CPT code 75860: Neck venography, neck veins2026 Medicare rate & RVUs in Montana
Reports radiographic evaluation and interpretation of neck veins, such as jugular veins, when contrast imaging is used to assess venous patency or obstruction.
In Montana, Medicare pays $129.59 for 75860 in the office.
Check a contract rate as a % of Medicare · 75860 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 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.
How Montana compares for 75860
Across 109 of 109 payment localities, the office rate for 75860 runs from $115.06 in Arkansas to $170.63 in San Benito County, CA. Montana pays $129.59. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Montana · this page$129.59
- Los Angeles, CA · California$145.79+$16.20
- Washington, DC area · District of Columbia$147.78+$18.19
- Miami, FL · Florida$139.85+$10.26
- Chicago, IL · Illinois$135.92+$6.33
- Manhattan, NY · New York$148.80+$19.21
- Alaska · Alaska$151.91+$22.32
Other areas in Montana first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $116.69 | — |
| ArkansasArkansas | $115.06 | — |
| ArizonaArizona | $126.24 | — |
| Bakersfield, CACalifornia | $137.07 | — |
| Chico, CACalifornia | $136.68 | — |
| El Centro, CACalifornia | $136.70 | — |
| Fresno, CACalifornia | $136.68 | — |
| Hanford, CACalifornia | $136.68 | — |
| Madera, CACalifornia | $136.68 | — |
| Merced, CACalifornia | $136.68 | — |
| Modesto, CACalifornia | $136.68 | — |
| Napa, CACalifornia | $157.84 | — |
| Oxnard, CACalifornia | $145.05 | — |
| Redding, CACalifornia | $136.68 | — |
| Rest of CaliforniaCalifornia | $136.68 | — |
| Riverside, CACalifornia | $138.09 | — |
| Sacramento, CACalifornia | $143.29 | — |
| Salinas, CACalifornia | $142.75 | — |
| San Diego, CACalifornia | $146.00 | — |
| Marin County, CACalifornia | $166.92 | — |
| San Francisco, CACalifornia | $166.77 | — |
| San Benito County, CACalifornia | $170.63 | — |
| Santa Clara County, CACalifornia | $170.03 | — |
| San Luis Obispo, CACalifornia | $140.47 | — |
| Santa Cruz, CACalifornia | $147.32 | — |
| Santa Maria, CACalifornia | $143.26 | — |
| Santa Rosa, CACalifornia | $148.80 | — |
| Stockton, CACalifornia | $136.68 | — |
| Vallejo, CACalifornia | $157.62 | — |
| Visalia, CACalifornia | $136.68 | — |
| Yuba City, CACalifornia | $136.68 | — |
| ColoradoColorado | $134.73 | — |
| ConnecticutConnecticut | $138.04 | — |
| DelawareDelaware | $128.28 | — |
| Fort Lauderdale, FLFlorida | $134.25 | — |
| Rest of FloridaFlorida | $127.90 | — |
| Atlanta, GAGeorgia | $131.99 | — |
| Rest of GeorgiaGeorgia | $120.91 | — |
| Hawaii, Guam, HIHawaii | $139.85 | — |
| IowaIowa | $119.48 | — |
| IdahoIdaho | $120.25 | — |
| East St. Louis, ILIllinois | $126.94 | — |
| Rest of IllinoisIllinois | $124.37 | — |
| Suburban Chicago, ILIllinois | $135.59 | — |
| IndianaIndiana | $120.93 | — |
| KansasKansas | $118.98 | — |
| KentuckyKentucky | $119.44 | — |
| New Orleans, LALouisiana | $124.98 | — |
| Rest of LouisianaLouisiana | $119.27 | — |
| Metropolitan Boston, MAMassachusetts | $147.74 | — |
| Rest of MassachusettsMassachusetts | $133.98 | — |
| Baltimore area, MDMaryland | $137.65 | — |
| Rest of MarylandMaryland | $130.67 | — |
| Rest of MaineMaine | $120.90 | — |
| Southern Maine, MEMaine | $127.20 | — |
| Detroit, MIMichigan | $129.49 | — |
| Rest of MichiganMichigan | $122.48 | — |
