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Official Description

Change of percutaneous tube or drainage catheter with contrast monitoring (eg, genitourinary system, abscess), radiological supervision and interpretation

© Copyright 2025 American Medical Association. All rights reserved.

Common Language Description

The procedure described by CPT® Code 75984 involves the change of a percutaneous tube or drainage catheter, specifically with the use of contrast monitoring. This procedure is typically performed in the context of the genitourinary system or for the drainage of an abscess. During this process, radiological supervision and interpretation are essential components, ensuring that the procedure is conducted safely and effectively. The use of imaging techniques such as ultrasound, fluoroscopy, or computed tomography (CT) allows for precise visualization of the existing tube or catheter. Contrast media is injected into the current tube or drainage catheter to assess its position and functionality, helping to identify any issues that may require intervention. Once the existing tube or catheter is visualized and removed, a replacement is inserted through the same tract under radiographic guidance. The injection of contrast media into the new tube or drainage catheter is performed to confirm its correct placement, ensuring that it is functioning as intended. This procedure is critical for maintaining proper drainage and addressing any complications associated with the existing catheter or tube.

© Copyright 2025 Coding Ahead. All rights reserved.

1. Indications

The procedure associated with CPT® Code 75984 is indicated for specific clinical scenarios where the management of a percutaneous tube or drainage catheter is necessary. The following conditions may warrant this procedure:

  • Genitourinary System Issues Conditions affecting the genitourinary system that require drainage or catheterization may necessitate the change of a percutaneous tube or drainage catheter.
  • Abscess Drainage The presence of an abscess that requires drainage through a catheter may indicate the need for this procedure to ensure proper management and resolution of the infection.
  • Catheter Malfunction Situations where the existing tube or drainage catheter is malfunctioning or obstructed may require replacement to restore proper function.

2. Procedure

The procedure for CPT® Code 75984 involves several critical steps to ensure the effective change of a percutaneous tube or drainage catheter. Each step is outlined as follows:

  • Step 1: Preparation and Imaging The patient is positioned appropriately, and the area of interest is prepared for the procedure. Radiological imaging techniques such as ultrasound, fluoroscopy, or CT are utilized to visualize the existing tube or drainage catheter. This imaging is crucial for assessing the current position and condition of the catheter.
  • Step 2: Contrast Injection Contrast media is injected into the existing tube or drainage catheter. This step is essential for identifying the current location of the catheter and any potential malfunctions. The use of contrast allows for enhanced visualization during the procedure.
  • Step 3: Removal of Existing Catheter Once the existing catheter is adequately visualized, it is carefully removed under radiological guidance. This step must be performed with precision to avoid complications.
  • Step 4: Placement of Replacement Catheter A replacement tube or drainage catheter is then inserted through the same tract as the previous catheter. This step is conducted under continuous radiographic supervision to ensure accurate placement.
  • Step 5: Verification of Placement After the replacement catheter is in place, contrast media is again injected to verify its correct positioning. This final verification step is critical to ensure that the new catheter is functioning properly and is positioned correctly for effective drainage.

3. Post-Procedure

After the completion of the procedure associated with CPT® Code 75984, the patient may require specific post-procedure care. Monitoring for any immediate complications is essential, and the patient may be advised on signs of infection or catheter malfunction. Follow-up imaging may be necessary to confirm the successful placement and function of the new catheter. Additionally, instructions regarding the care of the catheter site and any necessary follow-up appointments should be provided to ensure optimal recovery and management.

