© Copyright 2025 American Medical Association. All rights reserved.
The procedure described by CPT® Code 75810 refers to splenoportography, which is a specialized radiological examination of the spleen and its associated vascular structures. This procedure involves the use of fluoroscopic guidance to accurately place a sheathed needle into the spleen, allowing for the administration of contrast media. The primary goal of splenoportography is to visualize the splenic veins and assess the flow of contrast as it drains into the portal vein, providing critical information about the vascular anatomy and any potential abnormalities. The process begins with the careful insertion of the needle, followed by verification of its correct positioning through the presence of free blood return and a small test injection of contrast. Once confirmed, a larger volume of contrast media is injected, and the resulting images are captured using cineangiography, a technique that allows for dynamic visualization of the vascular structures. After the imaging is completed, Gelfoam plugs are utilized to tamponade the needle tract, ensuring hemostasis. The procedure concludes with the removal of the sheath, application of a dressing, and a thorough review of the radiographs by the physician, who then provides a detailed written interpretation of the findings. This comprehensive approach ensures that the procedure is performed safely and effectively, yielding valuable diagnostic information for further clinical decision-making.
© Copyright 2025 Coding Ahead. All rights reserved.
The indications for performing splenoportography, as described by CPT® Code 75810, typically include the following conditions:
The procedure for splenoportography involves several critical steps to ensure accurate imaging and patient safety:
After the completion of splenoportography, patients are typically monitored for any immediate complications, such as bleeding or infection at the insertion site. The application of a dressing helps protect the area and promote healing. Patients may be advised to avoid strenuous activities for a short period to allow for proper recovery. Follow-up appointments may be scheduled to discuss the results of the procedure and any further management based on the findings. It is essential for the physician to provide clear post-procedure instructions to ensure patient safety and optimal recovery.
| Short Descr | VEIN X-RAY SPLEEN/LIVER | Medium Descr | SPLENOPORTOGRAPY RS&I | Long Descr | Splenoportography, 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 | 191 - Arterio- or venogram (not heart and head) |
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 | 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 | XS | Separate structure, a service that is distinct because it was performed on a separate organ/structure | XU | Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service |
|
Date
|
Action
|
Notes
|
|---|---|---|
| 2011-01-01 | Changed | Short description changed. |
| Pre-1990 | Added | Code added. |
Get instant expert-level medical coding assistance.