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Real-Time Fluoroscopy-Guided Transjugular Liver Biopsy with Intravenous Contrast

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

An image-guided procedure that samples liver tissue through a vein in the neck, with intravenous contrast used to help visualize blood vessels.

Quick summary

["This procedure examines liver tissue to help diagnose conditions affecting the liver."]

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

Key facts at a glance

LOINC
24718-9
Short code
RF Guided Liver TJ Bx--W contr IV
Synonyms
RF Guided Liver TJ Bx--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
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?

A transjugular liver biopsy is a procedure used to collect small samples of liver tissue. Under fluoroscopy guidance, a specialist passes a catheter through a vein in the neck to the liver and retrieves tissue for examination.

Why might I need this test?

It may be recommended when liver tissue is needed to evaluate unexplained liver abnormalities or suspected conditions such as inflammation, infection, fibrosis, cirrhosis, iron or fat accumulation, or cancer.

How is the test performed?

You may receive local anesthetic and, if needed, sedation. Intravenous contrast is given through a vein in your arm so the blood vessels can be seen on imaging while the catheter is guided to the liver and tissue samples are collected.

How do I prepare for the test?

Follow the facility's instructions about fasting, medications, and arrival time. Tell the care team about bleeding problems, kidney disease, prior contrast reactions, iodine allergy, pregnancy, or any allergies you have.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

Transjugular liver biopsy

Frequently asked questions

Is this a blood test?
No. It is a minimally invasive procedure that examines tissue taken directly from the liver.
Why is intravenous contrast used?
Contrast helps the imaging equipment show the liver's blood vessels so the catheter can be positioned safely and the biopsy can be guided.
What are the main risks?
Possible complications include bleeding, pain, infection, allergic reactions to contrast, and reactions to sedation. The care team will discuss your individual risks before the procedure.
  1. 1
    MedlinePlus — Laboratory TestsSource
  2. 2
    Lab Tests OnlineSource
  3. 3
    Mayo Clinic — Tests & ProceduresSource

Click any link to access the full source. PubMed Central (PMC) links provide free full-text access.

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