How To Use CPT Code 75984

CPT 75984 describes the procedure for the change of a percutaneous tube or drainage catheter with contrast monitoring, under radiological supervision and interpretation. 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 75984?

CPT 75984 can be used to describe the procedure for the replacement of a previously placed percutaneous tube or drainage catheter that is damaged. This procedure involves the use of contrast monitoring and is performed under radiological supervision and interpretation.

2. Official Description

The official description of CPT code 75984 is: ‘Change of percutaneous tube or drainage catheter with contrast monitoring (eg, genitourinary system, abscess), radiological supervision and interpretation.’

3. Procedure

1. The provider begins by appropriately prepping and anesthetizing the patient.
2. A guide wire is advanced into the current catheter.
3. The previous catheter is extracted, and a new catheter is inserted and advanced through the guide wire.
4. A contrast medium is injected to obtain fluoroscopic images of the catheter’s position.
5. The provider performs imaging supervision and interpretation for the procedure.

4. Qualifying circumstances

This procedure is performed when there is a need to replace a percutaneous tube or drainage catheter that is damaged. It may be used for conditions such as abscesses or issues in the genitourinary system. The procedure requires radiological supervision and interpretation.

5. When to use CPT code 75984

CPT code 75984 should be used when there is a need to replace a percutaneous tube or drainage catheter with contrast monitoring, under radiological supervision and interpretation. 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 75984, the provider must document the following information:

• Reason for the replacement of the percutaneous tube or drainage catheter
• Details of the procedure, including the use of contrast monitoring and radiological supervision and interpretation
• Date and time of the procedure
• Fluoroscopic images obtained during the procedure
• Signature of the provider who performed the imaging supervision and interpretation

7. Billing guidelines

When billing for CPT 75984, it is important to ensure that the procedure meets the specific criteria outlined in the code description. The provider should report the appropriate surgical code depending on the location of the surgery. It is also important to follow payer guidelines regarding the use of modifiers for professional and technical components.

8. Historical information

CPT 75984 was added to the Current Procedural Terminology system on January 1, 1990. There have been changes to the code description over time, including the addition of specific examples of procedures and clarification of terminology.

9. Examples

1. A patient with a genitourinary abscess requires the replacement of a percutaneous drainage catheter. The provider performs the procedure under radiological supervision and interpretation, using contrast monitoring to ensure proper placement of the new catheter.
2. A previously placed percutaneous tube in the gastrointestinal system needs to be changed due to damage. The provider performs the replacement procedure with the assistance of fluoroscopic imaging and contrast monitoring.
3. A patient with a drainage catheter in the genitourinary system requires a replacement. The provider performs the procedure under radiological supervision and interpretation, ensuring the proper positioning of the new catheter using contrast monitoring.
4. A percutaneous tube in the abscess of a patient needs to be replaced. The provider performs the procedure with the aid of fluoroscopic imaging and contrast monitoring to ensure the correct placement of the new catheter.
5. A previously placed percutaneous drainage catheter in the genitourinary system requires replacement. The provider performs the procedure under radiological supervision and interpretation, utilizing contrast monitoring to verify the appropriate positioning of the new catheter.
6. A patient with an abscess in the gastrointestinal system needs the percutaneous tube to be changed. The provider performs the replacement procedure with the assistance of fluoroscopic imaging and contrast monitoring.
7. A drainage catheter in the genitourinary system of a patient requires replacement. The provider performs the procedure under radiological supervision and interpretation, ensuring the proper positioning of the new catheter using contrast monitoring.
8. A percutaneous tube in the abscess of a patient needs to be replaced. The provider performs the procedure with the aid of fluoroscopic imaging and contrast monitoring to ensure the correct placement of the new catheter.
9. A previously placed percutaneous drainage catheter in the genitourinary system requires replacement. The provider performs the procedure under radiological supervision and interpretation, utilizing contrast monitoring to verify the appropriate positioning of the new catheter.
10. A patient with an abscess in the gastrointestinal system needs the percutaneous tube to be changed. The provider performs the replacement procedure with the assistance of fluoroscopic imaging and contrast monitoring.