CPT code 75840: Adrenal venography, unilateral study2026 Medicare rate & RVUs in South Dakota
Reports fluoroscopic contrast imaging and interpretation of one adrenal venous system during catheter-based evaluation of adrenal venous drainage.
In South Dakota, Medicare pays $123.59 for 75840 in the office.
Check a contract rate as a % of Medicare · 75840 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 75840 covers
Adrenal venography uses contrast introduced through an intravascular catheter to show adrenal venous drainage under fluoroscopy. The radiologist interprets the images and documents the findings. It may be performed during catheter-based evaluation of suspected endocrine causes of hypertension or adrenal hormone excess, including procedures that involve adrenal vein sampling. The service is typically performed in an interventional radiology or hospital angiography suite.
Choose this code when one adrenal venous system is imaged; bilateral imaging is represented by 75842. Documentation should identify the side and vessels imaged and support the contrast study and interpretation. Report modifier 26 for the professional interpretation, modifier TC for the technical service, or neither when billing the global service. CMS separately prices 26 and TC. The cardiovascular diagnostic 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.
How South Dakota compares for 75840
Across 109 of 109 payment localities, the office rate for 75840 runs from $112.07 in Arkansas to $166.06 in San Benito County, CA. South Dakota pays $123.59. The RVUs are the same everywhere; the geographic indexes change the dollars.
- South Dakota · this page$123.59
- Los Angeles, CA · California$141.75+$18.16
- Washington, DC area · District of Columbia$143.15+$19.56
- Miami, FL · Florida$133.69+$10.10
- Chicago, IL · Illinois$130.17+$6.58
- Manhattan, NY · New York$143.57+$19.98
- Alaska · Alaska$148.33+$24.74
Other areas in South Dakota first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $113.59 | — |
| ArkansasArkansas | $112.07 | — |
| ArizonaArizona | $122.50 | — |
| Bakersfield, CACalifornia | $133.33 | — |
| Chico, CACalifornia | $133.03 | — |
| El Centro, CACalifornia | $133.05 | — |
| Fresno, CACalifornia | $133.03 | — |
| Hanford, CACalifornia | $133.03 | — |
| Madera, CACalifornia | $133.03 | — |
| Merced, CACalifornia | $133.03 | — |
| Modesto, CACalifornia | $133.03 | — |
| Napa, CACalifornia | $153.64 | — |
| Oxnard, CACalifornia | $141.05 | — |
| Redding, CACalifornia | $133.03 | — |
| Rest of CaliforniaCalifornia | $133.03 | — |
| Riverside, CACalifornia | $134.02 | — |
| Sacramento, CACalifornia | $139.46 | — |
| Salinas, CACalifornia | $138.94 | — |
| San Diego, CACalifornia | $142.08 | — |
| Marin County, CACalifornia | $162.54 | — |
| San Francisco, CACalifornia | $162.44 | — |
| San Benito County, CACalifornia | $166.06 | — |
| Santa Clara County, CACalifornia | $165.65 | — |
| San Luis Obispo, CACalifornia | $136.71 | — |
| Santa Cruz, CACalifornia | $143.35 | — |
| Santa Maria, CACalifornia | $139.42 | — |
| Santa Rosa, CACalifornia | $144.80 | — |
| Stockton, CACalifornia | $133.03 | — |
| Vallejo, CACalifornia | $153.49 | — |
| Visalia, CACalifornia | $133.03 | — |
| Yuba City, CACalifornia | $133.03 | — |
| ColoradoColorado | $130.85 | — |
| ConnecticutConnecticut | $133.54 | — |
| DelawareDelaware | $124.44 | — |
| Fort Lauderdale, FLFlorida | $129.13 | — |
| Rest of FloridaFlorida | $123.34 | — |
| Atlanta, GAGeorgia | $127.67 | — |
| Rest of GeorgiaGeorgia | $116.93 | — |
| Hawaii, Guam, HIHawaii | $136.04 | — |
| IowaIowa | $116.51 | — |
| IdahoIdaho | $117.16 | — |
| East St. Louis, ILIllinois | $121.80 | — |
| Rest of IllinoisIllinois | $119.84 | — |
| Suburban Chicago, ILIllinois | $130.48 | — |
| IndianaIndiana | $117.80 | — |
| KansasKansas | $115.89 | — |
| KentuckyKentucky | $115.84 | — |
| New Orleans, LALouisiana | $120.95 | — |
| Rest of LouisianaLouisiana | $115.63 | — |
| Metropolitan Boston, MAMassachusetts | $143.37 | — |
| Rest of MassachusettsMassachusetts | $130.10 | — |
| Baltimore area, MDMaryland | $133.13 | — |
| Rest of MarylandMaryland | $126.74 | — |
| Rest of MaineMaine | $117.61 | — |
| Southern Maine, MEMaine | $123.71 | — |
| Detroit, MIMichigan | $124.66 | — |
| Rest of MichiganMichigan | $118.54 | — |
| MinnesotaMinnesota | $125.95 | — |
| Metropolitan Kansas City, MOMissouri | $120.30 | — |
| Metropolitan St. Louis, MOMissouri | $121.49 | — |
| Rest of MissouriMissouri | $113.71 | — |
| MississippiMississippi | $112.92 | — |
| MontanaMontana | $125.58 | — |
| North CarolinaNorth Carolina | $118.77 | — |
| North DakotaNorth Dakota | $123.80 | — |
| NebraskaNebraska | $117.13 | — |
| New HampshireNew Hampshire | $128.72 | — |
| Northern New JerseyNew Jersey | $141.81 | — |
| Rest of New JerseyNew Jersey | $135.23 | — |
| New MexicoNew Mexico | $119.09 | — |
| NevadaNevada | $125.17 | — |
| NYC suburbs and Long Island, NYNew York | $146.70 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $136.01 | — |
| Queens, NYNew York | $144.85 | — |
| Rest of New YorkNew York | $120.42 | — |
| OhioOhio | $118.17 | — |
| OklahomaOklahoma | $115.77 | — |
| Portland, OROregon | $134.90 | — |
| Rest of OregonOregon | $124.35 | — |
| Metropolitan Philadelphia, PAPennsylvania | $130.34 | — |
| Rest of PennsylvaniaPennsylvania | $118.41 | — |
| Puerto RicoPuerto Rico | $126.48 | — |
| Rhode IslandRhode Island | $128.79 | — |
| South CarolinaSouth Carolina | $118.64 | — |
| TennesseeTennessee | $116.41 | — |
| Austin, TXTexas | $130.28 | — |
| Beaumont, TXTexas | $117.68 | — |
| Brazoria, TXTexas | $124.45 | — |
| Dallas, TXTexas | $125.15 | — |
| Fort Worth, TXTexas | $124.34 | — |
| Galveston, TXTexas | $124.77 | — |
| Houston, TXTexas | $126.42 | — |
| Rest of TexasTexas | $120.93 | — |
| UtahUtah | $120.15 | — |
| VirginiaVirginia | $123.25 | — |
| Virgin Islands, VIUnited States Virgin Islands | $126.48 | — |
| VermontVermont | $123.25 | — |
| Rest of WashingtonWashington | $129.88 | — |
| King County, WAWashington | $146.30 | — |
| WisconsinWisconsin | $119.92 | — |
| West VirginiaWest Virginia | $115.68 | — |
| WyomingWyoming | $124.81 | — |
75840 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.
$112.07
$149.55
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $148.33 | 1 |
| AL | $113.59 | 1 |
| AR | $112.07 | 1 |
| AZ | $122.50 | 1 |
| CA | $133.03–$166.06 | 29 |
| CO | $130.85 | 1 |
| CT | $133.54 | 1 |
| DC | $143.15 | 1 |
| DE | $124.44 | 1 |
| FL | $123.34–$133.69 | 3 |
| GA | $116.93–$127.67 | 2 |
| GU | $136.04 | 1 |
| HI | $136.04 | 1 |
| IA | $116.51 | 1 |
| ID | $117.16 | 1 |
| IL | $119.84–$130.48 | 4 |
| IN | $117.80 | 1 |
| KS | $115.89 | 1 |
| KY | $115.84 | 1 |
| LA | $115.63–$120.95 | 2 |
| MA | $130.10–$143.37 | 2 |
| MD | $126.74–$143.15 | 3 |
| ME | $117.61–$123.71 | 2 |
| MI | $118.54–$124.66 | 2 |
| MN | $125.95 | 1 |
| MO | $113.71–$121.49 | 3 |
| MS | $112.92 | 1 |
| MT | $125.58 | 1 |
| NC | $118.77 | 1 |
| ND | $123.80 | 1 |
| NE | $117.13 | 1 |
| NH | $128.72 | 1 |
| NJ | $135.23–$141.81 | 2 |
| NM | $119.09 | 1 |
| NV | $125.17 | 1 |
| NY | $120.42–$146.70 | 5 |
| OH | $118.17 | 1 |
| OK | $115.77 | 1 |
| OR | $124.35–$134.90 | 2 |
| PA | $118.41–$130.34 | 2 |
| PR | $126.48 | 1 |
| RI | $128.79 | 1 |
| SC | $118.64 | 1 |
| SD | $123.59 | 1 |
| TN | $116.41 | 1 |
| TX | $117.68–$130.28 | 8 |
| UT | $120.15 | 1 |
| VA | $123.25–$143.15 | 2 |
| VI | $126.48 | 1 |
| VT | $123.25 | 1 |
| WA | $129.88–$146.30 | 2 |
| WI | $119.92 | 1 |
| WV | $115.68 | 1 |
| WY | $124.81 | 1 |
How the 75840 rate is calculated
Each of 75840’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 · 75840
RVUs × geographic indexes × conversion factor
Work1.11
1.11 RVUs× 1.000 GPCI
Practice expense2.56
2.56 RVUs× 1.000 GPCI
Malpractice0.09
0.09 RVUs× 1.000 GPCI
Adjusted RVUs
3.7600
Conversion factor
$33.4009
Medicare rate
$125.59
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact South Dakota inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
8,588
- Code
- 75840
- Physician work
- 1.11
- Practice expense
- 2.56
- Malpractice
- 0.09
GPCI2026.csv
94
- Locality
- South Dakota
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.336
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.11 | × 1.000 | 1.1100 |
| Practice expense | 2.56 | × 1.000 | 2.5600 |
| Malpractice | 0.09 | × 0.336 | 0.0302 |
| Total RVUs | 3.7002 | ||
| Conversion factor | × 33.4009 | ||
Office rate, South Dakota$123.59
Office: (1.11 × 1 + 2.56 × 1 + 0.09 × 0.336) × $33.4009 = $123.59
Payment rules and modifiers for 75840
The CMS indicators that decide how 75840 is paid alongside other services.
CMS payment indicators · 75840
Adrenal venography, unilateral study
| 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
75840 without 26 · national office
$125.59
Adrenal venography, unilateral study
75840-26 · Professional component
$52.44
Pays only the interpretation and report.
How 75840 has changed in South Dakota
75840 · Office / nonfacility
$123.59
Effective 2026-10-01
The base rate is $0.78 higher than on 2025-10-01, moving from $122.81 to $123.59 (0.6%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$122.81changed to$123.59
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 1.14 changed to 1.11
- Practice expense RVU 2.63 changed to 2.56
- Malpractice RVU 0.07 changed to 0.09
- Malpractice GPCI 0.382 changed to 0.336
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$126.51changed to$122.81
- Conversion factor 33.2875 changed to 32.3465
- Malpractice RVU 0.08 changed to 0.07
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$124.45changed to$126.51
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$129.76changed to$124.45
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 2.66 changed to 2.63
- Malpractice GPCI 0.364 changed to 0.382
January 1, 2023
RVU23A
$131.53changed to$129.76
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 2.64 changed to 2.66
- Malpractice RVU 0.06 changed to 0.08
- Malpractice GPCI 0.347 changed to 0.364
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$136.81changed to$131.53
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 2.76 changed to 2.64
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$141.91changed to$136.81
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 2.77 changed to 2.76
- Malpractice GPCI 0.368 changed to 0.347
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$145.28changed to$141.91
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 2.86 changed to 2.77
- Malpractice RVU 0.08 changed to 0.06
- Malpractice GPCI 0.389 changed to 0.368
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$149.44changed to$145.28
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 2.98 changed to 2.86
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$149.93changed to$149.44
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 3.01 changed to 2.98
- Malpractice RVU 0.07 changed to 0.08
- Malpractice GPCI 0.395 changed to 0.389
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$148.87changed to$149.93
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 2.99 changed to 3.01
- Malpractice GPCI 0.400 changed to 0.395
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$148.84changed to$148.87
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 2.97 changed to 2.99
- Malpractice RVU 0.08 changed to 0.07
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$148.10changed to$148.84
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$160.12changed to$148.10
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 3.23 changed to 2.97
- Malpractice RVU 0.24 changed to 0.08
- Malpractice GPCI 0.416 changed to 0.400
Held through RVU15B.
January 1, 2014
RVU14A
$158.48changed to$160.12
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 3.41 changed to 3.23
- Malpractice RVU 0.25 changed to 0.24
- Malpractice GPCI 0.432 changed to 0.416
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $158.48
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $123.59 | Not available in this setting | RVU26D |
| 2026-07-01 | $123.59 | Not available in this setting | RVU26C |
| 2026-04-01 | $123.59 | Not available in this setting | RVU26B |
| 2026-01-01 | $123.59 | Not available in this setting | RVU26A |
| 2025-10-01 | $122.81 | Not available in this setting | RVU25D |
| 2025-07-01 | $122.81 | Not available in this setting | RVU25C |
| 2025-04-01 | $122.81 | Not available in this setting | RVU25B |
| 2025-01-01 | $122.81 | Not available in this setting | RVU25A |
| 2024-10-01 | $126.51 | Not available in this setting | RVU24D |
| 2024-07-01 | $126.51 | Not available in this setting | RVU24C |
| 2024-04-01 | $126.51 | Not available in this setting | RVU24B |
| 2024-03-09 | $126.51 | Not available in this setting | RVU24AR |
| 2024-01-01 | $124.45 | Not available in this setting | RVU24A |
| 2023-10-01 | $129.76 | Not available in this setting | RVU23D |
| 2023-07-01 | $129.76 | Not available in this setting | RVU23C |
| 2023-04-01 | $129.76 | Not available in this setting | RVU23B |
| 2023-01-01 | $129.76 | Not available in this setting | RVU23A |
| 2022-10-01 | $131.53 | Not available in this setting | RVU22D |
| 2022-07-01 | $131.53 | Not available in this setting | RVU22C |
| 2022-04-01 | $131.53 | Not available in this setting | RVU22B |
| 2022-01-01 | $131.53 | Not available in this setting | RVU22A |
| 2021-10-01 | $136.81 | Not available in this setting | RVU21D |
| 2021-07-01 | $136.81 | Not available in this setting | RVU21C |
| 2021-04-01 | $136.81 | Not available in this setting | RVU21B |
| 2021-01-01 | $136.81 | Not available in this setting | RVU21A |
| 2020-10-01 | $141.91 | Not available in this setting | RVU20D |
| 2020-07-01 | $141.91 | Not available in this setting | RVU20C |
| 2020-04-01 | $141.91 | Not available in this setting | RVU20B |
| 2020-01-01 | $141.91 | Not available in this setting | RVU20A |
| 2019-10-01 | $145.28 | Not available in this setting | RVU19D |
| 2019-07-01 | $145.28 | Not available in this setting | RVU19C |
| 2019-04-01 | $145.28 | Not available in this setting | RVU19B |
| 2019-01-01 | $145.28 | Not available in this setting | RVU19A |
| 2018-10-01 | $149.44 | Not available in this setting | RVU18D |
| 2018-07-01 | $149.44 | Not available in this setting | RVU18C |
| 2018-04-01 | $149.44 | Not available in this setting | RVU18B |
| 2018-01-01 | $149.44 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | $149.93 | Not available in this setting | RVU17D |
| 2017-07-01 | $149.93 | Not available in this setting | RVU17C |
| 2017-04-01 | $149.93 | Not available in this setting | RVU17B |
| 2017-01-01 | $149.93 | Not available in this setting | RVU17A |
| 2016-10-01 | $148.87 | Not available in this setting | RVU16D |
| 2016-07-01 | $148.87 | Not available in this setting | RVU16C |
| 2016-04-01 | $148.87 | Not available in this setting | RVU16B |
| 2016-01-01 | $148.87 | Not available in this setting | RVU16A |
| 2015-10-01 | $148.84 | Not available in this setting | RVU15D |
| 2015-07-01 | $148.84 | Not available in this setting | RVU15C |
| 2015-04-01 | $148.10 | Not available in this setting | RVU15B |
| 2015-01-01 | $148.10 | Not available in this setting | RVU15A |
| 2014-10-01 | $160.12 | Not available in this setting | RVU14D |
| 2014-07-01 | $160.12 | Not available in this setting | RVU14C |
| 2014-04-01 | $160.12 | Not available in this setting | RVU14B |
| 2014-01-01 | $160.12 | Not available in this setting | RVU14A |
| 2013-10-01 | $158.48 | Not available in this setting | RVU13D |
| 2013-07-01 | $158.48 | Not available in this setting | RVU13C |
| 2013-04-01 | $158.48 | Not available in this setting | RVU13B |
| 2013-01-01 | $158.48 | Not available in this setting | RVU13AR |
Where the South Dakota rate applies
South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.
- Aberdeen
- Agar
- Agency Village
- Akaska
- Albee
- Alcester
- Alexandria
- Allen
75840 billing questions
When should 75840 be chosen instead of 75842?
Use 75840 for imaging of one adrenal venous system. Use 75842 when the study images both sides.
Does 75840 include adrenal vein sampling?
It represents contrast imaging and interpretation, not the collection of blood samples. When sampling is performed, 75893 may describe that distinct service if the record supports it.
Which modifiers identify the professional and technical services?
Use modifier 26 for the physician's interpretation and TC for equipment and staff. Without either modifier, the claim represents the global service.
Does the multiple procedure reduction affect both components?
The CMS cardiovascular diagnostic multiple procedure reduction applies to the technical component of 75840.
What documentation supports reporting 75840?
The record should establish unilateral adrenal venous imaging, identify the side and vessels examined, and include the radiologist's interpretation.
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
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