© Copyright 2025 American Medical Association. All rights reserved.
Venous pressure determination is a non-invasive diagnostic procedure that plays a crucial role in assessing venous function and health. This procedure employs two primary techniques: photoplethysmography (PPG) and air plethysmography (APG). PPG utilizes light-emitting diodes (LEDs) to illuminate the skin, allowing for the detection of changes in blood volume within microvascular tissue beds. This technique visualizes the pulsatile waveform generated by cardiac activity against a slower baseline waveform, which reflects respiratory patterns, thermoregulation, and sympathetic nervous system responses. On the other hand, APG involves the use of a large inflatable cuff, a calibrated pressure transducer, and an analog chart recorder to evaluate venous pressure. The cuff is applied to the patient's extremity to assess for any obstructions and to determine the degree of superficial collateralization. This is performed while the patient is in both supine and standing positions, enabling the measurement of the filling rate of veins and the assessment of reflux through incompetent valves. Additionally, the calf muscle pump function, or ejection fraction, can be evaluated through specific exercises, such as the 'toe up' movement, which helps in obtaining ambulatory venous pressure measurements. The results from either PPG or APG should include detailed documentation of various parameters, including the venous filling index, ejection fraction, residual volume fraction, and any techniques used to assess arterial inflow and venous outflow, as well as to evaluate for venous obstruction. This comprehensive assessment aids in tailoring compression therapy, selecting optimal sites for dialysis access grafts or arteriovenous (AV) fistulas, and identifying patients who may benefit from synthetic prostacyclin or similar drug therapies.
© Copyright 2025 Coding Ahead. All rights reserved.
Venous pressure determination is indicated for several clinical scenarios, including:
The procedure for venous pressure determination involves several key steps, which are detailed as follows:
After the venous pressure determination procedure, patients may be monitored for any immediate reactions or complications. It is important to provide post-procedure care instructions, which may include recommendations for rest and hydration. The results of the procedure should be reviewed with the patient, and any necessary follow-up appointments should be scheduled to discuss treatment options based on the findings. Additionally, the documentation generated from the procedure should be carefully reviewed to ensure accuracy and completeness, as it will inform future clinical decisions and management strategies.
| Short Descr | DETERMINATION VENOUS PRESS | Medium Descr | DETERMINATION OF VENOUS PRESSURE | Long Descr | Determination of venous pressure | Status Code | Bundled Code | Global Days | XXX - Global Concept Does Not Apply | PC/TC Indicator (26, TC) | 9 - Not Applicable | Multiple Procedures (51) | 9 - Concept does not apply. | Bilateral Surgery (50) | 9 - Concept does not apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 9 - Concept does not apply. | Co-Surgeons (62) | 9 - Concept does not apply. | Team Surgery (66) | 9 - Concept does not apply. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Items and Services Packaged into APC Rates | Type of Service (TOS) | 5 - Diagnostic Laboratory | Berenson-Eggers TOS (BETOS) | T2D - Other tests - other | MUE | 0 | CCS Clinical Classification | 62 - Other diagnostic cardiovascular procedures |
| 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. | 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. | LT | Left side (used to identify procedures performed on the left 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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| 2025-01-01 | Changed | Short and Medium Descriptions changed. |
| Pre-1990 | Added | Code added. |
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