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

Reports radiographic evaluation and interpretation of neck veins, such as jugular veins, when contrast imaging is used to assess venous patency or obstruction.

CMS RVU26DEffective Oct 1, 2026One payment locality1.6K Medicare services in 2024

In Puerto Rico, Medicare pays $130.50 for 75860 in the office.

$130.50Office (non-facility)
Not available in this settingHospital or facility
+0.7%vs the national office rate ($129.60)

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.

We’ll open 75860 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Puerto Rico
  2. What 75860 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

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 Puerto Rico 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. Puerto Rico pays $130.50. The RVUs are the same everywhere; the geographic indexes change the dollars.

75860 in Puerto Rico vs other payment areas
  1. Puerto Rico · this page$130.50
  2. Los Angeles, CA · California$145.79+$15.29
  3. Washington, DC area · District of Columbia$147.78+$17.28
  4. Miami, FL · Florida$139.85+$9.35
  5. Chicago, IL · Illinois$135.92+$5.42
  6. Manhattan, NY · New York$148.80+$18.30
  7. Alaska · Alaska$151.91+$21.41

Other areas in Puerto Rico first, then benchmark localities. Bars start at $0.

Every other payment area

75860 in every other Medicare payment locality
Payment localityOfficeFacility
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—

75860 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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
75860 office rate range by state
State / territoryOffice rate rangeLocalities
AK$151.911
AL$116.691
AR$115.061
AZ$126.241
CA$136.68–$170.6329
CO$134.731
CT$138.041
DC$147.781
DE$128.281
FL$127.90–$139.853
GA$120.91–$131.992
GU$139.851
HI$139.851
IA$119.481
ID$120.251
IL$124.37–$135.924
IN$120.931
KS$118.981
KY$119.441
LA$119.27–$124.982
MA$133.98–$147.742
MD$130.67–$147.783
ME$120.90–$127.202
MI$122.48–$129.492
MN$129.101
MO$117.31–$125.373
MS$116.211
MT$129.591
NC$122.121
ND$127.021
NE$120.101
NH$132.671
NJ$139.61–$146.342
NM$123.151
NV$128.961
NY$123.90–$152.365
OH$121.961
OK$119.191
OR$127.95–$138.862
PA$122.13–$134.722
PR$130.501
RI$132.741
SC$122.241
SD$126.711
TN$119.561
TX$121.35–$134.298
UT$123.861
VA$126.82–$147.782
VI$130.501
VT$126.571
WA$133.71–$150.672
WI$122.891
WV$119.921
WY$128.471

See 75860 in every payment locality

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

Office or facility?

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 Puerto Rico 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

91

Locality
Puerto Rico
Physician work
1.000
Practice expense
1.011
Malpractice
0.985
Office calculation for 75860 in Puerto Rico
ComponentRVULocality factorAdjusted
Physician work1.11× 1.0001.1100
Practice expense2.64× 1.0112.6690
Malpractice0.13× 0.9850.1280
Total RVUs3.9071
Conversion factor× 33.4009

Office rate, Puerto Rico$130.50

Office: (1.11 × 1 + 2.64 × 1.011 + 0.13 × 0.985) × $33.4009 = $130.50

Open 75860 in the RVU calculator

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

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

75860 without 26 · national office

$129.60

Neck venography, neck veins

75860-26 · Professional component

$53.44

Pays only the interpretation and report.

When to use modifier 26

Codes related to 75860

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

Codes related to 75860
CodeHow it relatesOffice range, Puerto Rico
Same family
75827SVC venography, superior vena cavaVenography of the chest, including the superior vena cava territory.$119.68
75825Caval venography, inferior vena cavaVenography of the trunk, including the inferior vena cava territory.$114.28
75870Venography, intracranial venous sinusesVenography of veins in the skull rather than the neck.$185.45
75820Extremity venography, one arm or legVenography of a single upper or lower extremity.$107.94
75822Extremity venography, bilateralVenography of both upper or both lower extremities.$134.08

How 75860 has changed in Puerto Rico

75860 · Office / nonfacility

$130.50

Effective 2026-10-01

The base rate is $7.40 higher than on 2025-10-01, moving from $123.10 to $130.50 (6.0%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

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

  1. January 1, 2026

    RVU26A

    $123.10changed to$130.50

    • 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
    • Practice expense GPCI 1.007 changed to 1.011
    • Malpractice GPCI 0.982 changed to 0.985

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $125.68changed to$123.10

    • 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.

  3. March 9, 2024

    RVU24AR

    $123.63changed to$125.68

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $128.71changed to$123.63

    • 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
    • Practice expense GPCI 1.008 changed to 1.007
    • Malpractice GPCI 0.984 changed to 0.982

  5. October 1, 2023

    RVU23D

    $128.09changed to$128.71

    • Practice expense GPCI 1.000 changed to 1.008
    • Malpractice GPCI 1.000 changed to 0.984

  6. January 1, 2023

    RVU23A

    $130.77changed to$128.09

    • Conversion factor 34.6062 changed to 33.8872
    • Malpractice RVU 0.10 changed to 0.12
    • Practice expense GPCI 1.008 changed to 1.000
    • Malpractice GPCI 0.986 changed to 1.000

    Held through RVU23B, RVU23C.

  7. January 1, 2022

    RVU22A

    $137.13changed to$130.77

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 2.67 changed to 2.52

    Held through RVU22B, RVU22C, RVU22D.

  8. January 1, 2021

    RVU21A

    $141.11changed to$137.13

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 2.65 changed to 2.67
    • Malpractice GPCI 0.988 changed to 0.986

    Held through RVU21B, RVU21C, RVU21D.