| MinnesotaMinnesota | $129.10 | — |
| Metropolitan Kansas City, MOMissouri | $124.12 | — |
| Metropolitan St. Louis, MOMissouri | $125.37 | — |
| Rest of MissouriMissouri | $117.31 | — |
| MississippiMississippi | $116.21 | — |
| North CarolinaNorth Carolina | $122.12 | — |
| North DakotaNorth Dakota | $127.02 | — |
| NebraskaNebraska | $120.10 | — |
| New HampshireNew Hampshire | $132.67 | — |
| Northern New JerseyNew Jersey | $146.34 | — |
| Rest of New JerseyNew Jersey | $139.61 | — |
| New MexicoNew Mexico | $123.15 | — |
| NevadaNevada | $128.96 | — |
| NYC suburbs and Long Island, NYNew York | $152.36 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $140.55 | — |
| Queens, NYNew York | $149.94 | — |
| Rest of New YorkNew York | $123.90 | — |
| OhioOhio | $121.96 | — |
| OklahomaOklahoma | $119.19 | — |
| Portland, OROregon | $138.86 | — |
| Rest of OregonOregon | $127.95 | — |
| Metropolitan Philadelphia, PAPennsylvania | $134.72 | — |
| Rest of PennsylvaniaPennsylvania | $122.13 | — |
| Puerto RicoPuerto Rico | $130.50 | — |
| Rhode IslandRhode Island | $132.74 | — |
| South CarolinaSouth Carolina | $122.24 | — |
| South DakotaSouth Dakota | $126.71 | — |
| TennesseeTennessee | $119.56 | — |
| Austin, TXTexas | $134.29 | — |
| Beaumont, TXTexas | $121.35 | — |
| Brazoria, TXTexas | $128.14 | — |
| Dallas, TXTexas | $128.96 | — |
| Fort Worth, TXTexas | $128.13 | — |
| Galveston, TXTexas | $128.53 | — |
| Houston, TXTexas | $130.91 | — |
| Rest of TexasTexas | $124.68 | — |
| UtahUtah | $123.86 | — |
| VirginiaVirginia | $126.82 | — |
| Virgin Islands, VIUnited States Virgin Islands | $130.50 | — |
| VermontVermont | $126.57 | — |
| Rest of WashingtonWashington | $133.71 | — |
| King County, WAWashington | $150.67 | — |
| WisconsinWisconsin | $122.89 | — |
| West VirginiaWest Virginia | $119.92 | — |
| WyomingWyoming | $128.47 | — |
75860 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.
$115.06
$153.66
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 | $151.91 | 1 |
| AL | $116.69 | 1 |
| AR | $115.06 | 1 |
| AZ | $126.24 | 1 |
| CA | $136.68–$170.63 | 29 |
| CO | $134.73 | 1 |
| CT | $138.04 | 1 |
| DC | $147.78 | 1 |
| DE | $128.28 | 1 |
| FL | $127.90–$139.85 | 3 |
| GA | $120.91–$131.99 | 2 |
| GU | $139.85 | 1 |
| HI | $139.85 | 1 |
| IA | $119.48 | 1 |
| ID | $120.25 | 1 |
| IL | $124.37–$135.92 | 4 |
| IN | $120.93 | 1 |
| KS | $118.98 | 1 |
| KY | $119.44 | 1 |
| LA | $119.27–$124.98 | 2 |
| MA | $133.98–$147.74 | 2 |
| MD | $130.67–$147.78 | 3 |
| ME | $120.90–$127.20 | 2 |
| MI | $122.48–$129.49 | 2 |
| MN | $129.10 | 1 |
| MO | $117.31–$125.37 | 3 |
| MS | $116.21 | 1 |
| MT | $129.59 | 1 |
| NC | $122.12 | 1 |
| ND | $127.02 | 1 |
| NE | $120.10 | 1 |
| NH | $132.67 | 1 |
| NJ | $139.61–$146.34 | 2 |
| NM | $123.15 | 1 |
| NV | $128.96 | 1 |
| NY | $123.90–$152.36 | 5 |
| OH | $121.96 | 1 |
| OK | $119.19 | 1 |
| OR | $127.95–$138.86 | 2 |
| PA | $122.13–$134.72 | 2 |
| PR | $130.50 | 1 |
| RI | $132.74 | 1 |
| SC | $122.24 | 1 |
| SD | $126.71 | 1 |
| TN | $119.56 | 1 |
| TX | $121.35–$134.29 | 8 |
| UT | $123.86 | 1 |
| VA | $126.82–$147.78 | 2 |
| VI | $130.50 | 1 |
| VT | $126.57 | 1 |
| WA | $133.71–$150.67 | 2 |
| WI | $122.89 | 1 |
| WV | $119.92 | 1 |
| WY | $128.47 | 1 |
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.
