CPT 75984 Reimbursement & Policy Benchmarks | OpenPayer

Summary & Overview

CPT 75984: Imaging Supervision and Interpretation for Percutaneous Tube/Catheter Replacement

CPT code 75984 covers the provider’s imaging supervision and interpretation when replacing a previously placed percutaneous tube or catheter that has been damaged. This code captures the professional component of image-guided replacement procedures and is used across hospital inpatient and outpatient settings, ambulatory surgery centers, and radiology departments. Nationally, accurate use of this code affects billing clarity, clinical documentation, and appropriate payment for image-guided interventional services.

Key payers included in this analysis are Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. The publication outlines how 75984 is applied in clinical workflows, common billing considerations, and payer coverage patterns where available. Readers will find benchmarks for utilization and allowed amounts when available, summaries of relevant policy language from major payers, and clinical context describing when the code is appropriate. The content is intended for coding professionals, radiology and interventional clinicians, billing teams, and policy analysts seeking a concise, practical reference on CPT code 75984 and its role in image-guided percutaneous tube or catheter replacement.

AetnaBlue Cross Blue ShieldCigna HealthUnitedHealthcareMedicare75984CPTimage-guidedpercutaneous-tube-replacementinterventional-radiologyprocedural-codingradiology-billingsupervision-and-interpretation

Billing Code Overview

CPT code 75984 describes imaging supervision and interpretation for replacement of a previously placed percutaneous tube or catheter that is damaged. The procedure involves real-time imaging guidance and professional interpretation by the provider to facilitate safe removal and replacement of an existing percutaneous tube or catheter.

Service type: Image-guided interventional procedure supervision and interpretation
Typical site of service: Hospital inpatient or outpatient interventional suite, ambulatory surgery center, or radiology department

Clinical & Coding Specifications

Clinical Context

A typical patient is an adult with a previously placed percutaneous drainage or feeding catheter (for example, a percutaneous endoscopic gastrostomy tube or a percutaneous nephrostomy catheter) that has become damaged, dislodged, or nonfunctional. The patient presents to interventional radiology or a hospital procedural unit with complaints of leaking, inability to flush the tube, peritubal drainage, or external breakage. Imaging (fluoroscopy or radiography) confirms catheter damage requiring replacement. The clinical workflow includes pre-procedure verification of tube type and access route, informed consent, sterile preparation, local anesthesia with or without moderate sedation, fluoroscopic guidance to access the existing tract or create a new access channel, exchange or complete replacement of the damaged percutaneous tube or catheter, verification of position and flow under imaging, and post-procedure observation for complications such as bleeding or infection. Documentation includes indication, informed consent, technique, imaging supervision and interpretation, device details (type, size, manufacturer), any complications, and post-procedure instructions.

Coding Specifications

Modifier	Description	When to Use
`26`	Professional component	Use when reporting only the physician's interpretation and supervision separate from technical resources.

CPT 75989: Imaging Supervision and Interpretation for Catheter Abscess Drainage

CPT-75901-IMAGING-SUPERVISION-INTERPRETATION-CATHETER-OBSTRUCTION-REMOVAL

CPT 75901: Imaging Supervision for Catheter Obstruction Removal

CPT-75894-IMAGE-GUIDED-VASCULAR-EMBOLIZATION-SUPERVISION-INTERPRETATION

CPT 75894: Imaging Supervision and Interpretation for Vascular Occlusion

CPT-75970-TRANSCATHETER-BIOPSY-IMAGING-SUPERVISION-INTERPRETATION

CPT 75970: Imaging Supervision and Interpretation for Transcatheter Biopsy

CPT-75898-FOLLOW-UP-ANGIOGRAPHY-THROUGH-EXISTING-CATHETER

CPT 75898: Follow-Up Angiography via Existing Indwelling Catheter

CPT-75902-IMAGING-FOR-CENTRAL-VENOUS-DEVICE-OCCLUSION-REMOVAL

CPT 75902: Imaging for Mechanical Removal of Central Venous Device Occlusion

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Taxonomy Code	Specialty	Notes
208100000X	Diagnostic Radiology	Interventional radiologists commonly perform image-guided catheter/tube replacement.
364S00000X	Vascular Surgery	Vascular surgeons may perform complex percutaneous access and catheter management.
207K00000X	General Surgery	General surgeons manage feeding tubes and enteral access replacements in operative settings.
333600000X	Gastroenterology	Gastroenterologists place and exchange percutaneous endoscopic gastrostomy tubes and collaborate on replacements.

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`T85.698A`	Other mechanical complication of other internal prosthetic devices, implants and grafts, initial encounter	Relevant for damaged or malfunctioning percutaneous tubes or catheters requiring replacement.
`T82.7XXA`	Other complications of cardiac electronic device, initial encounter	Example of device complication coding when applicable to implanted devices; included when coexisting device issues influence care.
`K91.11`	Infection due to gastrostomy tube	Indication for removal or replacement of a feeding tube if infection is present.
`N13.2`	Hydronephrosis with renal and ureteral calculous obstruction	May be associated with nephrostomy tube placement or exchange when obstruction or complication occurs.
`R31.0`	Gross hematuria	Symptom that may prompt evaluation of urinary catheter or nephrostomy catheter function and replacement if damaged.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`49440`	Insert tunneled centrally inserted central venous catheter (eg, Hickman, Broviac)	Performed when central venous access is required instead of or before catheter replacement; related access procedure.
`49422`	Removal of percutaneous drainage catheter, without imaging guidance	May be performed if catheter removal is required separate from imaging-guided replacement.
`49442`	Replace percutaneous catheter with image guidance	Closely related; used for planned exchange or replacement of percutaneous catheters under imaging.
`74350`	Fluoroscopic guidance for vascular or nonvascular diagnostic or therapeutic procedure	Imaging guidance code often reported with image-guided catheter replacement to describe fluoroscopic supervision and interpretation.
`92980`	Percutaneous transcatheter closure of patent foramen ovale (non-related specialty demonstration)	Not directly related; included here as an example of interventional procedures that may utilize similar imaging resources.

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