August 2008 page 13
Radiology: Diagnostic Radiology (Diagnostic Imaging), 75809 (Q&A)
Question: What is the appropriate code to report for
implanted pump catheter dye studies? The patient is not
getting pain relief, and an intrathecal catheter is evaluated
for dislodgement, discontinuity, or kinking. Contrast is
injected through the catheter with fluoroscopic guidance
to identify a potential problem.
Answer: It is appropriate to report code 75809, Shuntogram
for investigation of previously placed indwelling nonvascular
shunt (eg, LeVeen shunt, ventriculoperitoneal shunt,
indwelling infusion pump), radiological supervision and interpretation,
for the radiologic supervision and interpretation
(RSI) portion of such a procedure...
Note: The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.
Article Overview
This August 2008 Radiology/Diagnostic Radiology Q&A from CPT Assistant addresses diagnostic imaging coding for implanted pump catheter dye studies. It focuses on the kinds of radiology services involved, the use of contrast and fluoroscopic evaluation, and how the discussion fits into broader radiology reporting for nonvascular shunt and related device assessments. The article is relevant to radiology coders, physicians, and billing staff working with diagnostic imaging documentation and service components.
Why This Topic Matters
These questions arise in practice when imaging is performed to assess catheter or shunt function and the work may be split between an injection component and a radiology supervision/interpretation component. Understanding the article helps coding professionals recognize the type of service being discussed and identify the associated CPT reporting framework.
Article Sections
August 2008 page 13
A brief CPT Assistant Q&A focused on diagnostic radiology reporting for implanted pump catheter dye studies and related evaluation services.
What You Will Learn
The general coding framework discussed for diagnostic imaging assessments of implanted pump catheter systems
How the article frames radiology supervision and interpretation versus the injection portion of the service
What types of imaging-based evaluations are addressed in the context of nonvascular shunt and related device assessment
The broader documentation and reporting considerations mentioned for radiology services in this setting
Who Should Read This
Radiology coders
Physician coders
Billing and reimbursement staff
Diagnostic radiologists
Pain management or implantable device service providers
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