2025 CPT code 75840
(Active) Effective Date: N/A Revision Date: N/A Diagnostic Radiology - Venography Radiology Feed
Selective venography of a unilateral adrenal vein, including radiological supervision and interpretation.
Modifiers 26 (professional component) and TC (technical component) are applicable depending on who performs each part of the service.
Medical necessity for this procedure is established when there is a clinical indication suggesting an abnormality in the adrenal vein that requires further investigation. This could include suspected thrombosis, tumor, or hormonal disorders.
The clinical responsibility lies with the radiologist who performs the venography and interprets the resulting images to provide a diagnosis. This may involve collaboration with other specialists depending on the clinical context.
In simple words: This code covers an X-ray test of a vein near one of your kidneys (adrenal vein). A special dye is injected, and X-rays are taken to check the vein's health. A doctor reviews the images to make a diagnosis.
This CPT code, 75840, encompasses the radiological supervision and interpretation of a selective venography of a single adrenal vein.The procedure involves the selective catheterization of the adrenal vein, injection of contrast material, image acquisition, and subsequent interpretation by a radiologist to assess the vein's structure and function. This is a unilateral procedure, meaning only one adrenal vein is studied.
Example 1: A patient presents with suspected adrenal vein thrombosis. A selective adrenal venography is performed to confirm the diagnosis and assess the extent of the thrombus., A patient is being evaluated for primary aldosteronism. Selective adrenal venography is used to localize the source of excess aldosterone production., During a workup for a suspected adrenal tumor, a selective adrenal venography is performed to assess vascularity and plan for potential surgical intervention.
* Physician's order specifying the reason for the procedure.* Complete patient history and physical examination relevant to the indication for the procedure.* Images from the venography study.* Radiologist's report with detailed interpretation of the findings, including measurements and location of any abnormalities.
** If bilateral adrenal venography is performed, code 75842 should be used instead.The procedure should only be coded when there is selective catheterization of the adrenal vein.
- Revenue Code: I4B (Imaging/Procedure - Other)
- RVU: The RVUs for this code vary based on geographic location and payer. Consult your local fee schedule or payer's specific rates.
- Global Days : This is a diagnostic procedure, not a surgical procedure with a global period.
- Payment Status: Active
- Modifier TC rule: Modifier TC may apply to the technical component of the procedure, performed by the radiology technologist.
- Fee Schedule : Fee schedules vary by payer and location. Historical fee data is not consistently available across all payers. Consult your local fee schedule or payer-specific database for historical data.
- Specialties:Radiology, Endocrinology, Vascular Surgery
- Place of Service:Office, Outpatient Hospital, Ambulatory Surgical Center