Billing code 75827: SVC venographyMedicare rate & RVUs

Reports imaging supervision and interpretation for contrast venography of the superior vena cava, such as evaluation of suspected central venous obstruction.

CMS RVU26DEffective Oct 1, 2026109 payment localities4.5K Medicare services in 2024

Medicare pays $118.91 for 75827 nationally in the office. Local office rates run $105.65–$154.62.

Medicare rate · 75827

SVC venography

Swap in your local Medicare rate.

Work RVUs
1.11
Total RVUs
3.56
Global days
XXX

National rate · 2026

$118.91

Office setting, before claim adjustments.

See every locality for 75827 → · 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
  1. Medicare rate
  2. What 75827 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 75827 covers

This service covers the radiologic supervision and interpretation of contrast imaging of the superior vena cava. A radiologist or interventional physician reviews the images to assess the central chest vein, including its patency, narrowing, obstruction, or collateral flow. The study may be performed in an angiography suite or another setting equipped for catheter-based vascular imaging, with contrast introduced through a catheter.

Select this code when the imaged venous structure is the superior vena cava, rather than the inferior vena cava or peripheral veins. The record should identify the anatomy studied and include the imaging findings and the interpreting physician’s report. Modifier 26 identifies the professional interpretation; modifier TC identifies the technical service, including equipment and staff. Without either modifier, the claim represents the global service. CMS applies the cardiovascular diagnostic multiple-procedure reduction to the technical component when applicable.

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 75827 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

$105.65 to $154.62

$105.65$130.13$154.62
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

75827 office and facility rates by payment locality
Payment localityOfficeFacility
Alabama$107.13Unavailable
Alaska*$140.19Unavailable
Arizona$115.80Unavailable
Arkansas$105.65Unavailable
Atlanta$121.25Unavailable
Austin$122.87Unavailable
Bakersfield$125.03Unavailable
Baltimore/Surr. Cntys$126.30Unavailable
Beaumont$111.64Unavailable
Brazoria$117.41Unavailable

75827 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.

$105.65

$140.19

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

View every state and territory as a table
75827 office rate range by state
State / territoryOffice rate rangeLocalities
AK$140.191
AL$107.131
AR$105.651
AZ$115.801
CA$124.59–$154.6229
CO$123.171
CT$126.621
DC$135.151
DE$117.661
FL$118.05–$129.723
GA$111.57–$121.252
GU$127.321
HI$127.321
IA$109.361
ID$110.121
IL$115.04–$126.044
IN$110.721
KS$109.051
KY$109.951
LA$109.86–$115.062
MA$122.55–$134.782
MD$119.79–$135.153
ME$110.87–$116.372
MI$112.87–$119.662
MN$117.611
MO$108.18–$115.233
MS$106.921
MT$118.901
NC$111.951
ND$115.931
NE$109.881
NH$121.431
NJ$127.94–$133.882
NM$113.541
NV$118.151
NY$113.58–$140.095
OH$112.261
OK$109.571
OR$117.11–$126.752
PA$112.33–$123.692
PR$119.681
RI$121.611
SC$112.321
SD$115.581
TN$109.601
TX$111.64–$122.878
UT$113.791
VA$116.13–$135.152
VI$119.681
VT$115.661
WA$122.26–$137.282
WI$112.211
WV$111.001
WY$117.601

How the 75827 rate is calculated

Each of 75827’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 · 75827

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 1.11Practice expense 2.30Malpractice 0.15

3.5600 adjusted RVUs×$33.4009 conversion factor=$118.91

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 75827

The CMS indicators that decide how 75827 is paid alongside other services.

CMS payment indicators · 75827

SVC venography

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

75827 without 26 · national office

$118.91

SVC venography

75827-26 · Professional component

$52.77

Pays only the interpretation and report.

When to use modifier 26

75827 compared with similar codes

Compare codes

75827 vs 75825 vs 75860 vs 75820: national Medicare rates

Swap in your local Medicare rate.

  • 75827
    SVC venography · 1.11 wRVU
    $118.91
  • 75825
    Caval venography · 1.11 wRVU
    $113.56−$5.35
  • 75860
    Neck venography · 1.11 wRVU
    $129.60+$10.69
  • 75820
    Extremity venography · 1.02 wRVU
    $107.22−$11.69

How to choose

75825Caval venography
Choose 75827 for the superior vena cava and 75825 for the inferior vena cava. The imaged anatomy determines the code.
75860Neck venography
75860 is for venography of the neck. Use 75827 when the study is of the superior vena cava in the chest.
75820Extremity venography
75820 describes venography of one arm or leg. It is not the code for imaging the superior vena cava.

75827 billing questions

How does this differ from code 75825?

Use 75827 for imaging of the superior vena cava. Code 75825 describes imaging of the inferior vena cava.

Which modifier identifies the interpretation?

Append modifier 26 for the professional interpretation. Modifier TC identifies the technical service; billing without a modifier represents the global service.

Is catheter placement included in this code?

This code represents the imaging supervision and interpretation, not catheter introduction. A separately performed vena cava catheter placement may be reported with 36010 when supported by the service and documentation.

How does the multiple-procedure reduction affect billing?

CMS applies the cardiovascular diagnostic multiple-procedure reduction to the technical component. The rule concerns the technical portion of the service.

What documentation supports reporting 75827?

Document that the superior vena cava was imaged, the study findings, and the interpreting physician’s report. The record should distinguish the SVC from other venous territories.

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 75827PPRRVU2026_Oct_nonQPP.csv, line 8,579 (RVU26D)

Open CMS sourceHow we calculate rates

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