspected venous sinus stenosis.
9. A radiologist supervising and interpreting the imaging of the venous sinus after the placement of a catheter in the inferior sagittal vein for a patient with suspected thrombosis.
10. A qualified provider trained in radiological procedures performing the radiological supervision and interpretation of a catheter placement in the petrosal and inferior sagittal veins and imaging of the jugular vein for a patient with suspected venous abnormalities.