CPT code 75872: Venography, epidural veins2026 Medicare rate & RVUs in Montana

Reports physician interpretation of contrast imaging of the epidural venous system, typically during a catheter-based study evaluating venous anatomy or flow.

CMS RVU26DEffective Oct 1, 2026One payment locality11 Medicare services in 2024

In Montana, Medicare pays $125.58 for 75872 in the office.

$125.58Office (non-facility)
Not available in this settingHospital or facility
−0.0%vs the national office rate ($125.59)

Check a contract rate as a % of Medicare · 75872 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 75872 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Montana
  2. What 75872 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 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.

How Montana compares for 75872

Across 109 of 109 payment localities, the office rate for 75872 runs from $112.07 in Arkansas to $166.06 in San Benito County, CA. Montana pays $125.58. The RVUs are the same everywhere; the geographic indexes change the dollars.

75872 in Montana vs other payment areas
  1. Montana · this page$125.58
  2. Los Angeles, CA · California$141.75+$16.17
  3. Washington, DC area · District of Columbia$143.15+$17.57
  4. Miami, FL · Florida$133.69+$8.11
  5. Chicago, IL · Illinois$130.17+$4.59
  6. Manhattan, NY · New York$143.57+$17.99
  7. Alaska · Alaska$148.33+$22.75

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

Every other payment area

75872 in every other Medicare payment locality
Payment localityOfficeFacility
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—

75872 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
75872 office rate range by state
State / territoryOffice rate rangeLocalities
AK$148.331
AL$113.591
AR$112.071
AZ$122.501
CA$133.03–$166.0629
CO$130.851
CT$133.541
DC$143.151
DE$124.441
FL$123.34–$133.693
GA$116.93–$127.672
GU$136.041
HI$136.041
IA$116.511
ID$117.161
IL$119.84–$130.484
IN$117.801
KS$115.891
KY$115.841
LA$115.63–$120.952
MA$130.10–$143.372
MD$126.74–$143.153
ME$117.61–$123.712
MI$118.54–$124.662
MN$125.951
MO$113.71–$121.493
MS$112.921
MT$125.581
NC$118.771
ND$123.801
NE$117.131
NH$128.721
NJ$135.23–$141.812
NM$119.091
NV$125.171
NY$120.42–$146.705
OH$118.171
OK$115.771
OR$124.35–$134.902
PA$118.41–$130.342
PR$126.481
RI$128.791
SC$118.641
SD$123.591
TN$116.411
TX$117.68–$130.288
UT$120.151
VA$123.25–$143.152
VI$126.481
VT$123.251
WA$129.88–$146.302
WI$119.921
WV$115.681
WY$124.811

See 75872 in every payment locality

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

Office or facility?

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 Montana inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

8,597

Code
75872
Physician work
1.11
Practice expense
2.56
Malpractice
0.09

GPCI2026.csv

71

Locality
Montana
Physician work
1.000
Practice expense
1.000
Malpractice
0.998
Office calculation for 75872 in Montana
ComponentRVULocality factorAdjusted
Physician work1.11× 1.0001.1100
Practice expense2.56× 1.0002.5600
Malpractice0.09× 0.9980.0898
Total RVUs3.7598
Conversion factor× 33.4009

Office rate, Montana$125.58

Office: (1.11 × 1 + 2.56 × 1 + 0.09 × 0.998) × $33.4009 = $125.58

Open 75872 in the RVU calculator

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

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

75872 without 26 · national office

$125.59

Venography, epidural veins

75872-26 · Professional component

$52.44

Pays only the interpretation and report.

When to use modifier 26

How 75872 has changed in Montana

75872 · Office / nonfacility

$125.58

Effective 2026-10-01

The base rate is $1.42 higher than on 2025-10-01, moving from $124.16 to $125.58 (1.1%).

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

    $124.16changed to$125.58

    • 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 0.978 changed to 0.998

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $128.10changed to$124.16

    • Conversion factor 33.2875 changed to 32.3465
    • Malpractice RVU 0.08 changed to 0.07

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $126.01changed to$128.10

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $131.42changed to$126.01

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 2.66 changed to 2.63
  5. January 1, 2023

    RVU23A

    $132.84changed to$131.42

    • 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 0.977 changed to 0.978

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $138.13changed to$132.84

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 2.76 changed to 2.64

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $143.93changed to$138.13

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 2.77 changed to 2.76
    • Malpractice GPCI 1.304 changed to 0.977

