CPT code 75827: SVC venography, superior vena cava2026 Medicare rate & RVUs in Missouri
Reports imaging supervision and interpretation for contrast venography of the superior vena cava, such as evaluation of suspected central venous obstruction.
Medicare pays $108.18–$115.23 for 75827 in the office in Missouri, from Rest of Missouri to Metropolitan St. Louis, MO. Which amount applies depends on the service address.
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 9 sections
What 75827 covers
This service covers the radiologic supervision and interpretation of contrast imaging of the superior vena cava. A radiologist or interventional physician reviews the images to assess the central chest vein, including its patency, narrowing, obstruction, or collateral flow. The study may be performed in an angiography suite or another setting equipped for catheter-based vascular imaging, with contrast introduced through a catheter.
Select this code when the imaged venous structure is the superior vena cava, rather than the inferior vena cava or peripheral veins. The record should identify the anatomy studied and include the imaging findings and the interpreting physician’s report. Modifier 26 identifies the professional interpretation; modifier TC identifies the technical service, including equipment and staff. Without either modifier, the claim represents the global service. CMS applies the cardiovascular diagnostic multiple-procedure reduction to the technical component when applicable.
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 75827 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.
3 payment localities
$108.18 to $115.23
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Kansas City, MO | $114.11 | Unavailable |
| Metropolitan St. Louis, MO | $115.23 | Unavailable |
| Rest of Missouri | $108.18 | Unavailable |
How the 75827 rate is calculated
Each of 75827’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 · 75827
RVUs × geographic indexes × conversion factor
Work1.11
1.11 RVUs× 1.000 GPCI
Practice expense2.30
2.30 RVUs× 1.000 GPCI
Malpractice0.15
0.15 RVUs× 1.000 GPCI
Adjusted RVUs
3.5600
Conversion factor
$33.4009
Medicare rate
$118.91
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 75827
The CMS indicators that decide how 75827 is paid alongside other services.
CMS payment indicators · 75827
SVC venography, superior vena cava
| 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
75827 without 26 · national office
$118.91
SVC venography, superior vena cava
75827-26 · Professional component
$52.77
Pays only the interpretation and report.
75827 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 75825Caval venographyInferior vena cava
- Choose 75827 for the superior vena cava and 75825 for the inferior vena cava. The imaged anatomy determines the code.
- 75860Neck venographyNeck veins
- 75860 is for venography of the neck. Use 75827 when the study is of the superior vena cava in the chest.
- 75820Extremity venographyOne arm or leg
- 75820 describes venography of one arm or leg. It is not the code for imaging the superior vena cava.
75827 billing questions
How does this differ from code 75825?
Use 75827 for imaging of the superior vena cava. Code 75825 describes imaging of the inferior vena cava.
Which modifier identifies the interpretation?
Append modifier 26 for the professional interpretation. Modifier TC identifies the technical service; billing without a modifier represents the global service.
Is catheter placement included in this code?
This code represents the imaging supervision and interpretation, not catheter introduction. A separately performed vena cava catheter placement may be reported with 36010 when supported by the service and documentation.
How does the multiple-procedure reduction affect billing?
CMS applies the cardiovascular diagnostic multiple-procedure reduction to the technical component. The rule concerns the technical portion of the service.
What documentation supports reporting 75827?
Document that the superior vena cava was imaged, the study findings, and the interpreting physician’s report. The record should distinguish the SVC from other venous territories.
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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