CPT code 75820: Extremity venography, one arm or leg2026 Medicare rate & RVUs in Maryland

Reports contrast x-ray imaging and interpretation of veins in one arm or leg when a diagnostic venogram is performed.

CMS RVU26DEffective Oct 1, 20263 payment localities18.7K Medicare services in 2024

Medicare pays $108.15–$121.88 for 75820 in the office in Maryland, from Rest of Maryland to Washington, DC area. Which amount applies depends on the service address.

$108.15–$121.88Office (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 Maryland
  2. What 75820 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 75820 covers

This service covers the radiologist’s imaging supervision and interpretation of a contrast venogram of one extremity. A clinician introduces contrast into the arm or leg veins, and radiographic images show the venous anatomy and blood flow. It may be performed to evaluate suspected venous obstruction or define the veins before a planned intervention. Radiologists and interventional radiologists commonly interpret these studies in hospital and outpatient imaging settings.

Select the code for a study of one arm or one leg; a bilateral extremity study is reported differently. The record should identify the imaged extremity and include the images and interpretation supporting the diagnostic findings. The injection procedure may be reported separately when performed and supported. Modifier 26 identifies the interpretation, while modifier TC identifies the equipment and staff; without either modifier, the code represents the global service. When multiple cardiovascular diagnostic procedures are reported, the CMS multiple-procedure reduction applies to 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 75820 pays more and less in Maryland

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

3 payment localities

$108.15 to $121.88

$108.15$115.02$121.88
One dot per payment locality, office / nonfacility. Hover a dot to see the locality; select it to open that rate.
75820 office and facility rates by payment locality
Payment localityOfficeFacility
Baltimore area, MD$113.59Unavailable
Rest of Maryland$108.15Unavailable
Washington, DC area$121.88Unavailable

How the 75820 rate is calculated

Each of 75820’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 · 75820

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.02

1.02 RVUs× 1.000 GPCI

Practice expense2.10

2.10 RVUs× 1.000 GPCI

Malpractice0.09

0.09 RVUs× 1.000 GPCI

Adjusted RVUs

3.2100

Conversion factor

$33.4009

Medicare rate

$107.22

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

Payment rules and modifiers for 75820

The CMS indicators that decide how 75820 is paid alongside other services.

CMS payment indicators · 75820

Extremity venography, one arm or leg

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures6Diagnostic cardiovascular reduction applies to the technical component.
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

75820 without 26 · national office

$107.22

Extremity venography, one arm or leg

75820-26 · Professional component

$48.10

Pays only the interpretation and report.

When to use modifier 26

75820 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 75820

    Extremity venography, one arm or leg1.02 wRVU

    $107.22

  • 75822

    Extremity venography, bilateral1.44 wRVU

    $133.27+$26.05

  • 75801

    Lymphangiography, one extremity0 wRVU

    Not priced

  • 93971

    Venous duplex scan, unilateral or limited study0.44 wRVU

    $116.24+$9.02

How to choose

75822Extremity venographyBilateral
Use 75820 for one arm or leg; use 75822 when both extremities are examined.
75801LymphangiographyOne extremity
75801 concerns lymphatic imaging of an extremity, not contrast imaging of the veins.
93971Venous duplex scanUnilateral or limited study
93971 reports duplex ultrasound of extremity veins, whereas 75820 is radiographic contrast venography.

75820 billing questions

When should this code be chosen instead of 75822?

Use this code for venography of one extremity. Code 75822 is for bilateral extremity venography.

Can the contrast injection be reported separately?

The extremity venography injection procedure may be separately reported with 36005 when performed and documented. This code represents the radiological supervision and interpretation.

How should the professional and technical services be billed?

Use modifier 26 for the professional interpretation or modifier TC for the technical service. Billing without either modifier represents the global service.

What documentation supports reporting this code?

Document which arm or leg was examined, the contrast venography images, and the radiologist’s interpretation and findings.

Does a multiple-procedure reduction affect this code?

The CMS cardiovascular diagnostic multiple-procedure reduction applies to the technical component when multiple cardiovascular diagnostic procedures are reported.

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

Show the CMS file lines behind this rate
RVUs for 75820PPRRVU2026_Oct_nonQPP.csv, line 8,570 (RVU26D)

Open CMS sourceHow we calculate rates

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