How To Use CPT Code 75898

CPT 75898 describes the angiography procedure performed through an existing catheter for follow-up study after transcatheter therapy, embolization, or infusion, excluding thrombolysis. 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 75898?

CPT 75898 can be used to describe the angiography procedure performed through an existing catheter for follow-up study after transcatheter therapy, embolization, or infusion, excluding thrombolysis. This code is used when the provider injects contrast into the blood vessels through an existing catheter and uses fluoroscopy to examine the blood vessels to assess the patient’s status after the mentioned procedures. The provider then removes the catheter, checks for bleeding, and closes the site if necessary.

2. Official Description

The official description of CPT code 75898 is: ‘Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion, other than for thrombolysis.’

3. Procedure

1. The provider prepares the patient and administers anesthesia if necessary.
2. Using an existing catheter, the provider injects contrast into the blood vessels.
3. The provider uses fluoroscopy to examine the blood vessels and assess the patient’s status after transcatheter therapy, embolization, or infusion, excluding thrombolysis.
4. The provider removes the catheter and checks for bleeding.
5. If needed, the provider closes the site.

4. Qualifying circumstances

CPT 75898 is used for patients who have undergone transcatheter therapy, embolization, or infusion and require a follow-up study. This code should not be reported in conjunction with codes 36836, 36837, 37211, 37212, 37213, 37214, 37241, 37242, 37243, 37244, 61645, or 61650. Thrombolysis procedures are also excluded from this code.

5. When to use CPT code 75898

CPT code 75898 should be used when the provider performs angiography through an existing catheter for follow-up study after transcatheter therapy, embolization, or infusion, excluding thrombolysis. It is important to ensure that the procedure meets the specific criteria outlined in the code description.

6. Documentation requirements

To support a claim for CPT 75898, the provider must document the following information:

• Reason for the follow-up study after transcatheter therapy, embolization, or infusion
• Details of the angiography procedure, including the use of contrast and fluoroscopy
• Date and duration of the procedure
• Findings from the examination of the blood vessels
• Any additional interventions performed, such as catheter removal or site closure
• Signature of the provider performing the procedure

7. Billing guidelines

When billing for CPT 75898, ensure that the procedure meets the specific criteria outlined in the code description. It should not be reported with other specific codes mentioned in the notes. Modifier 59 may be appended if the provider performs a diagnostic angiography prior to a therapeutic procedure and the radiology service is separately identifiable and medically necessary. Modifier 26 should be appended if reporting only the provider’s interpretation, and modifier TC should be appended if reporting only the technical component. However, payer policies may exempt hospitals from appending modifier TC.

8. Historical information

CPT 75898 was added to the Current Procedural Terminology system on January 1, 1990. There have been two code changes since its addition, with the most recent change occurring on January 1, 2013.

9. Examples

1. A patient undergoes transcatheter therapy for a liver tumor, and the provider performs angiography through an existing catheter to assess the status of the blood vessels after the procedure.
2. After an embolization procedure for uterine fibroids, the provider uses angiography through an existing catheter to evaluate the blood vessels and ensure successful embolization.
3. Following an infusion of chemotherapy into a tumor, the provider performs angiography through an existing catheter to examine the blood vessels and assess the response to the treatment.
4. After a transcatheter therapy for a brain arteriovenous malformation, the provider uses angiography through an existing catheter to evaluate the blood vessels and confirm the success of the procedure.
5. Following an embolization procedure for a gastrointestinal bleed, the provider performs angiography through an existing catheter to assess the blood vessels and ensure effective embolization.
6. After an infusion of medication into a peripheral artery, the provider uses angiography through an existing catheter to examine the blood vessels and assess the response to the treatment.
7. A patient undergoes transcatheter therapy for a renal artery stenosis, and the provider performs angiography through an existing catheter to evaluate the blood vessels and confirm the success of the procedure.
8. Following an embolization procedure for a liver tumor, the provider uses angiography through an existing catheter to assess the blood vessels and ensure effective embolization.