Short Descr XRAY CONTROL CATHETER CHANGE
Medium Descr CHANGE PRQ TUBE/DRAINAGE CATH W CONTRAST RS&I
Long Descr Change of percutaneous tube or drainage catheter with contrast monitoring (eg, genitourinary system, abscess), 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) 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 Items and Services Packaged into APC Rates
ASC Payment Indicator Packaged service/item; no separate payment made.
Type of Service (TOS) 6 - Therapeutic Radiology
Berenson-Eggers TOS (BETOS) I1F - Standard imaging - other
MUE 2
CCS Clinical Classification 226 - Other diagnostic radiology and related techniques
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
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
76 Repeat procedure or service by same physician or other qualified health care professional: it may be necessary to indicate that a procedure or service was repeated by the same physician or other qualified health care professional subsequent to the original procedure or service. this circumstance may be reported by adding modifier 76 to the repeated procedure or service. note: this modifier should not be appended to an e/m service.
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.
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
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
CR Catastrophe/disaster related
RT Right side (used to identify procedures performed on the right side of the body)
LT Left side (used to identify procedures performed on the left side of the body)
52 Reduced services: under certain circumstances a service or procedure is partially reduced or eliminated at the discretion of the physician or other qualified health care professional. under these circumstances the service provided can be identified by its usual procedure number and the addition of modifier 52, signifying that the service is reduced. this provides a means of reporting reduced services without disturbing the identification of the basic service. note: for hospital outpatient reporting of a previously scheduled procedure/service that is partially reduced or cancelled as a result of extenuating circumstances or those that threaten the well-being of the patient prior to or after administration of anesthesia, see modifiers 73 and 74 (see modifiers approved for asc hospital outpatient use).
53 Discontinued procedure: under certain circumstances, the physician or other qualified health care professional may elect to terminate a surgical or diagnostic procedure. due to extenuating circumstances or those that threaten the well being of the patient, it may be necessary to indicate that a surgical or diagnostic procedure was started but discontinued. this circumstance may be reported by adding modifier 53 to the code reported by the individual for the discontinued procedure. note: this modifier is not used to report the elective cancellation of a procedure prior to the patient's anesthesia induction and/or surgical preparation in the operating suite. for outpatient hospital/ambulatory surgery center (asc) reporting of a previously scheduled procedure/service that is partially reduced or cancelled as a result of extenuating circumstances or those that threaten the well being of the patient prior to or after administration of anesthesia, see modifiers 73 and 74 (see modifiers approved for asc hospital outpatient use).
77 Repeat procedure by another physician or other qualified health care professional: it may be necessary to indicate that a basic procedure or service was repeated by another physician or other qualified health care professional subsequent to the original procedure or service. this circumstance may be reported by adding modifier 77 to the repeated procedure or service. note: this modifier should not be appended to an e/m service.
79 Unrelated procedure or service by the same physician or other qualified health care professional during the postoperative period: the individual may need to indicate that the performance of a procedure or service during the postoperative period was unrelated to the original procedure. this circumstance may be reported by using modifier 79. (for repeat procedures on the same day, see modifier 76.)
AQ Physician providing a service in an unlisted health professional shortage area (hpsa)
GV Attending physician not employed or paid under arrangement by the patient's hospice provider
GW Service not related to the hospice patient's terminal condition
MG The order for this service does not have applicable appropriate use criteria in the qualified clinical decision support mechanism consulted by the ordering professional
MH Unknown if ordering professional consulted a clinical decision support mechanism for this service, related information was not provided to the furnishing professional or provider
Q1 Routine clinical service provided in a clinical research study that is in an approved clinical research study
Q6 Service furnished under a fee-for-time compensation arrangement by a substitute physician or by a substitute physical therapist furnishing outpatient physical therapy services in a health professional shortage area, a medically underserved area, or a rural area
TC Technical component; under certain circumstances, a charge may be made for the technical component alone; under those circumstances the technical component charge is identified by adding modifier 'tc' to the usual procedure number; technical component charges are institutional charges and not billed separately by physicians; however, portable x-ray suppliers only bill for technical component and should utilize modifier tc; the charge data from portable x-ray suppliers will then be used to build customary and prevailing profiles
TV Special payment rates, holidays/weekends
XE Separate encounter, a service that is distinct because it occurred during a separate encounter
XP Separate practitioner, a service that is distinct because it was performed by a different practitioner
Date
Action
Notes
2008-01-01 Changed Code description changed.
Pre-1990 Added Code added.
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Description
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Description
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