CPT code 75872: Venography, epidural veins2026 Medicare rate & RVUs in California
Reports physician interpretation of contrast imaging of the epidural venous system, typically during a catheter-based study evaluating venous anatomy or flow.
Medicare pays $133.03–$166.06 for 75872 in the office in California, from Chico, CA to San Benito County, CA. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 sections
What 75872 covers
This service represents the physician’s interpretation of contrast images showing veins in the epidural space. It may be performed by a radiologist or interventional radiologist in a hospital or other procedural imaging setting as part of a diagnostic venous study. The report should identify the epidural venous territory examined and describe the relevant imaging findings.
Report the code for the epidural venous imaging interpretation, not simply for catheter placement or contrast administration. The documentation should support that the study was performed and include a signed interpretation. Modifier 26 identifies the professional interpretation; modifier TC identifies the equipment-and-staff portion. Without either modifier, the claim represents the global service. When the cardiovascular diagnostic multiple-procedure reduction applies, it affects 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.
Where 75872 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
$133.03 to $166.06
29 of 29 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Bakersfield, CA | $133.33 | Unavailable |
| Chico, CA | $133.03 | Unavailable |
| El Centro, CA | $133.05 | Unavailable |
| Fresno, CA | $133.03 | Unavailable |
| Hanford, CA | $133.03 | Unavailable |
| Los Angeles, CA | $141.75 | Unavailable |
| Madera, CA | $133.03 | Unavailable |
| Marin County, CA | $162.54 | Unavailable |
| Merced, CA | $133.03 | Unavailable |
| Modesto, CA | $133.03 | Unavailable |
| Napa, CA | $153.64 | Unavailable |
| Oxnard, CA | $141.05 | Unavailable |
| Redding, CA | $133.03 | Unavailable |
| Rest of California | $133.03 | Unavailable |
| Riverside, CA | $134.02 | Unavailable |
| Sacramento, CA | $139.46 | Unavailable |
| Salinas, CA | $138.94 | Unavailable |
| San Benito County, CA | $166.06 | Unavailable |
| San Diego, CA | $142.08 | Unavailable |
| San Francisco, CA | $162.44 | Unavailable |
| San Luis Obispo, CA | $136.71 | Unavailable |
| Santa Clara County, CA | $165.65 | Unavailable |
| Santa Cruz, CA | $143.35 | Unavailable |
| Santa Maria, CA | $139.42 | Unavailable |
| Santa Rosa, CA | $144.80 | Unavailable |
| Stockton, CA | $133.03 | Unavailable |
| Vallejo, CA | $153.49 | Unavailable |
| Visalia, CA | $133.03 | Unavailable |
| Yuba City, CA | $133.03 | Unavailable |
How the 75872 rate is calculated
Each of 75872’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 · 75872
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.
Payment rules and modifiers for 75872
The CMS indicators that decide how 75872 is paid alongside other services.
CMS payment indicators · 75872
Venography, epidural 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
75872 without 26 · national office
$125.59
Venography, epidural veins
75872-26 · Professional component
$52.44
Pays only the interpretation and report.
75872 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 75870VenographyIntracranial venous sinuses
- Use 75872 for epidural veins and 75870 for intracranial veins. The imaged venous territory determines the selection.
- 75860Neck venographyNeck veins
- 75860 reports interpretation of jugular venous imaging; 75872 is for epidural venous imaging.
- 75880Orbital venographyOrbital veins
- 75880 concerns venous imaging of the eye socket. It is distinct from imaging of the epidural venous system reported with 75872.
75872 billing questions
How does this differ from 75870?
75872 is for imaging of the epidural venous system. Code 75870 is for intracranial venous imaging, so select by the venous territory studied.
Can the professional and technical portions be billed separately?
Yes. Report modifier 26 for the physician’s interpretation or modifier TC for the equipment-and-staff portion. Billing without a modifier 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 apply to the professional component.
What documentation supports reporting 75872?
The record should establish that epidural venous contrast imaging was performed and include the interpreting physician’s findings. A catheterization or injection entry alone does not document the 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
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