CPT code 75891: Hepatic venography, liver venous study2026 Medicare rate & RVUs in Virginia

Radiologist-supervised contrast imaging of the liver’s venous circulation, reported when the performed hepatic venography service matches this code.

CMS RVU26DEffective Oct 1, 2026One payment locality204 Medicare services in 2024

In Virginia, Medicare pays $120.62 for 75891 in the office.

$120.62Office (non-facility)
Not available in this settingHospital or facility
−1.9%vs the national office rate ($122.92)

Check a contract rate as a % of Medicare · 75891 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 75891 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Virginia
  2. What 75891 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 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.

How Virginia compares for 75891

Across 109 of 109 payment localities, the office rate for 75891 runs from $109.78 in Arkansas to $162.21 in San Benito County, CA. Virginia pays $120.62. The RVUs are the same everywhere; the geographic indexes change the dollars.

75891 in Virginia vs other payment areas
  1. Virginia · this page$120.62
  2. Los Angeles, CA · California$138.58+$17.96
  3. Washington, DC area · District of Columbia$140.00+$19.38
  4. Miami, FL · Florida$130.91+$10.29
  5. Chicago, IL · Illinois$127.48+$6.86
  6. Manhattan, NY · New York$140.47+$19.85
  7. Alaska · Alaska$145.49+$24.87

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

Every other payment area

75891 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$111.26—
ArkansasArkansas$109.78—
ArizonaArizona$119.91—
Bakersfield, CACalifornia$130.40—
Chico, CACalifornia$130.10—
El Centro, CACalifornia$130.12—
Fresno, CACalifornia$130.10—
Hanford, CACalifornia$130.10—

75891 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.

$109.78

$146.16

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

View every state and territory as a table
75891 office rate range by state
State / territoryOffice rate rangeLocalities
AK$145.491
AL$111.261
AR$109.781
AZ$119.911
CA$130.10–$162.2129
CO$128.001
CT$130.671
DC$140.001
DE$121.801
FL$120.78–$130.913
GA$114.55–$124.962
GU$133.001
HI$133.001
IA$114.061
ID$114.701
IL$117.40–$127.734
IN$115.321
KS$113.471
KY$113.471
LA$113.26–$118.442
MA$127.29–$140.172
MD$124.03–$140.003
ME$115.15–$121.062
MI$116.10–$122.082
MN$123.201
MO$111.41–$118.953
MS$110.621
MT$122.911
NC$116.281
ND$121.131
NE$114.671
NH$125.941
NJ$132.31–$138.712
NM$116.641
NV$122.501
NY$117.88–$143.525
OH$115.731
OK$113.381
OR$121.69–$131.932
PA$115.96–$127.562
PR$123.781
RI$126.031
SC$116.171
SD$120.921
TN$113.991
TX$115.25–$127.458
UT$117.641
VA$120.62–$140.002
VI$123.781
VT$120.601
WA$127.07–$143.022
WI$117.361
WV$113.361
WY$122.131

See 75891 in every payment locality

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

Office or facility?

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.

The exact Virginia inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

8,612

Code
75891
Physician work
1.11
Practice expense
2.48
Malpractice
0.09

GPCI2026.csv

106

Locality
Virginia
Physician work
1.000
Practice expense
0.983
Malpractice
0.706
Office calculation for 75891 in Virginia
ComponentRVULocality factorAdjusted
Physician work1.11× 1.0001.1100
Practice expense2.48× 0.9832.4378
Malpractice0.09× 0.7060.0635
Total RVUs3.6114
Conversion factor× 33.4009

Office rate, Virginia$120.62

Office: (1.11 × 1 + 2.48 × 0.983 + 0.09 × 0.706) × $33.4009 = $120.62

Open 75891 in the RVU calculator

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

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

75891 without 26 · national office

$122.92

Hepatic venography, liver venous study

75891-26 · Professional component

$50.44

Pays only the interpretation and report.

When to use modifier 26

How 75891 has changed in Virginia

75891 · Office / nonfacility

$120.62

Effective 2026-10-01

The base rate is $2.15 higher than on 2025-10-01, moving from $118.47 to $120.62 (1.8%).

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

    $118.47changed to$120.62

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.14 changed to 1.11
    • Practice expense RVU 2.50 changed to 2.48
    • Malpractice RVU 0.08 changed to 0.09
    • Work GPCI 1.002 changed to 1.000
    • Practice expense GPCI 0.984 changed to 0.983
    • Malpractice GPCI 0.755 changed to 0.706

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $121.85changed to$118.47

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 2.49 changed to 2.50
    • Malpractice RVU 0.09 changed to 0.08

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $119.86changed to$121.85

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $125.02changed to$119.86

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 2.50 changed to 2.49
    • Work GPCI 1.000 changed to 1.002
    • Practice expense GPCI 0.990 changed to 0.984
    • Malpractice GPCI 0.826 changed to 0.755
  5. January 1, 2023

    RVU23A

    $127.33changed to$125.02

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 2.48 changed to 2.50
    • Malpractice RVU 0.08 changed to 0.09
    • Practice expense GPCI 0.995 changed to 0.990
    • Malpractice GPCI 0.897 changed to 0.826

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $132.62changed to$127.33

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 2.62 changed to 2.48
    • Malpractice RVU 0.06 changed to 0.08

