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The CPT® Code 75840 refers to a specialized radiological procedure known as unilateral selective adrenal venography. This procedure involves the use of radiopaque contrast medium and fluoroscopy to visualize the adrenal veins, which are critical for evaluating various adrenal gland conditions. The primary purpose of this venography is to diagnose potential abnormalities such as blood clots or tumors in the adrenal veins and to assess hormone levels, particularly aldosterone, which can indicate endocrine disorders. During the procedure, access is typically gained through the femoral vein in the groin using a large bore needle. A guidewire is then carefully threaded through the needle and advanced into the vena cava, allowing for precise positioning to visualize the adrenal veins. Following this, a catheter is inserted over the guidewire to the targeted location, and the guidewire is subsequently removed. Blood samples may be collected for aldosterone testing if there are indications of abnormal hormone levels. The contrast medium is injected through the catheter, and x-ray images of the adrenal veins are captured to facilitate the evaluation. At the end of the procedure, the catheter is removed. This code encompasses the radiological supervision and interpretation of the images obtained during the unilateral selective adrenal venography, along with the generation of a written report detailing the findings from the study.
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The procedure indicated by CPT® Code 75840 is performed for specific clinical reasons related to the adrenal glands. The following conditions may warrant the use of this venography:
The procedure for unilateral selective adrenal venography involves several critical steps to ensure accurate visualization and assessment of the adrenal veins. The following steps outline the process:
After the completion of the unilateral selective adrenal venography, patients may be monitored for any immediate complications related to the procedure, such as bleeding or infection at the access site. It is essential to ensure that the patient is stable before discharge. The results of the imaging study, along with any blood test findings, will be compiled into a written report, which will be reviewed and interpreted by the physician. Follow-up care may be necessary depending on the findings, particularly if any abnormalities are detected that require further evaluation or treatment.
| Short Descr | VEIN X-RAY ADRENAL GLAND | Medium Descr | VENOGRAPHY ADRENAL UNILATERAL SELECTIVE RS&I | Long Descr | Venography, adrenal, unilateral, selective, radiological supervision and interpretation | Status Code | Active Code | Global Days | XXX - Global Concept Does Not Apply | PC/TC Indicator (26, TC) | 1 - Diagnostic Tests for Radiology Services | Multiple Procedures (51) | 6 - Special payment adjustment rules on the technical component (TC) of multiple diagnostic cardiovascular services 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 | 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 | 191 - Arterio- or venogram (not heart and head) |
| 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. | 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) | 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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