CPT code 75822: Extremity venography, bilateral2026 Medicare rate & RVUs in North Carolina

Reports contrast venography with X-ray interpretation of veins in both arms or both legs to assess venous anatomy, obstruction, or abnormal flow.

CMS RVU26DEffective Oct 1, 2026One payment locality8.7K Medicare services in 2024

In North Carolina, Medicare pays $126.19 for 75822 in the office.

$126.19Office (non-facility)
Not available in this settingHospital or facility
−5.3%vs the national office rate ($133.27)

Check a contract rate as a % of Medicare · 75822 nationwide

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

We’ll open 75822 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in North Carolina
  2. What 75822 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 75822 covers

This service captures contrast-enhanced X-ray images of veins in both arms or both legs. A radiologist or interventional radiologist interprets the images, often after contrast is introduced into peripheral veins. The study can help assess suspected venous obstruction, define collateral pathways, or map venous anatomy when a more detailed examination is needed. The report should identify the imaged sides and region and document the findings and interpretation.

Report 75822 for bilateral extremity venography; the code is priced as bilateral, so modifier 50 does not increase payment. The service has professional and technical components: modifier 26 identifies interpretation, modifier TC identifies equipment and staff, and no component modifier represents the global service. When multiple cardiovascular diagnostic procedures are performed, the multiple-procedure reduction applies to the technical component. Documentation should support the bilateral examination and the medical reason for contrast venography.

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.

How North Carolina compares for 75822

Across 109 of 109 payment localities, the office rate for 75822 runs from $119.65 in Arkansas to $171.97 in San Benito County, CA. North Carolina pays $126.19. The RVUs are the same everywhere; the geographic indexes change the dollars.

75822 in North Carolina vs other payment areas
  1. North Carolina · this page$126.19
  2. Los Angeles, CA · California$148.40+$22.21
  3. Washington, DC area · District of Columbia$150.72+$24.53
  4. Miami, FL · Florida$143.72+$17.53
  5. Chicago, IL · Illinois$140.06+$13.87
  6. Manhattan, NY · New York$152.13+$25.94
  7. Alaska · Alaska$160.45+$34.26

Other areas in North Carolina first, then benchmark localities. Bars start at $0.

Every other payment area

75822 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$121.18—
ArkansasArkansas$119.65—
ArizonaArizona$130.10—
Bakersfield, CACalifornia$140.08—
Chico, CACalifornia$139.65—
El Centro, CACalifornia$139.67—
Fresno, CACalifornia$139.65—
Hanford, CACalifornia$139.65—

75822 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.

$119.65

$160.45

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
75822 office rate range by state
State / territoryOffice rate rangeLocalities
AK$160.451
AL$121.181
AR$119.651
AZ$130.101
CA$139.65–$171.9729
CO$137.971
CT$141.411
DC$150.721
DE$132.071
FL$132.08–$143.723
GA$125.47–$135.642
GU$142.331
HI$142.331
IA$123.611
ID$124.371
IL$128.90–$140.064
IN$124.991
KS$123.221
KY$123.941
LA$123.82–$129.162
MA$137.36–$150.342
MD$134.33–$150.723
ME$125.06–$130.822
MI$126.87–$133.662
MN$132.311
MO$122.04–$129.423
MS$120.861
MT$133.261
NC$126.191
ND$130.491
NE$124.161
NH$135.991
NJ$143.05–$149.502
NM$127.531
NV$132.571
NY$127.86–$155.575
OH$126.301
OK$123.611
OR$131.56–$141.782
PA$126.41–$138.342
PR$134.081
RI$136.331
SC$126.451
SD$130.161
TN$123.781
TX$125.69–$137.508
UT$127.961
VA$130.53–$150.722
VI$134.081
VT$130.151
WA$137.04–$153.092
WI$126.651
WV$124.741
WY$132.051

