Billing code 75746: Pulmonary angiographyMedicare rate & RVUs
Reports imaging and interpretation of the pulmonary arteries after nonselective contrast injection, rather than selective catheterization of a pulmonary branch.
Medicare pays $134.27 for 75746 nationally in the office. Local office rates run $119.53–$178.59.
Medicare rate · 75746
Pulmonary angiography
Swap in your local Medicare rate.
- Work RVUs
- 1.11
- Total RVUs
- 4.02
- Global days
- XXX
National rate · 2026
$134.27
Office setting, before claim adjustments.
See every locality for 75746 → · 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.
On this page 10 sections
What 75746 covers
This service covers radiographic imaging and interpretation of the pulmonary arterial circulation after contrast is injected from a nonselective catheter position. It can help evaluate pulmonary arterial anatomy or suspected obstruction. The study is typically performed in a hospital angiography or catheterization suite by an interventional radiologist or cardiologist, with images and a diagnostic interpretation documented in the record.
Choose this code when the pulmonary angiogram is nonselective; selective catheter placement and imaging of one or both sides belong to different pulmonary angiography codes. The report should identify the catheter position, contrast study, images obtained, and findings. The service may be billed globally, or the interpretation with modifier 26 and the equipment and staff portion with modifier TC. When multiple cardiovascular diagnostic procedures are performed, the 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 75746 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
$119.53 to $178.59
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $121.19 | Unavailable |
| Alaska* | $157.58 | Unavailable |
| Arizona | $130.92 | Unavailable |
| Arkansas | $119.53 | Unavailable |
| Atlanta | $136.49 | Unavailable |
| Austin | $139.47 | Unavailable |
| Bakersfield | $142.84 | Unavailable |
| Baltimore/Surr. Cntys | $142.45 | Unavailable |
| Beaumont | $125.58 | Unavailable |
| Brazoria | $133.06 | Unavailable |
| Chicago | $138.89 | Unavailable |
| Chico | $142.55 | Unavailable |
| Colorado | $140.09 | Unavailable |
| Connecticut | $142.90 | Unavailable |
| Dallas | $133.80 | Unavailable |
| Dc + Md/Va Suburbs | $153.38 | Unavailable |
| Delaware | $133.02 | Unavailable |
| Detroit | $133.04 | Unavailable |
| East St. Louis | $129.78 | Unavailable |
| El Centro | $142.56 | Unavailable |
| Fort Lauderdale | $137.93 | Unavailable |
| Fort Worth | $132.90 | Unavailable |
| Fresno | $142.55 | Unavailable |
| Galveston | $133.39 | Unavailable |
| Hanford-Corcoran | $142.55 | Unavailable |
| Hawaii, Guam | $145.91 | Unavailable |
| Houston | $135.04 | Unavailable |
| Idaho | $125.15 | Unavailable |
| Indiana | $125.85 | Unavailable |
| Iowa | $124.45 | Unavailable |
| Kansas | $123.74 | Unavailable |
| Kentucky | $123.56 | Unavailable |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | $152.02 | Unavailable |
| Madera | $142.55 | Unavailable |
| Manhattan | $153.66 | Unavailable |
| Merced | $142.55 | Unavailable |
| Metropolitan Boston | $153.73 | Unavailable |
| Metropolitan Kansas City | $128.46 | Unavailable |
| Metropolitan Philadelphia | $139.38 | Unavailable |
| Metropolitan St. Louis | $129.76 | Unavailable |
| Miami | $142.73 | Unavailable |
| Minnesota | $134.89 | Unavailable |
| Mississippi | $120.39 | Unavailable |
| Modesto | $142.55 | Unavailable |
| Montana** | $134.27 | Unavailable |
| Napa | $165.08 | Unavailable |
| Nebraska | $125.15 | Unavailable |
| Nevada** | $133.86 | Unavailable |
| New Hampshire | $137.76 | Unavailable |
| New Mexico | $127.06 | Unavailable |
| New Orleans | $129.12 | Unavailable |
| North Carolina | $126.88 | Unavailable |
| North Dakota** | $132.49 | Unavailable |
| Northern Nj | $151.88 | Unavailable |
| Nyc Suburbs/Long Island | $157.02 | Unavailable |
| Ohio | $126.10 | Unavailable |
| Oklahoma | $123.52 | Unavailable |
| Oxnard-Thousand Oaks-Ventura | $151.32 | Unavailable |
| Portland | $144.55 | Unavailable |
| Poughkpsie/N Nyc Suburbs | $145.52 | Unavailable |
| Puerto Rico | $135.26 | Unavailable |
| Queens | $155.12 | Unavailable |
| Redding | $142.55 | Unavailable |
| Rest Of California | $142.55 | Unavailable |
| Rest Of Florida | $131.64 | Unavailable |
| Rest Of Georgia | $124.68 | Unavailable |
| Rest Of Illinois | $127.77 | Unavailable |
| Rest Of Louisiana | $123.31 | Unavailable |
| Rest Of Maine | $125.60 | Unavailable |
| Rest Of Maryland | $135.53 | Unavailable |
| Rest Of Massachusetts | $139.25 | Unavailable |
| Rest Of Michigan | $126.46 | Unavailable |
| Rest Of Missouri | $121.20 | Unavailable |
| Rest Of New Jersey | $144.71 | Unavailable |
| Rest Of New York | $128.67 | Unavailable |
| Rest Of Oregon | $133.00 | Unavailable |
| Rest Of Pennsylvania | $126.38 | Unavailable |
| Rest Of Texas | $129.18 | Unavailable |
| Rest Of Washington | $139.03 | Unavailable |
| Rhode Island | $137.76 | Unavailable |
| Riverside-San Bernardino-Ontario | $143.54 | Unavailable |
| Sacramento-Roseville-Folsom | $149.56 | Unavailable |
| Salinas | $149.00 | Unavailable |
| San Diego-Chula Vista-Carlsbad | $152.47 | Unavailable |
| San Francisco-Oakland-Berkeley (Marin Cnty) | $174.79 | Unavailable |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | $174.68 | Unavailable |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | $178.59 | Unavailable |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | $178.17 | Unavailable |
| San Luis Obispo-Paso Robles | $146.60 | Unavailable |
| Santa Cruz-Watsonville | $153.91 | Unavailable |
| Santa Maria-Santa Barbara | $149.55 | Unavailable |
| Santa Rosa-Petaluma | $155.46 | Unavailable |
| Seattle (King Cnty) | $156.96 | Unavailable |
| South Carolina | $126.66 | Unavailable |
| South Dakota** | $132.28 | Unavailable |
| Southern Maine | $132.31 | Unavailable |
| Stockton | $142.55 | Unavailable |
| Suburban Chicago | $139.39 | Unavailable |
| Tennessee | $124.31 | Unavailable |
| Utah | $128.31 | Unavailable |
| Vallejo | $164.93 | Unavailable |
| Vermont | $131.84 | Unavailable |
| Virgin Islands | $135.26 | Unavailable |
| Virginia | $131.79 | Unavailable |
| Visalia | $142.55 | Unavailable |
| West Virginia | $123.23 | Unavailable |
| Wisconsin | $128.24 | Unavailable |
| Wyoming** | $133.49 | Unavailable |
| Yuba City | $142.55 | Unavailable |
75746 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.
