CPT code 75605: Thoracic aortography, serial image acquisition2026 Medicare rate & RVUs
Reports physician supervision and interpretation of serial contrast images of the thoracic aorta during catheter-based evaluation of aortic disease.
Medicare pays $120.91 for 75605 nationally in the office. Local office rates run $107.48–$157.81.
Medicare rate · 75605
Thoracic aortography, serial image acquisition
- Work RVUs
- 1.11
- Total RVUs
- 3.62
- Global days
- XXX
National rate · 2026
$120.91
Office setting, before claim adjustments.
See every locality for 75605 →Billed by an NP, PA or therapist? →
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 10 sections
What 75605 covers
This service covers the physician’s supervision and interpretation of serial images obtained as contrast passes through the thoracic aorta. It may be used to assess aortic anatomy when evaluating suspected aneurysm, dissection, coarctation, or narrowing. A radiologist, cardiologist, vascular surgeon, or another qualified physician may interpret the study during a catheter angiography session in a hospital or other imaging setting.
Select this code when the documented thoracic aortography uses serial image acquisition; 75600 is the related thoracic study without serial imaging. The report should identify the imaged aortic segment, describe the imaging performed, and include the physician’s findings and interpretation. Catheter placement and contrast administration may be represented by separate procedure coding when performed and supported. Modifier 26 identifies the professional interpretation, modifier TC identifies the technical service, and billing without either modifier represents the global service. When the cardiovascular diagnostic multiple procedure reduction applies, it affects the technical component.
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
Where 75605 pays more and less
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
109 payment localities
$107.48 to $157.81
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $108.99 | Unavailable |
| Alaska | $142.49 | Unavailable |
| Arizona | $117.78 | Unavailable |
| Arkansas | $107.48 | Unavailable |
| Atlanta, GA | $123.23 | Unavailable |
| Austin, TX | $125.04 | Unavailable |
| Bakersfield, CA | $127.39 | Unavailable |
| Baltimore area, MD | $128.39 | Unavailable |
| Beaumont, TX | $113.45 | Unavailable |
| Brazoria, TX | $119.47 | Unavailable |
| Chicago, IL | $127.62 | Unavailable |
| Chico, CA | $126.97 | Unavailable |
| Colorado | $125.40 | Unavailable |
| Connecticut | $128.73 | Unavailable |
| Dallas, TX | $120.26 | Unavailable |
| Delaware | $119.67 | Unavailable |
| Detroit, MI | $121.35 | Unavailable |
| East St. Louis, IL | $119.32 | Unavailable |
| El Centro, CA | $126.99 | Unavailable |
| Fort Lauderdale, FL | $125.72 | Unavailable |
| Fort Worth, TX | $119.53 | Unavailable |
| Fresno, CA | $126.97 | Unavailable |
| Galveston, TX | $119.85 | Unavailable |
| Hanford, CA | $126.97 | Unavailable |
| Hawaii, Guam, HI | $129.79 | Unavailable |
| Houston, TX | $122.41 | Unavailable |
| Idaho | $112.11 | Unavailable |
| Indiana | $112.73 | Unavailable |
| Iowa | $111.36 | Unavailable |
| Kansas | $110.99 | Unavailable |
| Kentucky | $111.73 | Unavailable |
| King County, WA | $139.88 | Unavailable |
| Los Angeles, CA | $135.35 | Unavailable |
| Madera, CA | $126.97 | Unavailable |
| Manhattan, NY | $138.85 | Unavailable |
| Marin County, CA | $154.36 | Unavailable |
| Merced, CA | $126.97 | Unavailable |
| Metropolitan Boston, MA | $137.27 | Unavailable |
| Metropolitan Kansas City, MO | $115.97 | Unavailable |
