Summary & Overview

CPT 75807: Bilateral Abdominal/Pelvic Lymphatic Imaging, Supervision & Interpretation

CPT code 75807 denotes the supervision and professional interpretation of radiologic imaging of the lymphatic system performed on both sides of the abdominal or pelvic area. This specialized imaging service supports diagnosis and management of lymphatic disorders such as obstruction, leak, or abnormal drainage patterns. Nationally, imaging codes for lymphatic studies are relatively uncommon but clinically important for surgical planning, oncology staging, and complex vascular-lymphatic assessments.

Key payers included in the coverage context for this analysis are Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of clinical indications associated with the procedure, the typical sites of service, common modifiers associated with professional and technical components, and payer coverage patterns where available. The publication also outlines benchmarking points and relevant policy considerations affecting payment and documentation for lymphatic imaging supervision and interpretation.

This summary equips clinicians, coders, and policy analysts with a clear understanding of what CPT code 75807 represents, why the service is used in care pathways, and which major national payers are relevant when assessing coverage and reimbursement practices. Data not available in the input is noted where applicable in subsequent sections.

AetnaBlue Cross Blue ShieldCigna HealthUnitedHealthcareMedicare75807CPTlymphatic imagingradiologyimaging interpretationabdominal imagingpelvic imagingsupervisiondiagnostic radiology

Billing Code Overview

CPT code 75807 describes the supervision and interpretation of radiologic imaging of the lymphatic system on both sides of the abdominal or pelvic area. The service involves image-guided evaluation of the lymphatic vasculature within bilateral abdominal or pelvic regions to assess patency, obstruction, or other lymphatic abnormalities.

Service type: Imaging supervision and interpretation

Typical site of service: Hospital outpatient imaging suite or ambulatory radiology center, where image-guided lymphatic studies are performed and interpreted by a qualified provider.

Clinical & Coding Specifications

Clinical Context

A 58-year-old patient with known gynecologic malignancy presents for lymphatic mapping and imaging of the pelvic and abdominal lymphatic basins to evaluate nodal involvement. The procedure is ordered after physical exam and cross-sectional imaging suggest possible lymphatic spread or to stage disease prior to definitive management. The patient is positioned supine in the radiology suite. A radiologist or nuclear medicine physician supervises contrast agent injection and acquires serial fluoroscopic or lymphoscintigraphy images of both sides of the pelvis and lower abdomen to visualize lymphatic channels and regional lymph nodes. The provider interprets dynamic and delayed images, documents findings including laterality, number and size of visualized nodes, and provides a formal report. Typical workflow includes pre-procedure consent, review of prior imaging, procedure performance with supervision and interpretation, and post-procedure documentation. Typical site of service is an outpatient radiology department or hospital imaging suite where interventional radiology or nuclear medicine procedures are performed.

Coding Specifications

Modifier	Description	When to Use
`26`	Professional component	Use when billing only the physician interpretation and supervision portion of the imaging study.
`TC`	Technical component	Use when billing only the technical portion (equipment, technologist) of the study.
`50`	Bilateral procedure	Use when procedures are performed on both left and right lymphatic regions as applicable.
`52`	Reduced services	Use when the procedure is partially reduced or not completed as originally planned.
`53`	Discontinued procedure	Use when the procedure is terminated due to patient condition or unforeseen circumstances.
`56`	Preoperative management only	Use when the provider's service is limited to preoperative evaluation/management related to the procedure.
`62`	Two surgeons	Use when two surgeons with distinct roles participate in a complex procedure requiring their skills.
`78`	Unplanned return to OR by same physician	Use when a return procedure is required for related complications.
`80`	Assistant surgeon	Use when a qualified assistant surgeon participates in the operative portion related to lymphatic surgery.
`81`	Minimum assistant surgeon	Use when a minimal assistant surgeon is required.
`22`	Increased procedural services	Use when work required is substantially greater than typical for the procedure.
`23`	Unusual anesthesia	Use when general anesthesia is required for an otherwise non-fully anesthetized procedure.
`27`	Multiple outpatient hospital E/M sessions	Use when multiple separate E/M encounters on the same date-of-service are billed.
`11`	Primary service	Use to identify the primary procedure when multiple procedures are reported.

Taxonomy Code	Specialty	Notes
2087P0207X	Diagnostic Radiology	Radiologists supervise and interpret lymphatic imaging studies.
2080P0206X	Nuclear Medicine	Nuclear medicine physicians perform lymphoscintigraphy and interpretation.
2085R0202X	Vascular & Interventional Radiology	Interventional radiologists may perform lymphatic interventions and complex imaging guidance.
207P00000X	Emergency Medicine	Emergency physicians may order or interpret urgent lymphatic imaging in acute settings.
363L00000X	General Surgery	Surgeons use lymphatic imaging for surgical planning and correlation.

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`C56.9`	Malignant neoplasm of ovary, unspecified	Pelvic lymphatic imaging is used to stage ovarian cancer and assess nodal spread.
`C53.9`	Malignant neoplasm of cervix uteri, unspecified	Imaging of pelvic lymphatics evaluates regional nodal metastases for staging and treatment planning.
`C77.5`	Secondary and unspecified malignant neoplasm of pelvic and perineal lymph nodes	Direct indication for lymphatic imaging to localize metastatic nodal disease.
`C61`	Malignant neoplasm of prostate	Pelvic lymph node imaging assesses nodal involvement in prostate cancer staging.
`C18.9`	Malignant neoplasm of colon, unspecified	Abdominal and pelvic lymphatic imaging evaluates possible nodal metastasis for colorectal cancer staging.
`I88.9`	Nonspecific lymphadenitis	Imaging may be used to evaluate extent and laterality of lymphatic inflammation or infection.
`R59.0`	Localized enlarged lymph nodes	Clinical indication for imaging to characterize lymph node enlargement in the pelvis/abdomen.
`D72.9`	Disorder of white blood cells, unspecified	When hematologic disorders present with lymphadenopathy, imaging of lymphatics can assist assessment.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`39000`	Lymphangiography, percutaneous	Performed when direct cannulation of lymphatic vessels is needed prior to imaging or intervention; may precede or complement supervised imaging and interpretation.
`49320`	Laparoscopy, surgical; with biopsy(s) (single or multiple)	May be performed when suspicious lymph nodes identified on imaging require minimally invasive biopsy for diagnosis.
`38500`	Biopsy or excision of lymph node(s); open, superficial	Surgical excision of abnormal lymph nodes identified on lymphatic imaging for histopathologic diagnosis.
`76376`	3D rendering with interpretation and reporting of CT/CTA, MR/MRA, ultrasound or other tomographic modality	Used when advanced post-processing or 3D reconstruction of imaging is performed to better define lymphatic anatomy.
`76942`	Ultrasonic guidance for needle placement (eg, biopsy, aspiration, localization device)	Used when ultrasound guidance is required for lymph node biopsy or injection related to lymphatic imaging.