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The CPT® Code 75805 refers to the procedure known as lymphangiography, specifically focusing on the pelvic and abdominal regions, performed unilaterally. This procedure involves the use of radiological techniques to visualize the lymphatic system, which is crucial for diagnosing various conditions related to lymphatic flow and function. During lymphangiography, a physician conducts radiological supervision and interpretation, ensuring that the imaging process is accurately monitored and assessed. The procedure begins with the preparation of the patient, where the skin of the foot is cleansed, and a blue indicator dye is injected between the toes. This dye serves as a tracer, allowing the physician to observe its movement through the lymphatic vessels. The observation period typically lasts between 15 to 30 minutes, during which the physician assesses the spread of the dye into the small lymph vessels of the foot. Once adequate delineation of the lymph vessels is achieved, a local anesthetic is administered, followed by an incision to expose one of the larger lymph vessels. A needle or catheter is then inserted into the exposed vessel to inject contrast media, which enhances the visibility of the lymphatic structures during imaging. Radiographs are subsequently obtained, capturing detailed images of the lymph vessels in the abdomen and/or pelvis over a duration of 1 to 2 hours. The physician concludes the procedure by reviewing the radiographs and providing a comprehensive written interpretation of the findings. It is important to note that for a unilateral lymphangiogram of the abdomen or pelvis, the appropriate code to use is 75805, while 75807 should be utilized if a bilateral imaging procedure is conducted.
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The lymphangiography procedure, represented by CPT® Code 75805, is indicated for various clinical scenarios where visualization of the lymphatic system is necessary. The following conditions may warrant the performance of this procedure:
The lymphangiography procedure involves several critical steps to ensure accurate imaging and assessment of the lymphatic system. The following outlines the procedural steps involved:
Following the lymphangiography procedure, patients may require specific post-procedure care to ensure proper recovery and monitoring. It is essential to observe the injection site for any signs of infection or adverse reactions to the dye or contrast media. Patients may experience mild discomfort or swelling at the injection site, which typically resolves within a few days. Additionally, the physician may provide instructions regarding activity restrictions and follow-up appointments to discuss the results of the imaging and any further diagnostic or therapeutic interventions that may be necessary based on the findings. Monitoring for any unusual symptoms, such as increased pain or swelling, is also advised, and patients should be encouraged to report any concerns to their healthcare provider promptly.
| Short Descr | LYMPH VESSEL X-RAY TRUNK | Medium Descr | LYMPHANGIOGRAPHY PELVIC/ABDOMINAL UNILAT RS&I | Long Descr | Lymphangiography, pelvic/abdominal, unilateral, radiological supervision and interpretation | Status Code | Carriers Price the Code | Global Days | XXX - Global Concept Does Not Apply | PC/TC Indicator (26, TC) | 1 - Diagnostic Tests for Radiology Services | Multiple Procedures (51) | 0 - No payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 0 - Payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Hospital Part B services paid through a comprehensive APC | ASC Payment Indicator | Radiology service paid separately when provided integral to a surgical procedure on ASC list; payment based on OPPS relative payment weight. | Type of Service (TOS) | 4 - Diagnostic Radiology | Berenson-Eggers TOS (BETOS) | I4B - Imaging/procedure - other | MUE | 1 | CCS Clinical Classification | 226 - Other diagnostic radiology and related techniques |
This is a primary code that can be used with these additional add-on codes.
| 37252 | Addon Code MPFS Status: Active Code APC N ASC N1 Intravascular ultrasound (noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation; initial noncoronary vessel (List separately in addition to code for primary procedure) | 37253 | Addon Code MPFS Status: Active Code APC N ASC N1 Intravascular ultrasound (noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation; each additional noncoronary vessel (List separately in addition to code for primary procedure) |
| 26 | Professional component: certain procedures are a combination of a physician or other qualified health care professional component and a technical component. when the physician or other qualified health care professional component is reported separately, the service may be identified by adding modifier 26 to the usual procedure number. | 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | GC | This service has been performed in part by a resident under the direction of a teaching physician | LT | Left side (used to identify procedures performed on the left side of the body) | RT | Right side (used to identify procedures performed on the right side of the body) | X4 | Episodic/focused services: for reporting services by clinicians who provide focused care on particular types of treatment limited to a defined period and circumstance; the patient has a problem, acute or chronic, that will be treated with surgery, radiation, or some other type of generally time-limited intervention; reporting clinician service examples include but are not limited to, the orthopedic surgeon performing a knee replacement and seeing the patient through the postoperative period | X5 | Diagnostic services requested by another clinician: for reporting services by a clinician who furnishes care to the patient only as requested by another clinician or subsequent and related services requested by another clinician; this modifier is reported for patient relationships that may not be adequately captured by the above alternative categories; reporting clinician service examples include but are not limited to, the radiologist's interpretation of an imaging study requested by another clinician | XU | Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service |
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| 2014-01-01 | Changed | Medium description changed. Per AMA 2014 corrections document posted 2014-03-24 |
| 2011-01-01 | Changed | Short description changed. |
| Pre-1990 | Added | Code added. |
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