2025 CPT code 75822
(Active) Effective Date: N/A Diagnostic Imaging - Diagnostic Radiology Radiology Feed
Venography, extremity, bilateral, radiological supervision and interpretation.
Modifiers 26 (professional component), TC (technical component), 52 (reduced services), 76, 77 (repeat procedure by same/different physician), 59, XS, XU may be applicable.
Medical necessity for a bilateral extremity venogram must be established by documenting the patient's clinical presentation, which should correlate with the suspected vascular condition.The documentation should clearly explain why the procedure is necessary for diagnosis or treatment planning.
The radiologist is responsible for supervising the technical performance of the venography procedure and interpreting the resulting images. They must review the patient's medical history, assess the images for any abnormalities, and provide a diagnostic report detailing their findings.
In simple words: This code covers the doctor's work in overseeing and interpreting x-ray images of the veins in both your arms or both your legs.A special dye is injected to make the veins show up clearly on the x-ray. This helps the doctor find problems like blood clots or other issues with blood flow in your limbs.
This code represents the physician's supervision and interpretation of a bilateral (both sides) venography of an extremity (upper or lower).Venography is a radiological procedure where contrast dye is injected into the veins, and x-rays are taken to visualize the veins. It is used to diagnose conditions such as deep vein thrombosis (blood clots), venous insufficiency, and other vascular abnormalities. This code specifically includes the radiologist's expertise in supervising the procedure and interpreting the resulting images.
Example 1: A patient presents with leg swelling and pain, raising suspicion of a deep vein thrombosis (DVT). A bilateral lower extremity venogram is performed under the supervision and interpretation of a radiologist to confirm the presence or absence of a DVT., A patient with a history of venous insufficiency experiences worsening symptoms in both arms. A bilateral upper extremity venogram is performed to assess the degree of venous reflux and identify any obstructions., Prior to a planned vascular surgery, a bilateral lower extremity venogram is performed to map the patient's venous anatomy and guide the surgical approach. The radiologist supervises the imaging and provides a detailed map of the veins to the surgeon.
Documentation should include the medical reason for the venogram (e.g., signs and symptoms, suspected diagnosis), laterality (right, left, or bilateral), the type of contrast used, a description of the findings observed in the images, and the radiologist's diagnostic impression.
** This code represents the radiological supervision and interpretation only and does not include the injection procedures for the venous system (36000-36015, 36400-36510) or lymphatic system (38790).
- Revenue Code: I4B - IMAGING/PROCEDURE - OTHER
- Payment Status: Active
- Modifier TC rule: Modifier TC can be used to denote the technical component of this procedure.
- Specialties:Radiology, Vascular Surgery, Interventional Radiology
- Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center, Independent Clinic, Mobile Unit