$119.53
$160.57
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $157.58 | 1 |
| AL | $121.19 | 1 |
| AR | $119.53 | 1 |
| AZ | $130.92 | 1 |
| CA | $142.55–$178.59 | 29 |
| CO | $140.09 | 1 |
| CT | $142.90 | 1 |
| DC | $153.38 | 1 |
| DE | $133.02 | 1 |
| FL | $131.64–$142.73 | 3 |
| GA | $124.68–$136.49 | 2 |
| GU | $145.91 | 1 |
| HI | $145.91 | 1 |
| IA | $124.45 | 1 |
| ID | $125.15 | 1 |
| IL | $127.77–$139.39 | 4 |
| IN | $125.85 | 1 |
| KS | $123.74 | 1 |
| KY | $123.56 | 1 |
| LA | $123.31–$129.12 | 2 |
| MA | $139.25–$153.73 | 2 |
| MD | $135.53–$153.38 | 3 |
| ME | $125.60–$132.31 | 2 |
| MI | $126.46–$133.04 | 2 |
| MN | $134.89 | 1 |
| MO | $121.20–$129.76 | 3 |
| MS | $120.39 | 1 |
| MT | $134.27 | 1 |
| NC | $126.88 | 1 |
| ND | $132.49 | 1 |
| NE | $125.15 | 1 |
| NH | $137.76 | 1 |
| NJ | $144.71–$151.88 | 2 |
| NM | $127.06 | 1 |
| NV | $133.86 | 1 |
| NY | $128.67–$157.02 | 5 |
| OH | $126.10 | 1 |
| OK | $123.52 | 1 |
| OR | $133.00–$144.55 | 2 |
| PA | $126.38–$139.38 | 2 |
| PR | $135.26 | 1 |
| RI | $137.76 | 1 |
| SC | $126.66 | 1 |
| SD | $132.28 | 1 |
| TN | $124.31 | 1 |
| TX | $125.58–$139.47 | 8 |
| UT | $128.31 | 1 |
| VA | $131.79–$153.38 | 2 |
| VI | $135.26 | 1 |
| VT | $131.84 | 1 |
| WA | $139.03–$156.96 | 2 |
| WI | $128.24 | 1 |
| WV | $123.23 | 1 |
| WY | $133.49 | 1 |
How the 75746 rate is calculated
Each of 75746’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 · 75746
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 1.11Practice expense 2.82Malpractice 0.09
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 75746
The CMS indicators that decide how 75746 is paid alongside other services.
CMS payment indicators · 75746
Pulmonary angiography
| 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
75746 without 26 · national office
$134.27
Pulmonary angiography
75746-26 · Professional component
$51.10
Pays only the interpretation and report.
75746 compared with similar codes
Compare codes
75746 vs 75741 vs 75743 vs 93568: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 75741Pulmonary angiography
- Use 75741 for selective unilateral pulmonary angiography. Code 75746 describes nonselective imaging, without selective catheterization of a pulmonary branch.
- 75743Pulmonary angiography
- Use 75743 for selective bilateral pulmonary angiography. The distinction from 75746 is selective branch catheterization, not simply the number of images.
- 93568Pulmonary angiography
- 93568 is used for pulmonary angiography performed during cardiac catheterization as an injection procedure. Evaluate that context separately from a standalone pulmonary angiogram.
75746 billing questions
How does this differ from 75741 or 75743?
75746 is for nonselective pulmonary angiography. Use 75741 or 75743 when the pulmonary angiography is selective and unilateral or bilateral, respectively.
Can the professional and technical portions be billed separately?
Yes. Report modifier 26 for the professional interpretation and modifier TC for the technical portion; without a modifier, the claim represents the global service.
Which portion is affected by the cardiovascular multiple procedure reduction?
The reduction applies to the technical component. It does not reduce the professional component under the CMS rule supplied for this code.
What documentation supports reporting 75746?
Document the nonselective catheter position, the contrast imaging performed, and the interpretation of the pulmonary arterial findings.
Is 75746 the right code for pulmonary angiography during cardiac catheterization?
When pulmonary angiography is performed as an injection procedure during cardiac catheterization, compare the service with 93568 rather than assuming the standalone angiography code applies.
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
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