How the rate is built · 75860
RVUs × geographic indexes × conversion factor
Work1.11
1.11 RVUs× 1.000 GPCI
Practice expense2.64
2.64 RVUs× 1.000 GPCI
Malpractice0.13
0.13 RVUs× 1.000 GPCI
Adjusted RVUs
3.8800
Conversion factor
$33.4009
Medicare rate
$129.60
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Montana inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
8,591
- Code
- 75860
- Physician work
- 1.11
- Practice expense
- 2.64
- Malpractice
- 0.13
GPCI2026.csv
71
- Locality
- Montana
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.998
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.11 | × 1.000 | 1.1100 |
| Practice expense | 2.64 | × 1.000 | 2.6400 |
| Malpractice | 0.13 | × 0.998 | 0.1297 |
| Total RVUs | 3.8797 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Montana$129.59
Office: (1.11 × 1 + 2.64 × 1 + 0.13 × 0.998) × $33.4009 = $129.59
Payment rules and modifiers for 75860
The CMS indicators that decide how 75860 is paid alongside other services.
CMS payment indicators · 75860
Neck venography, neck veins
| 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
75860 without 26 · national office
$129.60
Neck venography, neck veins
75860-26 · Professional component
$53.44
Pays only the interpretation and report.
How 75860 has changed in Montana
75860 · Office / nonfacility
$129.59
Effective 2026-10-01
The base rate is $7.08 higher than on 2025-10-01, moving from $122.51 to $129.59 (5.8%).
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
$122.51changed to$129.59
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 1.14 changed to 1.11
- Practice expense RVU 2.53 changed to 2.64
- Malpractice RVU 0.12 changed to 0.13
- Malpractice GPCI 0.978 changed to 0.998
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$125.08changed to$122.51
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 2.51 changed to 2.53
- Malpractice RVU 0.11 changed to 0.12
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$123.04changed to$125.08
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$128.00changed to$123.04
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 2.52 changed to 2.51
- Malpractice RVU 0.12 changed to 0.11
January 1, 2023
RVU23A
$130.04changed to$128.00
- Conversion factor 34.6062 changed to 33.8872
- Malpractice RVU 0.10 changed to 0.12
- Malpractice GPCI 0.977 changed to 0.978
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$136.35changed to$130.04
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 2.67 changed to 2.52
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$141.49changed to$136.35
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 2.65 changed to 2.67
- Malpractice GPCI 1.304 changed to 0.977
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$146.30changed to$141.49
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 2.74 changed to 2.65
- Malpractice RVU 0.11 changed to 0.10
- Malpractice GPCI 1.631 changed to 1.304
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$149.38changed to$146.30
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 2.83 changed to 2.74
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$147.25changed to$149.38
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 2.82 changed to 2.83
- Malpractice RVU 0.10 changed to 0.11
- Malpractice GPCI 1.429 changed to 1.631
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$145.82changed to$147.25
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 2.81 changed to 2.82
- Malpractice GPCI 1.226 changed to 1.429
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$146.86changed to$145.82
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 2.80 changed to 2.81
- Malpractice RVU 0.12 changed to 0.10
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$146.13changed to$146.86
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$155.64changed to$146.13
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 3.10 changed to 2.80
- Malpractice RVU 0.09 changed to 0.12
- Malpractice GPCI 1.165 changed to 1.226
Held through RVU15B.
