CPT code 75805: Trunk lymphatic imaging, trunk region2026 Medicare rate & RVUs in Missouri

Reports physician interpretation of lymphatic imaging of the trunk, with modifier 26, modifier TC, or global billing according to the service provided.

CMS RVU26DEffective Oct 1, 20263 payment localities107 Medicare services in 2024

CMS doesn’t publish an office rate for 75805 in Missouri.

—Office (non-facility)
—Hospital or facility

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

Your location

Medicare pays by the payment locality where the service is performed.

On this page 9 sections
  1. Rate in Missouri
  2. What 75805 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

What 75805 covers

This code reports imaging used to assess lymphatic channels in the trunk after contrast is introduced. A radiologist or other qualified physician interprets the resulting images. The service has distinct professional and technical portions and is selected according to the lymphatic region imaged, rather than for studies limited to an extremity or imaging of veins. The injection procedure for lymphangiography is a separate service and may be reported when performed.

Medicare gives 75805 carrier-priced status: CMS publishes no national payment, and the Medicare Administrative Contractor sets payment for each claim. Modifier 26 reports the professional interpretation; modifier TC reports the technical service, including equipment and staff. Without either modifier, the code represents the global service.

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 75805 pays more and less in Missouri

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

75805 office and facility rates by payment locality
Payment localityOfficeFacility
Metropolitan Kansas City, MOUnavailableUnavailable
Metropolitan St. Louis, MOUnavailableUnavailable
Rest of MissouriUnavailableUnavailable

How the 75805 rate is calculated

Each of 75805’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 · 75805

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.00

0.00 RVUs× 1.000 GPCI

Practice expense0.00

0.00 RVUs× 1.000 GPCI

Malpractice0.00

0.00 RVUs× 1.000 GPCI

Adjusted RVUs

0.0000

Conversion factor

$33.4009

Medicare rate

$0.00

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 75805

The CMS indicators that decide how 75805 is paid alongside other services.

CMS payment indicators · 75805

Trunk lymphatic imaging, trunk region

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical1Diagnostic test with separate professional (26) and technical (TC) components.

What modifiers do to the payment

Modifier 26 · payment effect

With and without the modifier

75805 without 26 · national facility

$0.00

Trunk lymphatic imaging, trunk region

75805-26 · Professional component

$37.74

Pays only the interpretation and report.

When to use modifier 26

75805 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • 75805

    Trunk lymphatic imaging, trunk region0 wRVU

    Not priced

  • 75801

    Lymphangiography, one extremity0 wRVU

    Not priced

  • 75803

    Lymphangiography, bilateral extremities0 wRVU

    Not priced

  • 75807

    Trunk lymphangiography, bilateral0 wRVU

    Not priced

  • 75825

    Caval venography, inferior vena cava1.11 wRVU

    $113.56

How to choose

75801LymphangiographyOne extremity
Use 75801 for lymphatic imaging of one extremity; use 75805 for the trunk.
75803LymphangiographyBilateral extremities
Use 75803 for lymphatic imaging of both extremities; use 75805 for the trunk.
75807Trunk lymphangiographyBilateral
Both codes concern trunk lymphatic imaging; select according to the specific trunk region represented by the study.
75825Caval venographyInferior vena cava
75825 is venous imaging of the trunk. Use 75805 for lymphatic imaging of the trunk.

75805 billing questions

How does 75805 differ from 75801 or 75803?

75805 is selected for lymphatic imaging of the trunk. Codes 75801 and 75803 are for imaging of one or both extremities, respectively.

How does 75805 differ from 75807?

Both concern trunk lymphatic imaging. Select the code according to the specific trunk region represented by the study.

Is the injection procedure included?

The injection procedure for lymphangiography is a separate service and may be reported when performed; CPT 38790 describes that procedure.

When should modifier 26 or TC be used?

Use modifier 26 for the professional interpretation and modifier TC for the technical service. Report without either modifier for the global service.

How does Medicare price 75805?

It has carrier-priced status: CMS publishes no national payment, and the Medicare Administrative Contractor sets payment for each claim.

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

Open CMS sourceHow we calculate rates

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