See 75822 in every payment locality

How the 75822 rate is calculated

Each of 75822’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 · 75822

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.44

1.44 RVUs× 1.000 GPCI

Practice expense2.41

2.41 RVUs× 1.000 GPCI

Malpractice0.14

0.14 RVUs× 1.000 GPCI

Adjusted RVUs

3.9900

Conversion factor

$33.4009

Medicare rate

$133.27

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

The exact North Carolina inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

8,573

Code
75822
Physician work
1.44
Practice expense
2.41
Malpractice
0.14

GPCI2026.csv

83

Locality
North Carolina
Physician work
1.000
Practice expense
0.933
Malpractice
0.639
Office calculation for 75822 in North Carolina
ComponentRVULocality factorAdjusted
Physician work1.44× 1.0001.4400
Practice expense2.41× 0.9332.2485
Malpractice0.14× 0.6390.0895
Total RVUs3.7780
Conversion factor× 33.4009

Office rate, North Carolina$126.19

Office: (1.44 × 1 + 2.41 × 0.933 + 0.14 × 0.639) × $33.4009 = $126.19

Open 75822 in the RVU calculator

Payment rules and modifiers for 75822

The CMS indicators that decide how 75822 is paid alongside other services.

CMS payment indicators · 75822

Extremity venography, bilateral

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures6Diagnostic cardiovascular reduction applies to the technical component.
Bilateral (modifier 50)2Already bilateral by definition: paid once at 100%.
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

75822 without 26 · national office

$133.27

Extremity venography, bilateral

75822-26 · Professional component

$67.47

Pays only the interpretation and report.

When to use modifier 26

How 75822 has changed in North Carolina

75822 · Office / nonfacility

$126.19

Effective 2026-10-01

The base rate is $4.62 higher than on 2025-10-01, moving from $121.57 to $126.19 (3.8%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
  1. January 1, 2026

    RVU26A

    $121.57changed to$126.19

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.48 changed to 1.44
    • Practice expense RVU 2.36 changed to 2.41
    • Practice expense GPCI 0.926 changed to 0.933
    • Malpractice GPCI 0.665 changed to 0.639

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $125.73changed to$121.57

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 2.38 changed to 2.36

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $123.67changed to$125.73

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $127.87changed to$123.67

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 2.37 changed to 2.38
    • Malpractice RVU 0.13 changed to 0.14
    • Practice expense GPCI 0.927 changed to 0.926
    • Malpractice GPCI 0.742 changed to 0.665
  5. January 1, 2023

    RVU23A

    $131.37changed to$127.87

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 2.39 changed to 2.37
    • Malpractice RVU 0.12 changed to 0.13
    • Practice expense GPCI 0.928 changed to 0.927
    • Malpractice GPCI 0.819 changed to 0.742

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $136.92changed to$131.37

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 2.51 changed to 2.39
    • Malpractice RVU 0.14 changed to 0.12

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $121.54changed to$136.92

    • Conversion factor 36.0896 changed to 34.8931
    • Work RVU 1.06 changed to 1.48
    • Practice expense RVU 2.40 changed to 2.51
    • Malpractice RVU 0.10 changed to 0.14
    • Practice expense GPCI 0.930 changed to 0.928
    • Malpractice GPCI 0.757 changed to 0.819

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $125.26changed to$121.54

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 2.52 changed to 2.40
    • Practice expense GPCI 0.931 changed to 0.930
    • Malpractice GPCI 0.695 changed to 0.757

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $130.48changed to$125.26

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 2.68 changed to 2.52

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $131.22changed to$130.48

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 2.71 changed to 2.68
    • Malpractice GPCI 0.732 changed to 0.695

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $131.61changed to$131.22

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 2.73 changed to 2.71
    • Practice expense GPCI 0.930 changed to 0.931
    • Malpractice GPCI 0.768 changed to 0.732

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $131.41changed to$131.61

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 2.71 changed to 2.73

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $130.76changed to$131.41

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $148.23changed to$130.76

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 3.25 changed to 2.71
    • Malpractice RVU 0.08 changed to 0.10
    • Practice expense GPCI 0.929 changed to 0.930
    • Malpractice GPCI 0.732 changed to 0.768

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $150.24changed to$148.23

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 3.56 changed to 3.25
    • Practice expense GPCI 0.927 changed to 0.929
    • Malpractice GPCI 0.695 changed to 0.732

