2025 CPT code 75807
(Active) Effective Date: N/A Revision Date: N/A Diagnostic Radiology - Lymphangiography Radiology Feed
Bilateral lymphangiography of the pelvic or abdominal area; radiological supervision and interpretation.
Modifiers -26 (professional component) and -TC (technical component) may be appended as appropriate, depending on who performed which portion of the service.Other modifiers may apply based on specific circumstances (consult the latest CPT guidelines).
Medical necessity for lymphangiography is established based on the clinical suspicion of lymphatic system disorders, such as lymphedema, cancer metastasis, or other conditions that affect lymphatic drainage.The test is crucial for staging cancer, guiding treatment, and assessing treatment effectiveness.Proper documentation supporting the clinical indication for this imaging test is essential to meet payer requirements for reimbursement.
The physician's clinical responsibility includes injecting contrast material, performing fluoroscopy, obtaining x-ray images of the lymphatic system, interpreting the images to diagnose any pathology (such as blockage, tumor, infection) and preparing a report for the referring physician or patient.In a hospital setting, the clinical responsibility might also include the technical aspects of the imaging process by trained technicians.
In simple words: This code covers the doctor's work in overseeing and interpreting X-ray images of the lymph system in the abdomen and pelvis on both sides of the body. A special dye is injected to make the lymph vessels visible on the X-rays. The doctor examines the images to diagnose any problems.
This CPT code encompasses the radiological supervision and interpretation of a bilateral lymphangiography of the pelvic or abdominal area.The procedure involves injecting a contrast medium into lymphatic channels (typically in the foot or arm), visualizing its flow through the lymphatic system using fluoroscopy, and obtaining X-rays of the abdominal and pelvic lymphatic structures. This code represents the professional component when performed by a physician or the technical component when performed by a facility.It does not include the injection procedure itself (CPT code 38790).
Example 1: A patient presents with unexplained swelling in one leg.Lymphangiography is ordered to rule out lymphatic blockage or other lymphatic system pathology., A patient with a history of breast cancer undergoes lymphangiography to assess for metastatic spread of the cancer to the abdominal and pelvic lymph nodes., A patient with suspected lymphoma undergoes lymphangiography to help determine the extent and location of the lymphatic involvement for better staging and treatment planning.
The medical record should clearly document the clinical indication for the bilateral lymphangiography, including the patient's symptoms, relevant history, and physical examination findings. The procedure report should detail the technique used, the contrast material administered, the findings on fluoroscopy and imaging, and a comprehensive interpretation of the results.Images obtained should be included.
** Always refer to the most current CPT manual for complete and up-to-date coding guidelines and information.Accurate documentation is paramount for proper coding and reimbursement.Consider using the most recent versions of coding manuals to ensure the information is compliant with current guidelines.Pay close attention to payer-specific policies which may affect coding practices.
- Revenue Code: I4B (IMAGING/PROCEDURE - OTHER)
- RVU: This information is not provided and would need to be obtained from a relevant fee schedule or payer.
- Global Days : Not applicable to this diagnostic code.
- Payment Status: Active
- Modifier TC rule: Modifier -TC is applicable when the technical component (imaging) is billed separately from the professional interpretation component.
- Fee Schedule : Fee schedule information is not available here and varies significantly by payer and location.Consult appropriate fee schedules for historical and current data.
- Specialties:Radiology, Oncology, Surgery
- Place of Service:Office, Hospital (Inpatient or Outpatient), Ambulatory Surgical Center