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $148.86changed to$143.93

    • 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 1.631 changed to 1.304

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $153.02changed to$148.86

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 2.98 changed to 2.86

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $158.94changed to$153.02

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 3.16 changed to 2.98
    • Malpractice RVU 0.09 changed to 0.08
    • Malpractice GPCI 1.429 changed to 1.631

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $142.87changed to$158.94

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 2.74 changed to 3.16
    • Malpractice GPCI 1.226 changed to 1.429

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $151.57changed to$142.87

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 2.98 changed to 2.74
    • Malpractice RVU 0.08 changed to 0.09

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $150.82changed to$151.57

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $152.72changed to$150.82

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 3.03 changed to 2.98
    • Malpractice GPCI 1.165 changed to 1.226

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $157.13changed to$152.72

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 3.39 changed to 3.03
    • Malpractice GPCI 1.103 changed to 1.165

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $157.13

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$125.58Not available in this settingRVU26D
2026-07-01$125.58Not available in this settingRVU26C
2026-04-01$125.58Not available in this settingRVU26B
2026-01-01$125.58Not available in this settingRVU26A
2025-10-01$124.16Not available in this settingRVU25D
2025-07-01$124.16Not available in this settingRVU25C
2025-04-01$124.16Not available in this settingRVU25B
2025-01-01$124.16Not available in this settingRVU25A
2024-10-01$128.10Not available in this settingRVU24D
2024-07-01$128.10Not available in this settingRVU24C
2024-04-01$128.10Not available in this settingRVU24B
2024-03-09$128.10Not available in this settingRVU24AR
2024-01-01$126.01Not available in this settingRVU24A
2023-10-01$131.42Not available in this settingRVU23D
2023-07-01$131.42Not available in this settingRVU23C
2023-04-01$131.42Not available in this settingRVU23B
2023-01-01$131.42Not available in this settingRVU23A
2022-10-01$132.84Not available in this settingRVU22D
2022-07-01$132.84Not available in this settingRVU22C
2022-04-01$132.84Not available in this settingRVU22B
2022-01-01$132.84Not available in this settingRVU22A
2021-10-01$138.13Not available in this settingRVU21D
2021-07-01$138.13Not available in this settingRVU21C
2021-04-01$138.13Not available in this settingRVU21B
2021-01-01$138.13Not available in this settingRVU21A
2020-10-01$143.93Not available in this settingRVU20D
2020-07-01$143.93Not available in this settingRVU20C
2020-04-01$143.93Not available in this settingRVU20B
2020-01-01$143.93Not available in this settingRVU20A
2019-10-01$148.86Not available in this settingRVU19D
2019-07-01$148.86Not available in this settingRVU19C
2019-04-01$148.86Not available in this settingRVU19B
2019-01-01$148.86Not available in this settingRVU19A
2018-10-01$153.02Not available in this settingRVU18D
2018-07-01$153.02Not available in this settingRVU18C
2018-04-01$153.02Not available in this settingRVU18B
2018-01-01$153.02Not available in this settingRVU18AR1
2017-10-01$158.94Not available in this settingRVU17D
2017-07-01$158.94Not available in this settingRVU17C
2017-04-01$158.94Not available in this settingRVU17B
2017-01-01$158.94Not available in this settingRVU17A
2016-10-01$142.87Not available in this settingRVU16D
2016-07-01$142.87Not available in this settingRVU16C
2016-04-01$142.87Not available in this settingRVU16B
2016-01-01$142.87Not available in this settingRVU16A
2015-10-01$151.57Not available in this settingRVU15D
2015-07-01$151.57Not available in this settingRVU15C
2015-04-01$150.82Not available in this settingRVU15B
2015-01-01$150.82Not available in this settingRVU15A
2014-10-01$152.72Not available in this settingRVU14D
2014-07-01$152.72Not available in this settingRVU14C
2014-04-01$152.72Not available in this settingRVU14B
2014-01-01$152.72Not available in this settingRVU14A
2013-10-01$157.13Not available in this settingRVU13D
2013-07-01$157.13Not available in this settingRVU13C
2013-04-01$157.13Not available in this settingRVU13B
2013-01-01$157.13Not available in this settingRVU13AR

Price 75872 for an earlier date of service

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

Browse all communities in Montana

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

Show the CMS file lines behind this rate
RVUs for 75872PPRRVU2026_Oct_nonQPP.csv, line 8,597 (RVU26D)
Geographic factors for MontanaGPCI2026.csv, line 71 (RVU26D)

Open CMS sourceHow we calculate rates

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