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Official Description

Lymphangiography, pelvic/abdominal, bilateral, radiological supervision and interpretation

© Copyright 2025 American Medical Association. All rights reserved.

Common Language Description

The CPT® Code 75807 refers to the procedure known as lymphangiography, specifically targeting the pelvic and abdominal regions, performed bilaterally. This procedure involves the use of radiological techniques to visualize the lymphatic system, which is crucial for diagnosing various conditions related to lymphatic drainage 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, which includes cleansing the skin of the foot and administering a blue indicator dye between the toes. This dye is essential for visualizing the lymphatic vessels as it spreads through them, a process that typically takes between 15 to 30 minutes. Once the lymph vessels are adequately delineated, a local anesthetic is applied, followed by an incision to expose one of the larger lymph vessels. A needle or catheter is then inserted into this vessel to inject contrast media, allowing for enhanced imaging of the lymphatic system. Radiographs are subsequently obtained, capturing images of the lymph vessels in the abdomen and/or pelvis over a duration of 1 to 2 hours. The physician is responsible for reviewing these radiographs and providing a comprehensive written interpretation of the findings. It is important to note that CPT® Code 75805 should be used for unilateral lymphangiograms, while CPT® Code 75807 is designated for bilateral procedures.

© Copyright 2025 Coding Ahead. All rights reserved.

1. Indications

The lymphangiography procedure, represented by CPT® Code 75807, is indicated for various clinical scenarios where visualization of the lymphatic system is necessary. The following conditions may warrant this procedure:

  • Assessment of Lymphatic Obstruction: Lymphangiography is performed to evaluate potential blockages in the lymphatic vessels, which can lead to conditions such as lymphedema.
  • Investigation of Lymphatic Malformations: This procedure is useful in diagnosing congenital or acquired malformations of the lymphatic system.
  • Evaluation of Tumors: Lymphangiography can assist in assessing the spread of tumors to lymph nodes or other lymphatic structures.
  • Preoperative Planning: The procedure may be indicated prior to surgical interventions involving the lymphatic system to provide detailed anatomical information.

2. Procedure

The lymphangiography procedure involves several critical steps to ensure accurate imaging of the lymphatic system. The following outlines the procedural steps involved:

  • Step 1: Preparation and Injection of Dye - The procedure begins with the cleansing of the skin on the foot, followed by the injection of a blue indicator dye between several toes. This dye is crucial for visualizing the lymphatic vessels as it spreads through them, which typically takes 15 to 30 minutes.
  • Step 2: Local Anesthetic Administration - Once the dye has adequately delineated the lymph vessels, a local anesthetic is injected over one of the larger lymph vessels to minimize discomfort during the procedure.
  • Step 3: Incision and Exposure of Lymph Vessel - The physician then makes a small incision in the skin to expose the lymph vessel. This step is essential for accessing the lymphatic system directly.
  • Step 4: Injection of Contrast Media - A needle or catheter is inserted into the exposed lymph vessel, and contrast media is injected. This contrast agent enhances the visibility of the lymphatic structures during imaging.
  • Step 5: Radiographic Imaging - Radiographs are obtained of the lymph vessels in the abdomen and/or pelvis. This imaging process occurs over a period of 1 to 2 hours, allowing for comprehensive visualization of the lymphatic system.
  • Step 6: Interpretation of Results - After the imaging is complete, the physician reviews the radiographs and provides a written interpretation of the findings, which is critical for subsequent clinical decision-making.

3. Post-Procedure

Following the lymphangiography procedure, patients may require specific post-procedure care to ensure proper recovery and monitoring for any potential complications. It is essential to observe the injection site for signs of infection or adverse reactions to the dye or contrast media. Patients may experience some discomfort or swelling in the area where the dye was injected, which should gradually subside. Additionally, the physician may provide instructions regarding activity restrictions and follow-up appointments to discuss the results of the imaging and any further necessary interventions. Monitoring for any unusual symptoms, such as increased pain or swelling, is also advised, and patients should be encouraged to report these to their healthcare provider promptly.

Short Descr LYMPH VESSEL X-RAY TRUNK
Medium Descr LYMPHANGIOGRAPHY PELVIC/ABDOMINAL BILATERAL RS&I
Long Descr Lymphangiography, pelvic/abdominal, bilateral, 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) 2 - 150% payment adjustment 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 T-Packaged Codes
ASC Payment Indicator Packaged service/item; no separate payment made.
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.
GC This service has been performed in part by a resident under the direction of a teaching physician
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.
Q1 Routine clinical service provided in a clinical research study that is in an approved clinical research study
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
XE Separate encounter, a service that is distinct because it occurred during a separate encounter
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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2011-01-01 Changed Short description changed.
Pre-1990 Added Code added.
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