January 1, 2014
RVU14A
$157.50changed to$155.64
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 3.39 changed to 3.10
- Malpractice GPCI 1.103 changed to 1.165
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $157.50
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $129.59 | Not available in this setting | RVU26D |
| 2026-07-01 | $129.59 | Not available in this setting | RVU26C |
| 2026-04-01 | $129.59 | Not available in this setting | RVU26B |
| 2026-01-01 | $129.59 | Not available in this setting | RVU26A |
| 2025-10-01 | $122.51 | Not available in this setting | RVU25D |
| 2025-07-01 | $122.51 | Not available in this setting | RVU25C |
| 2025-04-01 | $122.51 | Not available in this setting | RVU25B |
| 2025-01-01 | $122.51 | Not available in this setting | RVU25A |
| 2024-10-01 | $125.08 | Not available in this setting | RVU24D |
| 2024-07-01 | $125.08 | Not available in this setting | RVU24C |
| 2024-04-01 | $125.08 | Not available in this setting | RVU24B |
| 2024-03-09 | $125.08 | Not available in this setting | RVU24AR |
| 2024-01-01 | $123.04 | Not available in this setting | RVU24A |
| 2023-10-01 | $128.00 | Not available in this setting | RVU23D |
| 2023-07-01 | $128.00 | Not available in this setting | RVU23C |
| 2023-04-01 | $128.00 | Not available in this setting | RVU23B |
| 2023-01-01 | $128.00 | Not available in this setting | RVU23A |
| 2022-10-01 | $130.04 | Not available in this setting | RVU22D |
| 2022-07-01 | $130.04 | Not available in this setting | RVU22C |
| 2022-04-01 | $130.04 | Not available in this setting | RVU22B |
| 2022-01-01 | $130.04 | Not available in this setting | RVU22A |
| 2021-10-01 | $136.35 | Not available in this setting | RVU21D |
| 2021-07-01 | $136.35 | Not available in this setting | RVU21C |
| 2021-04-01 | $136.35 | Not available in this setting | RVU21B |
| 2021-01-01 | $136.35 | Not available in this setting | RVU21A |
| 2020-10-01 | $141.49 | Not available in this setting | RVU20D |
| 2020-07-01 | $141.49 | Not available in this setting | RVU20C |
| 2020-04-01 | $141.49 | Not available in this setting | RVU20B |
| 2020-01-01 | $141.49 | Not available in this setting | RVU20A |
| 2019-10-01 | $146.30 | Not available in this setting | RVU19D |
| 2019-07-01 | $146.30 | Not available in this setting | RVU19C |
| 2019-04-01 | $146.30 | Not available in this setting | RVU19B |
| 2019-01-01 | $146.30 | Not available in this setting | RVU19A |
| 2018-10-01 | $149.38 | Not available in this setting | RVU18D |
| 2018-07-01 | $149.38 | Not available in this setting | RVU18C |
| 2018-04-01 | $149.38 | Not available in this setting | RVU18B |
| 2018-01-01 | $149.38 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | $147.25 | Not available in this setting | RVU17D |
| 2017-07-01 | $147.25 | Not available in this setting | RVU17C |
| 2017-04-01 | $147.25 | Not available in this setting | RVU17B |
| 2017-01-01 | $147.25 | Not available in this setting | RVU17A |
| 2016-10-01 | $145.82 | Not available in this setting | RVU16D |
| 2016-07-01 | $145.82 | Not available in this setting | RVU16C |
| 2016-04-01 | $145.82 | Not available in this setting | RVU16B |
| 2016-01-01 | $145.82 | Not available in this setting | RVU16A |
| 2015-10-01 | $146.86 | Not available in this setting | RVU15D |
| 2015-07-01 | $146.86 | Not available in this setting | RVU15C |
| 2015-04-01 | $146.13 | Not available in this setting | RVU15B |
| 2015-01-01 | $146.13 | Not available in this setting | RVU15A |
| 2014-10-01 | $155.64 | Not available in this setting | RVU14D |
| 2014-07-01 | $155.64 | Not available in this setting | RVU14C |
| 2014-04-01 | $155.64 | Not available in this setting | RVU14B |
| 2014-01-01 | $155.64 | Not available in this setting | RVU14A |
| 2013-10-01 | $157.50 | Not available in this setting | RVU13D |
| 2013-07-01 | $157.50 | Not available in this setting | RVU13C |
| 2013-04-01 | $157.50 | Not available in this setting | RVU13B |
| 2013-01-01 | $157.50 | Not available in this setting | RVU13AR |
Where the Montana rate applies
Montana is a Medicare payment area, not a city. Our Census mapping connects it to 497 cities and communities in Montana. Some span more than one payment area; confirm with the service ZIP.
- Absarokee
- Acton
- Alberton
- Alder
- Alzada
- Amsterdam
- Anaconda-Deer Lodge County
- Antelope
75860 billing questions
When should I choose 75860 rather than 75827?
Use 75860 when the imaged venous territory is the neck, such as the jugular veins. Use 75827 for venography of the chest, including the superior vena cava territory.
Can the professional interpretation and technical service be billed separately?
Yes. Report modifier 26 for the professional interpretation or modifier TC for the technical service; 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. It does not reduce the professional component.
Does 75860 include venous catheter placement?
No. It represents the neck venography imaging and interpretation, not catheter placement. Report a catheter service separately only when it is performed, documented, and separately reportable.
What documentation supports reporting 75860?
Keep the imaging record and an interpretation that identifies the neck veins examined and documents the findings. The record should distinguish a neck study from imaging of the chest, skull, or extremities.
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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