CPT code 75891: Hepatic venography, liver venous study2026 Medicare rate & RVUs in California
Radiologist-supervised contrast imaging of the liver’s venous circulation, reported when the performed hepatic venography service matches this code.
Medicare pays $130.10–$162.21 for 75891 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 75891 covers
This service covers radiological supervision and interpretation of contrast x-ray imaging of veins in the liver. A radiologist interprets the images to assess hepatic venous anatomy and contrast flow, such as when clinicians investigate suspected abnormal venous drainage or obstruction. The study is typically performed in a hospital or other facility as part of a catheter-based diagnostic evaluation; the imaging professional service is distinct from the equipment and staff used to obtain the images.
Select the code that matches the hepatic venography actually performed, including whether the study includes hemodynamic evaluation and any other distinctions in the applicable code family. The report should identify the liver venous study and describe the interpretation; the procedure record supports the imaging performed. Bill globally when one entity provides both components, or use modifier 26 for interpretation and modifier TC for the technical service when those components are billed separately. The cardiovascular diagnostic multiple procedure reduction applies to 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 75891 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
$130.10 to $162.21
29 of 29 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Bakersfield, CA | $130.40 | Unavailable |
| Chico, CA | $130.10 | Unavailable |
| El Centro, CA | $130.12 | Unavailable |
| Fresno, CA | $130.10 | Unavailable |
| Hanford, CA | $130.10 | Unavailable |
| Los Angeles, CA | $138.58 | Unavailable |
| Madera, CA | $130.10 | Unavailable |
| Marin County, CA | $158.77 | Unavailable |
| Merced, CA | $130.10 | Unavailable |
| Modesto, CA | $130.10 | Unavailable |
| Napa, CA | $150.11 | Unavailable |
| Oxnard, CA | $137.90 | Unavailable |
| Redding, CA | $130.10 | Unavailable |
| Rest of California | $130.10 | Unavailable |
| Riverside, CA | $131.09 | Unavailable |
| Sacramento, CA | $136.36 | Unavailable |
| Salinas, CA | $135.84 | Unavailable |
| San Benito County, CA | $162.21 | Unavailable |
| San Diego, CA | $138.89 | Unavailable |
| San Francisco, CA | $158.67 | Unavailable |
| San Luis Obispo, CA | $133.66 | Unavailable |
| Santa Clara County, CA | $161.79 | Unavailable |
| Santa Cruz, CA | $140.11 | Unavailable |
| Santa Maria, CA | $136.31 | Unavailable |
| Santa Rosa, CA | $141.52 | Unavailable |
| Stockton, CA | $130.10 | Unavailable |
| Vallejo, CA | $149.97 | Unavailable |
| Visalia, CA | $130.10 | Unavailable |
| Yuba City, CA | $130.10 | Unavailable |
How the 75891 rate is calculated
Each of 75891’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 · 75891
RVUs × geographic indexes × conversion factor
Work1.11
1.11 RVUs× 1.000 GPCI
Practice expense2.48
2.48 RVUs× 1.000 GPCI
Malpractice0.09
0.09 RVUs× 1.000 GPCI
Adjusted RVUs
3.6800
Conversion factor
$33.4009
Medicare rate
$122.92
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 75891
The CMS indicators that decide how 75891 is paid alongside other services.
CMS payment indicators · 75891
Hepatic venography, liver venous study
| 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
75891 without 26 · national office
$122.92
Hepatic venography, liver venous study
75891-26 · Professional component
$50.44
Pays only the interpretation and report.
75891 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 75887Hepatic venographyWithout hemodynamic evaluation
- 75887 identifies hepatic venography without hemodynamic evaluation. Choose based on whether that specific service description matches the study performed.
- 75889Hepatic venographyWith hemodynamic evaluation
- 75889 is another liver venography code, with a CMS short descriptor identifying hemodynamic evaluation. Apply the code definition that matches the documented procedure.
- 75893Venous samplingCatheter-based blood sampling
- 75893 describes venous sampling by catheter, rather than contrast x-ray imaging of the liver’s venous circulation.
75891 billing questions
How does this differ from 75887?
Both concern hepatic venous imaging, but 75887 identifies the hepatic study without hemodynamic evaluation. Use the code that corresponds to the service and distinctions documented in the procedure record.
Can the professional and technical services be billed separately?
Yes. Modifier 26 identifies the interpretation, and modifier TC identifies the equipment and staff service. Billing without either modifier represents the global service.
Does the multiple procedure reduction affect both components?
The cardiovascular diagnostic multiple procedure reduction applies to the technical component. It does not apply to the professional component.
What documentation supports reporting this service?
The record should identify the hepatic venous contrast study performed and include the radiologist’s interpretation. The procedure documentation should also support any distinction from related hepatic venography services, such as whether hemodynamic evaluation was performed.
Is this code for venous sampling?
No. Hepatic venography reports contrast imaging of veins; 75893 describes venous sampling by catheter, a different service.
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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