| Metropolitan Philadelphia, PA | $125.73 | Unavailable |
| Metropolitan St. Louis, MO | $117.12 | Unavailable |
| Miami, FL | $131.31 | Unavailable |
| Minnesota | $119.91 | Unavailable |
| Mississippi | $108.69 | Unavailable |
| Modesto, CA | $126.97 | Unavailable |
| Montana | $120.90 | Unavailable |
| Napa, CA | $146.12 | Unavailable |
| Nebraska | $111.91 | Unavailable |
| Nevada | $120.21 | Unavailable |
| New Hampshire | $123.57 | Unavailable |
| New Mexico | $115.28 | Unavailable |
| New Orleans, LA | $116.88 | Unavailable |
| North Carolina | $113.92 | Unavailable |
| North Dakota | $118.13 | Unavailable |
| Northern New Jersey | $136.23 | Unavailable |
| NYC suburbs and Long Island, NY | $142.25 | Unavailable |
| Ohio | $114.06 | Unavailable |
| Oklahoma | $111.40 | Unavailable |
| Oxnard, CA | $134.59 | Unavailable |
| Portland, OR | $129.09 | Unavailable |
| Poughkeepsie and northern NYC suburbs, NY | $131.08 | Unavailable |
| Puerto Rico | $121.71 | Unavailable |
| Queens, NY | $139.76 | Unavailable |
| Redding, CA | $126.97 | Unavailable |
| Rest of California | $126.97 | Unavailable |
| Rest of Florida | $119.78 | Unavailable |
| Rest of Georgia | $113.26 | Unavailable |
| Rest of Illinois | $116.66 | Unavailable |
| Rest of Louisiana | $111.61 | Unavailable |
| Rest of Maine | $112.81 | Unavailable |
| Rest of Maryland | $121.85 | Unavailable |
| Rest of Massachusetts | $124.75 | Unavailable |
| Rest of Michigan | $114.63 | Unavailable |
| Rest of Missouri | $109.87 | Unavailable |
| Rest of New Jersey | $130.13 | Unavailable |
| Rest of New York | $115.56 | Unavailable |
| Rest of Oregon | $119.21 | Unavailable |
| Rest of Pennsylvania | $114.16 | Unavailable |
| Rest of Texas | $116.42 | Unavailable |
| Rest of Washington | $124.47 | Unavailable |
| Rhode Island | $123.72 | Unavailable |
| Riverside, CA | $128.49 | Unavailable |
| Sacramento, CA | $132.98 | Unavailable |
| Salinas, CA | $132.48 | Unavailable |
| San Benito County, CA | $157.81 | Unavailable |
| San Diego, CA | $135.40 | Unavailable |
| San Francisco, CA | $154.20 | Unavailable |
| San Luis Obispo, CA | $130.38 | Unavailable |
| Santa Clara County, CA | $157.16 | Unavailable |
| Santa Cruz, CA | $136.54 | Unavailable |
| Santa Maria, CA | $132.92 | Unavailable |
| Santa Rosa, CA | $137.90 | Unavailable |
| South Carolina | $114.19 | Unavailable |
| South Dakota | $117.81 | Unavailable |
| Southern Maine, ME | $118.47 | Unavailable |
| Stockton, CA | $126.97 | Unavailable |
| Suburban Chicago, IL | $126.92 | Unavailable |
| Tennessee | $111.54 | Unavailable |
| Utah | $115.68 | Unavailable |
| Vallejo, CA | $145.89 | Unavailable |
| Vermont | $117.81 | Unavailable |
| Virgin Islands, VI | $121.71 | Unavailable |
| Virginia | $118.19 | Unavailable |
| Visalia, CA | $126.97 | Unavailable |
| Washington, DC area | $137.53 | Unavailable |
| West Virginia | $112.56 | Unavailable |
| Wisconsin | $114.35 | Unavailable |
| Wyoming | $119.70 | Unavailable |
| Yuba City, CA | $126.97 | Unavailable |
75605 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
$107.48
$142.49
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $142.49 | 1 |
| AL | $108.99 | 1 |
| AR | $107.48 | 1 |
| AZ | $117.78 | 1 |
| CA | $126.97–$157.81 | 29 |
| CO | $125.40 | 1 |
| CT | $128.73 | 1 |
| DC | $137.53 | 1 |
| DE | $119.67 | 1 |
| FL | $119.78–$131.31 | 3 |
| GA | $113.26–$123.23 | 2 |
| GU | $129.79 | 1 |
| HI | $129.79 | 1 |
| IA | $111.36 | 1 |
| ID | $112.11 | 1 |
| IL | $116.66–$127.62 | 4 |
| IN | $112.73 | 1 |
| KS | $110.99 | 1 |
| KY | $111.73 | 1 |
