2025 CPT code 75825
(Active) Effective Date: N/A Revision Date: N/A Diagnostic Radiology - Venography Radiology Feed
Venography of the inferior vena cava with serialography; radiological supervision and interpretation.
Modifiers 26 (professional component only) and TC (technical component only) may apply depending on the provider and payer.
Medical necessity for inferior vena cava venography with serialography is established when other less invasive imaging modalities (e.g., ultrasound) are inconclusive or unavailable, or when the clinical presentation warrants visualization of the inferior vena cava to guide treatment planning (e.g., before vascular surgery or thrombolysis).
The clinical responsibility includes patient preparation, venipuncture, catheter insertion and advancement to the inferior vena cava, contrast injection, serialography image acquisition, and image interpretation to provide a diagnosis.This typically involves a radiologist or vascular specialist.
In simple words: This medical code describes an X-ray test of the large vein (inferior vena cava) that carries blood from the lower body to the heart. A special dye is injected to make the vein visible on X-ray, and a series of pictures are taken to show how blood flows through it.A doctor then examines these images to identify any problems, like blood clots.
This CPT code encompasses the radiological supervision and interpretation of an inferior vena cava venography incorporating serialography (rapid sequence imaging).The procedure involves injecting contrast dye into a vein, then using X-rays to visualize blood flow, specifically focusing on the inferior vena cava. Serialography provides a series of images at timed intervals after contrast injection to assess dynamic blood flow. The radiologist interprets these images to diagnose conditions affecting the inferior vena cava, such as blood clots or other circulatory issues.
Example 1: A patient presents with lower extremity swelling and pain, suspected deep vein thrombosis (DVT).A venogram of the inferior vena cava with serialography is performed to visualize blood flow and identify any thrombus., A patient is scheduled for a lower extremity bypass surgery.A pre-operative venogram is performed to assess the patency and suitability of the inferior vena cava for graft placement., A patient experiences sudden-onset shortness of breath and chest pain, raising suspicion of a pulmonary embolism. A venogram helps to identify the source of the embolus within the inferior vena cava or its tributaries.
* Detailed patient history including symptoms, risk factors, and relevant medical history.* Pre-procedure informed consent.* Imaging reports with detailed description of findings including image quality, location and extent of any abnormalities.* Documentation of contrast media used, amount administered, and any adverse reactions.* Physician's interpretation and diagnosis.* Post-procedure monitoring and any complications.
** Accurate coding requires careful review of the clinical documentation to ensure the procedure performed aligns with the code description.Consult current CPT guidelines and payer-specific policies for additional information.
- Revenue Code: I4B (IMAGING/PROCEDURE - OTHER)
- RVU: This information is not available in the provided text. Refer to the CMS (Centers for Medicare & Medicaid Services) website or other relevant fee schedules for current RVU values.
- Global Days: The global period for this procedure is not specified in the provided text.Further research into the specific payer's guidelines is necessary to determine the global days.
- Payment Status: Active
- Modifier TC rule: Modifier TC may apply when the technical component is billed separately.
- Fee Schedule: Historical fee schedule data is not provided.Consult appropriate fee schedules for historical payment information.
- Specialties:Radiology, Vascular Surgery
- Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center