CPT code 75889: Hepatic venography, with hemodynamic evaluation2026 Medicare rate & RVUs

Radiologic interpretation of hepatic venous contrast imaging with hemodynamic assessment, reported when both venographic findings and pressure information are evaluated.

CMS RVU26DEffective Oct 1, 2026109 payment localities2.5K Medicare services in 2024

Medicare pays $122.25 for 75889 nationally in the office. Local office rates run $109.20–$161.25.

Medicare rate · 75889

Hepatic venography, with hemodynamic evaluation

Office or facility?

Work RVUs
1.11
Total RVUs
3.66
Global days
XXX

National rate · 2026

$122.25

Office setting, before claim adjustments.

See every locality for 75889 →Billed by an NP, PA or therapist? →

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

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 75889 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 75889 covers

This service covers radiologic supervision and interpretation of contrast imaging of the hepatic veins together with hemodynamic evaluation. It is typically part of an interventional radiology or diagnostic imaging encounter when the clinical question requires assessment of hepatic venous anatomy and related pressure information. The interpreting physician evaluates the acquired images and hemodynamic findings and documents the relevant results in the report.

Select this code when the documented service includes both hepatic venography and hemodynamic evaluation; venography without that evaluation is represented by a different code. The report should support the hepatic venous study and the hemodynamic assessment performed. Medicare recognizes professional and technical components: report modifier 26 for the interpretation, modifier TC for equipment and staff, or neither modifier for the global service. The cardiovascular diagnostic multiple procedure reduction applies to the technical component, so it may affect the technical portion when multiple applicable procedures are performed.

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 75889 pays more and less

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

109 payment localities

$109.20 to $161.25

$109.20$135.22$161.25
One dot per payment locality, office / nonfacility. Hover a dot to see the locality; select it to open that rate.

109 of 109 payment localities

75889 office and facility rates by payment locality
Payment localityOfficeFacility
Alabama$110.67Unavailable
Alaska$144.78Unavailable
Arizona$119.27Unavailable
Arkansas$109.20Unavailable
Atlanta, GA$124.28Unavailable
Austin, TX$126.74Unavailable
Bakersfield, CA$129.66Unavailable
Baltimore area, MD$129.55Unavailable
Beaumont, TX$114.64Unavailable
Brazoria, TX$121.14Unavailable

75889 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.

$109.20

$145.31

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
75889 office rate range by state
State / territoryOffice rate rangeLocalities
AK$144.781
AL$110.671
AR$109.201
AZ$119.271
CA$129.37–$161.2529
CO$127.291
CT$129.951
DC$139.211
DE$121.141
FL$120.14–$130.213
GA$113.95–$124.282
GU$132.241
HI$132.241
IA$113.451
ID$114.091
IL$116.79–$127.054
IN$114.701
KS$112.871
KY$112.871
LA$112.67–$117.812
MA$126.59–$139.382
MD$123.36–$139.213
ME$114.54–$120.402
MI$115.49–$121.432
MN$122.511
MO$110.83–$118.313
MS$110.041
MT$122.241
NC$115.661
ND$120.461
NE$114.051
NH$125.241
NJ$131.58–$137.932
NM$116.031
NV$121.831
NY$117.25–$142.735
OH$115.121
OK$112.791
OR$121.03–$131.192
PA$115.34–$126.862
PR$123.111
RI$125.341
SC$115.551
SD$120.251
TN$113.381
TX$114.64–$126.748
UT$117.011
VA$119.97–$139.212
VI$123.111
VT$119.941
WA$126.37–$142.202
WI$116.721
WV$112.781
WY$121.471

How the 75889 rate is calculated

Each of 75889’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 · 75889

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.11

1.11 RVUs× 1.000 GPCI

Practice expense2.46

2.46 RVUs× 1.000 GPCI

Malpractice0.09

0.09 RVUs× 1.000 GPCI

Adjusted RVUs

3.6600

Conversion factor

$33.4009

Medicare rate

$122.25

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 75889

The CMS indicators that decide how 75889 is paid alongside other services.

CMS payment indicators · 75889

Hepatic venography, with hemodynamic evaluation

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

75889 without 26 · national office

$122.25

Hepatic venography, with hemodynamic evaluation

75889-26 · Professional component

$50.10

Pays only the interpretation and report.

When to use modifier 26

75889 compared with similar codes

Compare codes · National

75889 vs 75887 vs 75810: Medicare rates

Office or facility?

  • 75889

    Hepatic venography, with hemodynamic evaluation1.11 wRVU

    $122.25

  • 75887

    Hepatic venography, without hemodynamic evaluation1.4 wRVU

    $135.61+$13.36

  • 75810

    Abdominal venography, splenic, portal, or hepatic veins0 wRVU

    Not priced

How to choose

75887Hepatic venographyWithout hemodynamic evaluation
Choose 75889 when hemodynamic evaluation accompanies the hepatic venography. Choose 75887 when the study is performed without that evaluation.
75810Abdominal venographySplenic, portal, or hepatic veins
Code 75810 describes venography involving the spleen and liver. This code is specific to hepatic venography with hemodynamic evaluation.

75889 billing questions

How does this differ from code 75887?

Code 75889 includes hemodynamic evaluation with the hepatic venography. Code 75887 is for hepatic venography without hemodynamic evaluation.

Can the interpretation and technical service be billed separately?

Yes. Modifier 26 identifies the professional interpretation and modifier TC identifies the technical service; without either modifier, the claim represents the global service.

Does the multiple procedure reduction affect the professional component?

The CMS multiple procedure reduction listed for this code applies to the technical component. It does not specify a reduction to the professional component.

What documentation supports reporting this code?

The imaging report should identify the hepatic venographic study and document the hemodynamic evaluation and its findings.

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 75889PPRRVU2026_Oct_nonQPP.csv, line 8,609 (RVU26D)

Open CMS sourceHow we calculate rates

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