2025 CPT code 75860
(Active) Effective Date: N/A Revision Date: N/A Diagnostic Radiology - Venography Radiology Feed
Venography of venous sinus (e.g., petrosal and inferior sagittal) or jugular vein, with catheter placement; radiological supervision and interpretation.
Modifiers 26 (professional component) and TC (technical component) may apply to this code. Modifier application will depend on the specific circumstances under which the service was performed.
Medical necessity for this procedure is established based on the presence of clinical findings suggesting pathology of the venous sinuses or jugular vein, such as symptoms of cerebral venous thrombosis or suspected stenosis. The venogram is crucial in confirming the diagnosis and guiding subsequent treatment plans.
The radiologist is responsible for the radiological supervision and interpretation of the venography procedure, including catheter placement, contrast injection, image acquisition, and diagnostic interpretation. This does not include the technical component of the procedure which is usually performed by a technologist.
In simple words: This test uses X-rays and a special dye to see the veins in your head and neck. A thin tube (catheter) is carefully placed in a vein, and dye is injected to highlight the veins on the X-ray images. A doctor who specializes in reading X-rays (a radiologist) then reviews the images to diagnose any problems.
This CPT code encompasses the radiological supervision and interpretation (RSI) of a venography procedure involving catheter placement in the venous sinus (specifically, petrosal and inferior sagittal sinuses) or jugular vein.The procedure includes the introduction of contrast material, imaging of the targeted vein(s), and the subsequent interpretation of the acquired images by a qualified radiologist to establish a definitive diagnosis.Local anesthesia is typically administered at the access site before puncturing a vein (e.g., cephalic vein) to insert a guidewire and catheter. Fluoroscopic guidance is utilized to advance the catheter to the target vessel(s) for contrast injection and imaging.Following contrast administration, images are obtained and interpreted by the radiologist, providing critical diagnostic information.
Example 1: A patient presents with symptoms suggestive of a cerebral venous thrombosis.A venogram using this code is performed to visualize the petrosal and inferior sagittal sinuses to confirm or rule out the presence of a blood clot., A patient is being evaluated for jugular vein stenosis.This venography procedure helps assess the patency and diameter of the jugular vein to determine the severity of the stenosis., During a surgical procedure, the surgeon requires real-time imaging of the venous sinus to guide catheter placement.The radiologist uses fluoroscopy and reports using this code for the supervision and interpretation component.
* Detailed clinical history indicating the reason for the venography.* Images acquired during the procedure.* Radiologist's report with interpretation and findings.* Consent form for the procedure.* Anesthesia documentation (if applicable).
** This code is typically reported by a radiologist.Specific payer policies regarding modifier usage and reimbursement may vary.
- Revenue Code: I4B (IMAGING/PROCEDURE - OTHER)
- Payment Status: Active
- Modifier TC rule: Modifiers 26 and TC may apply to this code. Modifier application will depend on the specific circumstances under which the service was performed.
- Specialties:Radiology, Neuroradiology
- Place of Service:Office, Outpatient Hospital, Ambulatory Surgical Center