CPT® Code 75810

The procedure described by CPT® Code 75810 refers to splenoportography, which is a specialized radiological examination of the spleen and its associated vascular structures. This procedure involves the use of fluoroscopic guidance to accurately place a sheathed needle into the spleen, allowing for the administration of contrast media. The primary goal of splenoportography is to visualize the splenic veins and assess the flow of contrast as it drains into the portal vein, providing critical information about the vascular anatomy and any potential abnormalities. The process begins with the careful insertion of the needle, followed by verification of its correct positioning through the presence of free blood return and a small test injection of contrast. Once confirmed, a larger volume of contrast media is injected, and the resulting images are captured using cineangiography, a technique that allows for dynamic visualization of the vascular structures. After the imaging is completed, Gelfoam plugs are utilized to tamponade the needle tract, ensuring hemostasis. The procedure concludes with the removal of the sheath, application of a dressing, and a thorough review of the radiographs by the physician, who then provides a detailed written interpretation of the findings. This comprehensive approach ensures that the procedure is performed safely and effectively, yielding valuable diagnostic information for further clinical decision-making.