CPT code 75833: Renal venography, bilateral imaging and interpretation2026 Medicare rate & RVUs in California

Reports fluoroscopic contrast imaging and interpretation of both renal veins when bilateral venous anatomy or flow requires diagnostic evaluation.

CMS RVU26DEffective Oct 1, 202629 payment localities355 Medicare services in 2024

Medicare pays $163.75–$203.15 for 75833 in the office in California, from Chico, CA to San Benito County, CA. Which amount applies depends on the service address.

$163.75–$203.15Office (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 California
  2. What 75833 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 75833 covers

This service covers x-ray imaging and physician interpretation of the veins draining both kidneys, usually during a catheter-based diagnostic evaluation. A radiologist or other qualified physician assesses the contrast images for findings such as impaired venous flow, obstruction, or abnormal venous anatomy. It may be performed when renal vein disease is suspected or when venous anatomy must be defined for treatment planning.

Select the bilateral code when both renal venous systems are imaged; the unilateral counterpart is 75831. The record should support the clinical reason for imaging, the bilateral examination, and the physician’s interpretation. The code has professional and technical components: modifier 26 identifies interpretation, modifier TC identifies the equipment and staff service, and no component modifier represents the global service. The technical component is subject to the cardiovascular diagnostic multiple procedure reduction when applicable. The code is priced as bilateral, so modifier 50 does not increase payment.

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 75833 pays more and less in California

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

29 payment localities

$163.75 to $203.15

$163.75$183.45$203.15
One dot per payment locality, office / nonfacility. Hover a dot to see the locality; select it to open that rate.

29 of 29 payment localities

75833 office and facility rates by payment locality
Payment localityOfficeFacility
Bakersfield, CA$164.38Unavailable
Chico, CA$163.75Unavailable
El Centro, CA$163.78Unavailable
Fresno, CA$163.75Unavailable
Hanford, CA$163.75Unavailable
Los Angeles, CA$174.63Unavailable
Madera, CA$163.75Unavailable
Marin County, CA$198.63Unavailable
Merced, CA$163.75Unavailable
Modesto, CA$163.75Unavailable

How the 75833 rate is calculated

Each of 75833’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 · 75833

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.45

1.45 RVUs× 1.000 GPCI

Practice expense3.02

3.02 RVUs× 1.000 GPCI

Malpractice0.22

0.22 RVUs× 1.000 GPCI

Adjusted RVUs

4.6900

Conversion factor

$33.4009

Medicare rate

$156.65

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

Payment rules and modifiers for 75833

The CMS indicators that decide how 75833 is paid alongside other services.

CMS payment indicators · 75833

Renal venography, bilateral imaging and interpretation

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

75833 without 26 · national office

$156.65

Renal venography, bilateral imaging and interpretation

75833-26 · Professional component

$71.81

Pays only the interpretation and report.

When to use modifier 26

75833 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • 75833

    Renal venography, bilateral imaging and interpretation1.45 wRVU

    $156.65

  • 75831

    Renal venography, unilateral study1.11 wRVU

    $118.91−$37.74

  • 75825

    Caval venography, inferior vena cava1.11 wRVU

    $113.56−$43.09

  • 75840

    Adrenal venography, unilateral study1.11 wRVU

    $125.59−$31.06

  • 75810

    Abdominal venography, splenic, portal, or hepatic veins0 wRVU

    Not priced

How to choose

75831Renal venographyUnilateral study
75831 is for imaging one renal venous system; 75833 is for bilateral renal venography.
75825Caval venographyInferior vena cava
75825 evaluates the vena cava, not the renal veins. Use it when the imaged target is the vena cava.
75840Adrenal venographyUnilateral study
75840 evaluates adrenal venous anatomy; 75833 is specific to imaging both renal venous systems.
75810Abdominal venographySplenic, portal, or hepatic veins
75810 evaluates splenic or hepatic veins, rather than the renal veins covered by 75833.

75833 billing questions

When should 75833 be chosen instead of 75831?

Use 75833 when the study images both renal venous systems. Use 75831 for a unilateral renal venography study.

Can the professional and technical services be billed separately?

Yes. Report modifier 26 for the physician’s interpretation or modifier TC for the technical service. Without either modifier, the claim represents the global service.

Should modifier 50 be added for bilateral imaging?

No. The code is already priced as bilateral, and modifier 50 does not increase payment.

What happens when other cardiovascular diagnostic procedures are performed in the same session?

The cardiovascular diagnostic multiple procedure reduction applies to this code’s technical component. It does not change the professional component.

Does this code include selective catheter placement?

This code represents the imaging supervision and interpretation. A separately reportable catheter placement may be coded when performed and documented; the venography record should identify the imaged renal veins and the physician’s findings.

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 75833PPRRVU2026_Oct_nonQPP.csv, line 8,585 (RVU26D)

Open CMS sourceHow we calculate rates

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