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $150.24

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$126.19Not available in this settingRVU26D
2026-07-01$126.19Not available in this settingRVU26C
2026-04-01$126.19Not available in this settingRVU26B
2026-01-01$126.19Not available in this settingRVU26A
2025-10-01$121.57Not available in this settingRVU25D
2025-07-01$121.57Not available in this settingRVU25C
2025-04-01$121.57Not available in this settingRVU25B
2025-01-01$121.57Not available in this settingRVU25A
2024-10-01$125.73Not available in this settingRVU24D
2024-07-01$125.73Not available in this settingRVU24C
2024-04-01$125.73Not available in this settingRVU24B
2024-03-09$125.73Not available in this settingRVU24AR
2024-01-01$123.67Not available in this settingRVU24A
2023-10-01$127.87Not available in this settingRVU23D
2023-07-01$127.87Not available in this settingRVU23C
2023-04-01$127.87Not available in this settingRVU23B
2023-01-01$127.87Not available in this settingRVU23A
2022-10-01$131.37Not available in this settingRVU22D
2022-07-01$131.37Not available in this settingRVU22C
2022-04-01$131.37Not available in this settingRVU22B
2022-01-01$131.37Not available in this settingRVU22A
2021-10-01$136.92Not available in this settingRVU21D
2021-07-01$136.92Not available in this settingRVU21C
2021-04-01$136.92Not available in this settingRVU21B
2021-01-01$136.92Not available in this settingRVU21A
2020-10-01$121.54Not available in this settingRVU20D
2020-07-01$121.54Not available in this settingRVU20C
2020-04-01$121.54Not available in this settingRVU20B
2020-01-01$121.54Not available in this settingRVU20A
2019-10-01$125.26Not available in this settingRVU19D
2019-07-01$125.26Not available in this settingRVU19C
2019-04-01$125.26Not available in this settingRVU19B
2019-01-01$125.26Not available in this settingRVU19A
2018-10-01$130.48Not available in this settingRVU18D
2018-07-01$130.48Not available in this settingRVU18C
2018-04-01$130.48Not available in this settingRVU18B
2018-01-01$130.48Not available in this settingRVU18AR1
2017-10-01$131.22Not available in this settingRVU17D
2017-07-01$131.22Not available in this settingRVU17C
2017-04-01$131.22Not available in this settingRVU17B
2017-01-01$131.22Not available in this settingRVU17A
2016-10-01$131.61Not available in this settingRVU16D
2016-07-01$131.61Not available in this settingRVU16C
2016-04-01$131.61Not available in this settingRVU16B
2016-01-01$131.61Not available in this settingRVU16A
2015-10-01$131.41Not available in this settingRVU15D
2015-07-01$131.41Not available in this settingRVU15C
2015-04-01$130.76Not available in this settingRVU15B
2015-01-01$130.76Not available in this settingRVU15A
2014-10-01$148.23Not available in this settingRVU14D
2014-07-01$148.23Not available in this settingRVU14C
2014-04-01$148.23Not available in this settingRVU14B
2014-01-01$148.23Not available in this settingRVU14A
2013-10-01$150.24Not available in this settingRVU13D
2013-07-01$150.24Not available in this settingRVU13C
2013-04-01$150.24Not available in this settingRVU13B
2013-01-01$150.24Not available in this settingRVU13AR

Price 75822 for an earlier date of service

Where the North Carolina rate applies

North Carolina is a Medicare payment area, not a city. Our Census mapping connects it to 785 cities and communities in North Carolina. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Advance
  • Ahoskie
  • Alamance
  • Albemarle
  • Alexis
  • Alliance
  • Altamahaw

Browse all communities in North Carolina

75822 billing questions

When should 75822 be selected instead of 75820?

Use 75822 for venography of both sides of the examined extremity region. Code 75820 is for a unilateral extremity study.

Should modifier 50 be added for the bilateral study?

The code is already priced as bilateral, and modifier 50 does not increase payment.

How are the professional and technical services reported?

Use modifier 26 for the physician's interpretation and modifier TC for the equipment and staff. Without either modifier, the claim represents the global service.

Does the multiple-procedure reduction affect both components?

The cardiovascular diagnostic multiple-procedure reduction applies to the technical component of this service.

Can the venous injection procedure be reported separately?

Code 36005 describes the injection procedure for extremity venography and may be reported with 75822 when that service is performed and documented.

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 75822PPRRVU2026_Oct_nonQPP.csv, line 8,573 (RVU26D)
Geographic factors for North CarolinaGPCI2026.csv, line 83 (RVU26D)

Open CMS sourceHow we calculate rates

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