2025 CPT code 75842
(Active) Effective Date: N/A Revision Date: N/A Diagnostic Radiology - Venography Radiology Feed
Selective bilateral adrenal venography with radiological supervision and interpretation.
Modifiers 26 (professional component) and TC (technical component) may be appended as appropriate.Refer to payer specific guidelines.
Medical necessity is established by the presence of clinical findings consistent with a condition requiring adrenal venography for diagnosis or management. Specific examples include suspected primary aldosteronism, adrenal masses, or other hormonal disorders.
The radiologist is responsible for performing the venography, interpreting the images, and providing a report to the referring physician.
In simple words: This medical test uses X-rays and a special dye to take pictures of the veins near the kidneys. A doctor watches the process and examines the images to check for problems with these veins.
This CPT code encompasses the radiological supervision and interpretation of a selective venography of both adrenal veins. The procedure involves catheterization of the adrenal veins, contrast injection, fluoroscopic imaging, and image interpretation to assess the adrenal veins.It is typically performed to evaluate for conditions like primary aldosteronism or to identify aldosterone-secreting adenomas.
Example 1: A patient presents with symptoms suggestive of primary aldosteronism.Bilateral adrenal venography is performed to determine if there is unilateral or bilateral adrenal adenoma., A patient has a known adrenal mass identified on CT scan, and bilateral adrenal venography is done to assess the venous drainage and characterize the lesion., Following adrenalectomy for suspected aldosteronoma, a follow-up selective adrenal venography is performed to assess for residual disease or recurrence.
* Detailed clinical indication for the procedure.* Images of the venogram, clearly labeled.* Radiologist's interpretation report, including measurements and findings.* Patient demographics and medical history.
** This code is used for the radiological supervision and interpretation only. The technical component of the procedure may be billed separately.
- Revenue Code: I4B (IMAGING/PROCEDURE - OTHER)
- RVU: Information not available in provided text.RVUs are determined by the payer and may vary based on geographic location and other factors.
- Global Days : Not applicable; this is a diagnostic procedure, not a surgical procedure with a global period.
- Payment Status: Active
- Modifier TC rule: Modifier TC may apply depending on who performs the technical component. Hospital settings often do not require modifier TC.
- Fee Schedule : Information not available in the provided text. Fee schedules vary by payer and location.
- Specialties:Endocrinology, Interventional Radiology
- Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center