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Fluoroscopy-Guided Central Venous Catheter Placement with Intravenous Contrast

Published: August 9, 2026Updated: August 16, 2026

An image-guided procedure used to place a central venous catheter, or central line, into a large vein, with contrast given through an IV.

Quick summary

["Fluoroscopy uses real-time X-ray images to help position a central venous catheter accurately."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
26310-3
Short code
RFA Guided Vein-Bl CVC place--W contr IV
Synonyms
RFA Guided Vein-Bl CVC place--W contr IV
Category
liver
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
rf-angio
CPT
86430
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

What is this test?

This is a procedure in which a central venous catheter, also called a central line, is placed into a large vein. Fluoroscopy provides real-time X-ray images to guide the catheter, and intravenous contrast may be used to help show the blood vessels and catheter position.

Why might I need this test?

A central line may be needed for long-term IV medicine, fluids, nutrition, or blood sampling. It may also be used when veins are difficult to access or when certain treatments require a central line.

How is the test performed?

After numbing the insertion area, a clinician uses sterile technique to guide the catheter into a vein, usually in the neck, chest, or groin. Fluoroscopic images confirm the catheter's location, and the procedure report documents the site, imaging findings, and any complications.

How do I prepare for the test?

Follow the facility's instructions about fasting, medications, and IV access. Tell the care team about iodinated contrast allergies, kidney problems, bleeding disorders, pregnancy, and any medicines you use, including blood thinners.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

This is a procedure rather than a standard blood test, so there is usually no laboratory reference range. The report may describe successful catheter placement, the vein used, contrast administration, and whether the tip is in an appropriate position. If the line is misplaced or complications occur, the clinician may reposition or remove it and arrange additional care.

Short name

Fluoroscopy-guided central line placement

Frequently asked questions

Is this a blood test?
No. It is an image-guided procedure used to place a central venous catheter, although blood may be drawn through the line afterward.
Why is contrast used?
Iodinated contrast injected through an IV can help the blood vessels and catheter tip appear more clearly on fluoroscopic images.
What are the main risks?
Possible risks include bleeding, infection, pain, blood vessel injury, air entering the bloodstream, and lung complications. Contrast may also cause an allergic-like reaction or kidney problems in susceptible people.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy