CPT code 75860: Neck venography, neck veins2026 Medicare rate & RVUs

Medicare pays $129.60 for 75860 nationally in the office. Local office rates run $115.06–$170.63.

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

What 75860 covers

This service covers radiographic imaging and interpretation of the neck’s veins after contrast opacification. A radiologist or interventional radiologist may interpret a study evaluating suspected jugular narrowing, occlusion, or collateral venous drainage. The images and report should establish that the examined venous territory is in the neck; a study of the chest’s central veins or veins in an extremity is coded to its own anatomic service.

Report 75860 for the neck venography imaging and interpretation, supported by the imaging record and a signed report describing the findings. It may be billed globally, or split into the professional interpretation with modifier 26 and the technical service with modifier TC. When multiple cardiovascular diagnostic procedures are performed, the CMS multiple-procedure reduction applies to the technical component. The code represents the imaging service, not catheter placement; any separately reported catheter service must be supported by its own documentation.

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 75860 pays more and less

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

109 of 109 payment localities

75860 rates by state

Office rate range in each state. Select a state to see its payment localities.

How the 75860 rate is calculated

Each of 75860’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.

Payment rules and modifiers for 75860

The CMS indicators that decide how 75860 is paid alongside other services.

What modifiers do to the payment

When to use modifier 26

75860 compared with similar codes

How to choose

75827SVC venographySuperior vena cava

Choose 75860 for neck veins; 75827 describes venography of the chest, including the superior vena cava territory.

75870VenographyIntracranial venous sinuses

75870 is for venous imaging of the skull. 75860 applies when the examined veins are in the neck.

75820Extremity venographyOne arm or leg

75820 applies to a single upper or lower extremity, not the neck.

75822Extremity venographyBilateral

75822 applies to bilateral upper or bilateral lower extremity venography, not neck venography.

Codes related to 75860

Related codes aren’t interchangeable: bill the code that matches the service performed.

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

Open CMS sourceHow we calculate rates