| LA | $111.61–$116.88 | 2 |
| MA | $124.75–$137.27 | 2 |
| MD | $121.85–$137.53 | 3 |
| ME | $112.81–$118.47 | 2 |
| MI | $114.63–$121.35 | 2 |
| MN | $119.91 | 1 |
| MO | $109.87–$117.12 | 3 |
| MS | $108.69 | 1 |
| MT | $120.90 | 1 |
| NC | $113.92 | 1 |
| ND | $118.13 | 1 |
| NE | $111.91 | 1 |
| NH | $123.57 | 1 |
| NJ | $130.13–$136.23 | 2 |
| NM | $115.28 | 1 |
| NV | $120.21 | 1 |
| NY | $115.56–$142.25 | 5 |
| OH | $114.06 | 1 |
| OK | $111.40 | 1 |
| OR | $119.21–$129.09 | 2 |
| PA | $114.16–$125.73 | 2 |
| PR | $121.71 | 1 |
| RI | $123.72 | 1 |
| SC | $114.19 | 1 |
| SD | $117.81 | 1 |
| TN | $111.54 | 1 |
| TX | $113.45–$125.04 | 8 |
| UT | $115.68 | 1 |
| VA | $118.19–$137.53 | 2 |
| VI | $121.71 | 1 |
| VT | $117.81 | 1 |
| WA | $124.47–$139.88 | 2 |
| WI | $114.35 | 1 |
| WV | $112.56 | 1 |
| WY | $119.70 | 1 |
How the 75605 rate is calculated
Each of 75605’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 75605
RVUs × geographic indexes × conversion factor
Work1.11
1.11 RVUs× 1.000 GPCI
Practice expense2.37
2.37 RVUs× 1.000 GPCI
Malpractice0.14
0.14 RVUs× 1.000 GPCI
Adjusted RVUs
3.6200
Conversion factor
$33.4009
Medicare rate
$120.91
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 75605
The CMS indicators that decide how 75605 is paid alongside other services.
CMS payment indicators · 75605
Thoracic aortography, serial image acquisition
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 6 | Diagnostic cardiovascular reduction applies to the technical component. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 1 | Diagnostic test with separate professional (26) and technical (TC) components. |
What modifiers do to the payment
Modifier 26 · payment effect
With and without the modifier
75605 without 26 · national office
$120.91
Thoracic aortography, serial image acquisition
75605-26 · Professional component
$52.11
Pays only the interpretation and report.
75605 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 75600Thoracic aortographyWithout serialography
- Both address thoracic aortography; choose 75605 when serial images are obtained and 75600 when they are not.
- 75625Abdominal aortographyAbdominal aorta only
- 75625 concerns contrast imaging of the abdominal aorta, while 75605 covers the thoracic segment.
- 75630AortographyWith bilateral iliofemoral runoff
- 75630 covers abdominal aortic imaging extending into the bilateral iliofemoral arteries; 75605 is limited to the thoracic aorta.
75605 billing questions
How is this different from 75600?
75605 is selected for thoracic aortography with serial image acquisition. Use 75600 for a thoracic study without serial imaging.
What do modifiers 26 and TC represent?
Modifier 26 reports the physician’s professional supervision and interpretation. Modifier TC reports the technical service, including equipment and staff; billing without either modifier represents the global service.
Is catheter placement included in this code?
The code represents supervision and interpretation of the imaging, not catheter placement. Catheter placement may be reported separately when performed and supported by the documentation.
What documentation supports reporting 75605?
Document the thoracic aortic segment examined, the use of serial image acquisition, and the interpreting physician’s findings and conclusions.
Which part can be affected by the cardiovascular multiple procedure reduction?
The reduction applies to the technical component. It does not reduce the professional component.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
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