CPT code 75831: Renal venography, unilateral study2026 Medicare rate & RVUs in Missouri

Report unilateral renal venography for fluoroscopic contrast imaging of one kidney’s venous drainage, such as when evaluating suspected renal vein obstruction or abnormality.

CMS RVU26DEffective Oct 1, 20263 payment localities512 Medicare services in 2024

Medicare pays $108.03–$115.16 for 75831 in the office in Missouri, from Rest of Missouri to Metropolitan St. Louis, MO. Which amount applies depends on the service address.

$108.03–$115.16Office (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 75831 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 75831 covers

This service is fluoroscopic imaging of one side’s renal veins after contrast is introduced into the venous system, commonly through a catheter. A radiologist or interventional radiologist supervises the imaging and interprets the resulting study, often in a hospital or outpatient imaging setting. The examination can document renal venous anatomy and patency when a clinician is investigating a suspected obstruction or other venous abnormality.

Select this code for a unilateral renal-vein study; use the bilateral renal-vein code when both sides are imaged. The report should identify the side examined and support that renal venography was performed, with the images and interpretation documenting the findings. Modifier 26 identifies the professional interpretation, while 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.

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 75831 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

$108.03 to $115.16

$108.03$111.59$115.16
One dot per payment locality, office / nonfacility. Hover a dot to see the locality; select it to open that rate.
75831 office and facility rates by payment locality
Payment localityOfficeFacility
Metropolitan Kansas City, MO$114.06Unavailable
Metropolitan St. Louis, MO$115.16Unavailable
Rest of Missouri$108.03Unavailable

How the 75831 rate is calculated

Each of 75831’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 · 75831

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.11

1.11 RVUs× 1.000 GPCI

Practice expense2.34

2.34 RVUs× 1.000 GPCI

Malpractice0.11

0.11 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 75831

The CMS indicators that decide how 75831 is paid alongside other services.

CMS payment indicators · 75831

Renal venography, unilateral study

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

75831 without 26 · national office

$118.91

Renal venography, unilateral study

75831-26 · Professional component

$50.10

Pays only the interpretation and report.

When to use modifier 26

75831 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 75831

    Renal venography, unilateral study1.11 wRVU

    $118.91

  • 75833

    Renal venography, bilateral imaging and interpretation1.45 wRVU

    $156.65+$37.74

  • 75825

    Caval venography, inferior vena cava1.11 wRVU

    $113.56−$5.35

  • 75820

    Extremity venography, one arm or leg1.02 wRVU

    $107.22−$11.69

How to choose

75833Renal venographyBilateral imaging and interpretation
This code is for unilateral renal-vein imaging; 75833 is used when both renal sides are imaged.
75825Caval venographyInferior vena cava
75825 describes venography of the inferior vena cava. Choose 75831 when the imaged venous territory is a single side’s renal veins.
75820Extremity venographyOne arm or leg
75820 is for venography of one arm or leg. The body site, not the imaging method, distinguishes it from renal venography.

75831 billing questions

When should this code be chosen instead of 75833?

Use 75831 for imaging of one side’s renal veins. Use 75833 when the study images both sides.

Can the professional and technical services be billed separately?

Yes. Modifier 26 reports the professional interpretation, and modifier TC reports the technical service. Billing without either modifier represents the global service.

Does the multiple procedure reduction affect both components?

CMS applies the cardiovascular diagnostic multiple procedure reduction to the technical component.

What documentation supports unilateral reporting?

Document the side examined and include the venographic images and interpretation supporting the renal-vein study.

Is catheter placement included in this code?

This code represents the renal venography imaging service and its supervision and interpretation. Report a separately performed catheter placement service only when supported by the procedure documentation and applicable coding rules.

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 75831PPRRVU2026_Oct_nonQPP.csv, line 8,582 (RVU26D)

Open CMS sourceHow we calculate rates

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