How To Use CPT Code 75889

CPT 75889 describes the procedure of hepatic venography, which involves the use of imaging to evaluate the hepatic veins and assess hemodynamics. This article will provide an overview of CPT code 75889, including its official description, the procedure itself, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, and similar codes.

1. What is CPT Code 75889?

CPT 75889 is a code that represents the performance of hepatic venography, a diagnostic procedure that allows healthcare providers to visualize the hepatic veins and evaluate hemodynamics. During this procedure, a contrast medium is injected through a catheter into the hepatic vein, and imaging techniques such as fluoroscopy are used to examine the movement of the contrast medium through the venous system.

2. Official Description

The official description of CPT code 75889 is: ‘Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and interpretation.’

3. Procedure

1. First, the healthcare provider inserts a catheter into the hepatic vein, either wedging it into a branch for wedged venography or allowing it to sit freely in the hepatic vein for free venography.
2. Next, a contrast medium is injected through the catheter, and fluoroscopy is used to observe the movement of the contrast medium through the venous system.
3. The provider examines the hepatic vascular pattern and assesses the patency of the portal vein.
4. In addition to imaging, the provider performs a hemodynamic evaluation, which includes checking blood pressure, blood flow, and oxygen levels.
5. After completing the evaluation, the provider removes the catheter, checks for any bleeding, and closes the site as necessary.

4. Qualifying circumstances

CPT 75889 is typically performed on patients who require an evaluation of their hepatic veins and hemodynamics. This procedure is commonly used in the assessment of patients with liver disease. The provider must have the necessary expertise to perform and interpret the imaging and hemodynamic evaluation. It is important to note that this code should only be reported when the procedure includes both the imaging supervision and interpretation.

5. When to use CPT code 75889

CPT code 75889 should be used when a healthcare provider performs hepatic venography with hemodynamic evaluation. It is important to ensure that the procedure includes both the imaging supervision and interpretation. If the procedure does not involve a hemodynamic evaluation, a different code should be used.

6. Documentation requirements

When reporting CPT code 75889, the healthcare provider must document the following information:

• Patient’s medical history and reason for performing the procedure
• Details of the procedure, including the type of venography (wedged or free) and any specific findings
• Date and time of the procedure
• Imaging findings and interpretation
• Hemodynamic evaluation results
• Any complications or adverse events
• Provider’s signature and credentials

7. Billing guidelines

When billing for CPT code 75889, it is important to ensure that the procedure includes both the imaging supervision and interpretation. If the procedure is performed by different providers, each provider should report the code with reduced service modifier 52 and append modifier 26 to indicate the professional component. If the procedure is performed by a single provider who performs both the professional and technical components, modifiers 26 and TC should not be appended.

8. Historical information

CPT code 75889 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 healthcare provider performs hepatic venography with hemodynamic evaluation for a patient with suspected liver disease.
2. During a diagnostic workup, a radiologist performs hepatic venography with hemodynamic evaluation to assess the patency of the portal vein.
3. A gastroenterologist performs hepatic venography with hemodynamic evaluation to evaluate the hepatic vascular pattern in a patient with liver cirrhosis.
4. As part of a preoperative evaluation, a surgeon performs hepatic venography with hemodynamic evaluation to assess the liver’s blood flow in a patient scheduled for liver resection.
5. A hepatologist performs hepatic venography with hemodynamic evaluation to evaluate the effectiveness of a treatment for portal hypertension.
6. During a liver transplant evaluation, a transplant surgeon performs hepatic venography with hemodynamic evaluation to assess the liver’s vascular anatomy.
7. A radiologist performs hepatic venography with hemodynamic evaluation to evaluate the hepatic veins in a patient with suspected Budd-Chiari syndrome.
8. As part of a research study, a healthcare provider performs hepatic venography with hemodynamic evaluation to investigate the correlation between liver hemodynamics and liver fibrosis.
9. A hepatobiliary surgeon performs hepatic venography with hemodynamic evaluation to assess the liver’s blood flow in a patient with suspected hepatic artery stenosis.
10. A gastroenterologist performs hepatic venography with hemodynamic evaluation to evaluate the hepatic veins in a patient with suspected hepatic veno-occlusive disease.