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2025 CPT code 75984

Change of percutaneous tube or drainage catheter with contrast monitoring, radiological supervision and interpretation.

Refer to CPT coding guidelines and any specific payer guidelines for appropriate use and reporting of this code.

Modifiers such as 26 (professional component), TC (technical component), and 52 (reduced services) may be applicable depending on the circumstances.

Medical necessity must be established by documenting the clinical indication for the tube exchange, such as blockage, malfunction, or infection.

The physician is responsible for supervising and interpreting the radiological images during the procedure, ensuring proper placement of the new catheter, and managing any complications that may arise.

IMPORTANT:For percutaneous replacement of gastrostomy, duodenostomy, jejunostomy, gastro-jejunostomy, or cecostomy (or other colonic) tube including fluoroscopic imaging guidance, see 49450-49452. To report exchange of a percutaneous nephrostomy catheter, use 50435. For percutaneous cholecystostomy, use 47490. For percutaneous biliary procedures, including radiological supervision and interpretation, see 47531-47544. For percutaneous nephrolithotomy or pyelolithotomy, see 50080, 50081. For removal and/or replacement of an internally dwelling ureteral stent via a transurethral approach, see 50385-50386.

In simple words: The doctor uses x-ray imaging to guide the replacement of a tube or drainage catheter that is placed through the skin. A special dye is used to make sure the new tube is in the right place.This code covers the doctor's supervision and interpretation of the x-ray images.

This code describes a radiological procedure involving the exchange of a percutaneous tube or drainage catheter under fluoroscopic guidance with contrast material injection for visualization.The service includes radiological supervision and interpretation of the imaging.

Example 1: A patient with a percutaneous nephrostomy tube blockage requires a tube exchange. Fluoroscopy and contrast are used to guide the procedure and confirm placement., A patient with a percutaneous abscess drainage catheter requires replacement due to catheter malfunction.The radiologist uses imaging guidance to exchange the catheter., A patient with a percutaneous gastrostomy tube requires a change due to leakage. Fluoroscopy and contrast injection are used to visualize and confirm the new tube’s position.

Documentation should include the reason for the tube exchange, the type of catheter replaced, the approach used, the use of contrast, fluoroscopy time, and any complications encountered.

  • Specialties:Radiology, Interventional Radiology
  • Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center, and other places of service where image-guided percutaneous procedures are performed.
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