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $138.56changed to$132.62

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 2.66 changed to 2.62
    • Malpractice RVU 0.07 changed to 0.06
    • Practice expense GPCI 0.991 changed to 0.995
    • Malpractice GPCI 0.903 changed to 0.897

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $141.78changed to$138.56

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 2.76 changed to 2.66
    • Malpractice RVU 0.08 changed to 0.07
    • Practice expense GPCI 0.986 changed to 0.991
    • Malpractice GPCI 0.908 changed to 0.903

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $145.53changed to$141.78

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 2.87 changed to 2.76

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $145.56changed to$145.53

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 2.89 changed to 2.87
    • Practice expense GPCI 0.985 changed to 0.986
    • Malpractice GPCI 0.866 changed to 0.908

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $144.89changed to$145.56

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense GPCI 0.983 changed to 0.985
    • Malpractice GPCI 0.824 changed to 0.866

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $145.42changed to$144.89

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $144.69changed to$145.42

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $155.06changed to$144.69

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 3.19 changed to 2.89
    • Practice expense GPCI 0.980 changed to 0.983
    • Malpractice GPCI 0.778 changed to 0.824

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $154.79changed to$155.06

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 3.43 changed to 3.19
    • Practice expense GPCI 0.977 changed to 0.980
    • Malpractice GPCI 0.731 changed to 0.778

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $154.79

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$120.62Not available in this settingRVU26D
2026-07-01$120.62Not available in this settingRVU26C
2026-04-01$120.62Not available in this settingRVU26B
2026-01-01$120.62Not available in this settingRVU26A
2025-10-01$118.47Not available in this settingRVU25D
2025-07-01$118.47Not available in this settingRVU25C
2025-04-01$118.47Not available in this settingRVU25B
2025-01-01$118.47Not available in this settingRVU25A
2024-10-01$121.85Not available in this settingRVU24D
2024-07-01$121.85Not available in this settingRVU24C
2024-04-01$121.85Not available in this settingRVU24B
2024-03-09$121.85Not available in this settingRVU24AR
2024-01-01$119.86Not available in this settingRVU24A
2023-10-01$125.02Not available in this settingRVU23D
2023-07-01$125.02Not available in this settingRVU23C
2023-04-01$125.02Not available in this settingRVU23B
2023-01-01$125.02Not available in this settingRVU23A
2022-10-01$127.33Not available in this settingRVU22D
2022-07-01$127.33Not available in this settingRVU22C
2022-04-01$127.33Not available in this settingRVU22B
2022-01-01$127.33Not available in this settingRVU22A
2021-10-01$132.62Not available in this settingRVU21D
2021-07-01$132.62Not available in this settingRVU21C
2021-04-01$132.62Not available in this settingRVU21B
2021-01-01$132.62Not available in this settingRVU21A
2020-10-01$138.56Not available in this settingRVU20D
2020-07-01$138.56Not available in this settingRVU20C
2020-04-01$138.56Not available in this settingRVU20B
2020-01-01$138.56Not available in this settingRVU20A
2019-10-01$141.78Not available in this settingRVU19D
2019-07-01$141.78Not available in this settingRVU19C
2019-04-01$141.78Not available in this settingRVU19B
2019-01-01$141.78Not available in this settingRVU19A
2018-10-01$145.53Not available in this settingRVU18D
2018-07-01$145.53Not available in this settingRVU18C
2018-04-01$145.53Not available in this settingRVU18B
2018-01-01$145.53Not available in this settingRVU18AR1
2017-10-01$145.56Not available in this settingRVU17D
2017-07-01$145.56Not available in this settingRVU17C
2017-04-01$145.56Not available in this settingRVU17B
2017-01-01$145.56Not available in this settingRVU17A
2016-10-01$144.89Not available in this settingRVU16D
2016-07-01$144.89Not available in this settingRVU16C
2016-04-01$144.89Not available in this settingRVU16B
2016-01-01$144.89Not available in this settingRVU16A
2015-10-01$145.42Not available in this settingRVU15D
2015-07-01$145.42Not available in this settingRVU15C
2015-04-01$144.69Not available in this settingRVU15B
2015-01-01$144.69Not available in this settingRVU15A
2014-10-01$155.06Not available in this settingRVU14D
2014-07-01$155.06Not available in this settingRVU14C
2014-04-01$155.06Not available in this settingRVU14B
2014-01-01$155.06Not available in this settingRVU14A
2013-10-01$154.79Not available in this settingRVU13D
2013-07-01$154.79Not available in this settingRVU13C
2013-04-01$154.79Not available in this settingRVU13B
2013-01-01$154.79Not available in this settingRVU13AR

Price 75891 for an earlier date of service

Where the Virginia rate applies

Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 628 cities and communities in Virginia. Some span more than one payment area; confirm with the service ZIP.

  • Abbs Valley
  • Abingdon
  • Accomac
  • Adwolf
  • Afton
  • Alberta
  • Aldie
  • Allison Gap

Browse all communities in Virginia

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

Show the CMS file lines behind this rate
RVUs for 75891PPRRVU2026_Oct_nonQPP.csv, line 8,612 (RVU26D)
Geographic factors for VirginiaGPCI2026.csv, line 106 (RVU26D)

Open CMS sourceHow we calculate rates

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