  9. January 1, 2020

    RVU20A

    $144.45changed to$141.11

    • 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
    • Practice expense GPCI 1.007 changed to 1.008
    • Malpractice GPCI 0.990 changed to 0.988

    Held through RVU20B, RVU20C, RVU20D.

  10. January 1, 2019

    RVU19A

    $147.55changed to$144.45

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 2.83 changed to 2.74

    Held through RVU19B, RVU19C, RVU19D.

  11. January 1, 2018

    RVU18AR1

    $129.85changed to$147.55

    • 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
    • Practice expense GPCI 0.856 changed to 1.007
    • Malpractice GPCI 0.642 changed to 0.990

    Held through RVU18B, RVU18C, RVU18D.

  12. January 1, 2017

    RVU17A

    $112.80changed to$129.85

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 2.81 changed to 2.82
    • Practice expense GPCI 0.705 changed to 0.856
    • Malpractice GPCI 0.293 changed to 0.642

    Held through RVU17B, RVU17C, RVU17D.

  13. January 1, 2016

    RVU16A

    $113.16changed to$112.80

    • 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.

  14. July 1, 2015

    RVU15C

    $112.60changed to$113.16

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  15. January 1, 2015

    RVU15A

    $118.56changed to$112.60

    • 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
    • Practice expense GPCI 0.692 changed to 0.705
    • Malpractice GPCI 0.271 changed to 0.293

    Held through RVU15B.

  16. January 1, 2014

    RVU14A

    $117.75changed to$118.56

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 3.39 changed to 3.10
    • Practice expense GPCI 0.678 changed to 0.692
    • Malpractice GPCI 0.249 changed to 0.271

    Held through RVU14B, RVU14C, RVU14D.

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: $117.75

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$130.50Not available in this settingRVU26D
2026-07-01$130.50Not available in this settingRVU26C
2026-04-01$130.50Not available in this settingRVU26B
2026-01-01$130.50Not available in this settingRVU26A
2025-10-01$123.10Not available in this settingRVU25D
2025-07-01$123.10Not available in this settingRVU25C
2025-04-01$123.10Not available in this settingRVU25B
2025-01-01$123.10Not available in this settingRVU25A
2024-10-01$125.68Not available in this settingRVU24D
2024-07-01$125.68Not available in this settingRVU24C
2024-04-01$125.68Not available in this settingRVU24B
2024-03-09$125.68Not available in this settingRVU24AR
2024-01-01$123.63Not available in this settingRVU24A
2023-10-01$128.71Not available in this settingRVU23D
2023-07-01$128.09Not available in this settingRVU23C
2023-04-01$128.09Not available in this settingRVU23B
2023-01-01$128.09Not available in this settingRVU23A
2022-10-01$130.77Not available in this settingRVU22D
2022-07-01$130.77Not available in this settingRVU22C
2022-04-01$130.77Not available in this settingRVU22B
2022-01-01$130.77Not available in this settingRVU22A
2021-10-01$137.13Not available in this settingRVU21D
2021-07-01$137.13Not available in this settingRVU21C
2021-04-01$137.13Not available in this settingRVU21B
2021-01-01$137.13Not available in this settingRVU21A
2020-10-01$141.11Not available in this settingRVU20D
2020-07-01$141.11Not available in this settingRVU20C
2020-04-01$141.11Not available in this settingRVU20B
2020-01-01$141.11Not available in this settingRVU20A
2019-10-01$144.45Not available in this settingRVU19D
2019-07-01$144.45Not available in this settingRVU19C
2019-04-01$144.45Not available in this settingRVU19B
2019-01-01$144.45Not available in this settingRVU19A
2018-10-01$147.55Not available in this settingRVU18D
2018-07-01$147.55Not available in this settingRVU18C
2018-04-01$147.55Not available in this settingRVU18B
2018-01-01$147.55Not available in this settingRVU18AR1
2017-10-01$129.85Not available in this settingRVU17D
2017-07-01$129.85Not available in this settingRVU17C
2017-04-01$129.85Not available in this settingRVU17B
2017-01-01$129.85Not available in this settingRVU17A
2016-10-01$112.80Not available in this settingRVU16D
2016-07-01$112.80Not available in this settingRVU16C
2016-04-01$112.80Not available in this settingRVU16B
2016-01-01$112.80Not available in this settingRVU16A
2015-10-01$113.16Not available in this settingRVU15D
2015-07-01$113.16Not available in this settingRVU15C
2015-04-01$112.60Not available in this settingRVU15B
2015-01-01$112.60Not available in this settingRVU15A
2014-10-01$118.56Not available in this settingRVU14D
2014-07-01$118.56Not available in this settingRVU14C
2014-04-01$118.56Not available in this settingRVU14B
2014-01-01$118.56Not available in this settingRVU14A
2013-10-01$117.75Not available in this settingRVU13D
2013-07-01$117.75Not available in this settingRVU13C
2013-04-01$117.75Not available in this settingRVU13B
2013-01-01$117.75Not available in this settingRVU13AR

Price 75860 for an earlier date of service

Where the Puerto Rico rate applies

Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.

  • Aceitunas
  • Adjuntas
  • Aguada
  • Aguadilla
  • Aguas Buenas
  • Aguas Claras
  • Aguilita
  • Aibonito

Browse all communities in Puerto Rico

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
RVUs for 75860PPRRVU2026_Oct_nonQPP.csv, line 8,591 (RVU26D)
Geographic factors for Puerto RicoGPCI2026.csv, line 91 (RVU26D)

Open CMS sourceHow we calculate rates

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