2025 CPT code 75901
(Active) Effective Date: N/A Revision Date: N/A Radiology Procedures - Diagnostic Radiology Radiology Feed
Radiologic supervision and interpretation for mechanical removal of pericatheter obstructive material from a central venous device.
Modifiers 26 (professional component only) and TC (technical component only) may be applicable depending on the services performed.Modifier 52 (reduced services) may be used in specific scenarios.
Medical necessity is established by the presence of a documented obstruction near a central venous catheter, impeding venous access or causing clinical complications such as infection, inflammation, or inability to administer medications or fluids.
The physician's responsibility includes pre-procedural planning, image guidance during the mechanical removal of the obstruction, and post-procedural interpretation of images to confirm the successful removal and patency of the central venous access.
In simple words: This code covers the doctor's work in using imaging (like X-rays) to guide and monitor a procedure to clear a blockage near a central vein catheter.The doctor watches the procedure on a screen and makes sure it's done correctly.
This CPT code encompasses the radiologic supervision and interpretation services involved in the mechanical removal of obstructive material (e.g., fibrin sheath) from a central venous device via a separate venous access.The procedure includes contrast injections, fluoroscopic guidance, and imaging interpretation to ensure the successful removal of the obstruction and the patency of the central venous access.Diagnostic angiography/venography performed at the time of the intervention is separately reportable unless specifically included in the code descriptor.
Example 1: A patient with a tunneled central venous catheter experiences a clot formation near the catheter tip, obstructing infusion.The physician uses fluoroscopy to guide the mechanical thrombectomy, using this CPT code to bill for the imaging supervision and interpretation., A patient with a peripherally inserted central catheter (PICC) develops inflammation and tissue growth around the catheter insertion site, causing an obstruction.The physician uses radiologic guidance to mechanically remove the obstructing tissue, with this code billing for the imaging portion of the procedure., A patient's central venous catheter malfunctions due to fibrin sheath formation.The physician performs mechanical removal of the fibrin sheath under fluoroscopic guidance, using this CPT code to reflect the imaging supervision and interpretation.
* Detailed medical history indicating the need for catheter intervention.* Pre-procedure imaging (if applicable) to show the location and nature of the obstruction.* Documentation of the procedure, including the type of device used for mechanical removal, contrast used, and fluoroscopy time.* Post-procedure images confirming the removal of the obstruction and patency of the catheter.* Physician's interpretation of all images.
** This code should only be reported when the radiologist provides both supervision and interpretation of the imaging. If only interpretation is provided, modifier 26 should be appended.The procedure code (36595) should be reported separately for the mechanical removal of the obstruction.
- Revenue Code: I4B (IMAGING/PROCEDURE - OTHER)
- RVU: Data not available in source.Refer to current Medicare Physician Fee Schedule for RVU values.
- Global Days: Information not provided in source. Global surgical period details are not specified for this code.Consult current CPT guidelines.
- Payment Status: Active
- Modifier TC rule: Modifier TC may be applicable if only the technical component of the service is provided. However, payer policies may vary.
- Fee Schedule: Data not available in source. Consult historical CPT fee schedules.
- Specialties:Interventional Radiology, Vascular Surgery
- Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center