2025 CPT code 75803
(Active) Effective Date: N/A Revision Date: N/A Diagnostic Radiology - Lymphangiography Radiology Feed
Bilateral extremity lymphangiography; radiological supervision and interpretation.
Modifiers 26 (professional component only), TC (technical component only), 52 (reduced services), and 50 (bilateral procedure) are potentially applicable depending on the clinical scenario and payer rules.
Medical necessity for 75803 requires documentation supporting the clinical suspicion of lymphatic system pathology.This typically involves specific symptoms, physical findings, or other diagnostic test results. The procedure must be deemed necessary to guide subsequent management, including treatment, surgery, or further investigation.
The clinical responsibility includes ordering the procedure based on clinical indication, ensuring appropriate patient preparation, supervising the technical aspects of the imaging, interpreting the images to establish a diagnosis, and creating a detailed report for the referring physician and patient.
In simple words: This code covers the doctor's work in looking at and explaining X-ray images of the lymph system in both arms or legs. A special dye is injected, and the images show how well the lymph system is working.
This CPT code encompasses the radiological supervision and interpretation of a bilateral extremity lymphangiogram.The procedure involves injecting a contrast medium into lymphatic channels of both arms or legs, followed by fluoroscopic imaging to assess lymphatic system function. The physician's role includes image acquisition oversight, interpretation of the resulting images, and generation of a diagnostic report.
Example 1: A patient presents with suspected lymphedema in both lower extremities.75803 is used to assess the extent of lymphatic obstruction and guide treatment decisions., A patient with a history of breast cancer and suspected lymphatic spread undergoes a bilateral arm lymphangiogram (75803) to evaluate the extent of lymphatic involvement and plan further management. , A patient experiences recurrent cellulitis in both legs; 75803 is used to identify possible lymphatic abnormalities contributing to the condition. This may be performed prior to and/or after surgical intervention.
* Physician's order specifying the clinical indication for the procedure.* Detailed history and physical examination findings relevant to the lymphatic system.* Radiologist's report including image interpretation, findings, and diagnostic conclusions.* Documentation of the contrast agent used, injection sites, and any complications encountered.
** The interpretation component is a crucial aspect of this code.Ensure comprehensive documentation supports the medical necessity and clinical interpretation of the lymphangiogram.Accurate coding depends on proper documentation.
- Revenue Code: I4B (Imaging/Procedure - Other)
- RVU: The RVUs for this code will vary depending on several factors, including geographic location, facility type, and payer.Consult the relevant fee schedule for accurate values.
- Payment Status: Active
- Modifier TC rule: Modifier TC might apply when the technical component is billed separately from the professional component.The rules vary based on payer and facility type (hospital vs. independent imaging center).
- Fee Schedule : Historical fee schedules are not available here. Consult publicly available resources and payer-specific fee schedules for historical information.
- Specialties:Radiology, Vascular Surgery, Oncology
- Place of Service:Office, Outpatient Hospital, Ambulatory Surgical Center