Billing code 75831: Renal venographyMedicare rate & RVUs

Report unilateral renal venography for fluoroscopic contrast imaging of one kidney’s venous drainage, such as when evaluating suspected renal vein obstruction or abnormality.

CMS RVU26DEffective Oct 1, 2026109 payment localities512 Medicare services in 2024

Medicare pays $118.91 for 75831 nationally in the office. Local office rates run $106.10–$155.83.

Medicare rate · 75831

Renal 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 75831 → · 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 75831 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 75831 covers

This service is fluoroscopic imaging of one side’s renal veins after contrast is introduced into the venous system, commonly through a catheter. A radiologist or interventional radiologist supervises the imaging and interprets the resulting study, often in a hospital or outpatient imaging setting. The examination can document renal venous anatomy and patency when a clinician is investigating a suspected obstruction or other venous abnormality.

Select this code for a unilateral renal-vein study; use the bilateral renal-vein code when both sides are imaged. The report should identify the side examined and support that renal venography was performed, with the images and interpretation documenting the findings. Modifier 26 identifies the professional interpretation, while 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.

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 75831 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

$106.10 to $155.83

$106.10$130.97$155.83
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

75831 office and facility rates by payment locality
Payment localityOfficeFacility
Alabama$107.54Unavailable
Alaska*$140.88Unavailable
Arizona$115.96Unavailable
Arkansas$106.10Unavailable
Atlanta$121.01Unavailable
Austin$123.10Unavailable
Bakersfield$125.68Unavailable
Baltimore/Surr. Cntys$126.08Unavailable
Beaumont$111.61Unavailable
Brazoria$117.69Unavailable

75831 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.

$106.10

$140.88

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

View every state and territory as a table
75831 office rate range by state
State / territoryOffice rate rangeLocalities
AK$140.881
AL$107.541
AR$106.101
AZ$115.961
CA$125.34–$155.8329
CO$123.551
CT$126.441
DC$135.241
DE$117.781
FL$117.32–$127.733
GA$111.17–$121.012
GU$128.071
HI$128.071
IA$110.051
ID$110.721
IL$114.18–$124.324
IN$111.311
KS$109.581
KY$109.921
LA$109.76–$114.802
MA$122.90–$135.192
MD$119.91–$135.243
ME$111.27–$116.852
MI$112.58–$118.692
MN$118.591
MO$108.03–$115.163
MS$107.081
MT$118.901
NC$112.341
ND$116.721
NE$110.601
NH$121.651
NJ$127.94–$134.002
NM$113.161
NV$118.371
NY$113.91–$139.205
OH$112.141
OK$109.721
OR$117.50–$127.242
PA$112.30–$123.492
PR$119.711
RI$121.791
SC$112.421
SD$116.471
TN$110.091
TX$111.61–$123.108
UT$113.841
VA$116.50–$135.242
VI$119.711
VT$116.311
WA$122.65–$137.832
WI$113.081
WV$110.251
WY$117.951

How the 75831 rate is calculated

Each of 75831’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 · 75831

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 1.11Practice expense 2.34Malpractice 0.11

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 75831

The CMS indicators that decide how 75831 is paid alongside other services.

CMS payment indicators · 75831

Renal 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

75831 without 26 · national office

$118.91

Renal venography

75831-26 · Professional component

$50.10

Pays only the interpretation and report.

When to use modifier 26

75831 compared with similar codes

Compare codes

75831 vs 75833 vs 75825 vs 75820: national Medicare rates

Swap in your local Medicare rate.

  • 75831
    Renal venography · 1.11 wRVU
    $118.91
  • 75833
    Renal venography · 1.45 wRVU
    $156.65+$37.74
  • 75825
    Caval venography · 1.11 wRVU
    $113.56−$5.35
  • 75820
    Extremity venography · 1.02 wRVU
    $107.22−$11.69

How to choose

75833Renal venography
This code is for unilateral renal-vein imaging; 75833 is used when both renal sides are imaged.
75825Caval venography
75825 describes venography of the inferior vena cava. Choose 75831 when the imaged venous territory is a single side’s renal veins.
75820Extremity venography
75820 is for venography of one arm or leg. The body site, not the imaging method, distinguishes it from renal venography.

75831 billing questions

When should this code be chosen instead of 75833?

Use 75831 for imaging of one side’s renal veins. Use 75833 when the study images both sides.

Can the professional and technical services be billed separately?

Yes. Modifier 26 reports the professional interpretation, and modifier TC reports the technical service. Billing without either modifier represents the global service.

Does the multiple procedure reduction affect both components?

CMS applies the cardiovascular diagnostic multiple procedure reduction to the technical component.

What documentation supports unilateral reporting?

Document the side examined and include the venographic images and interpretation supporting the renal-vein study.

Is catheter placement included in this code?

This code represents the renal venography imaging service and its supervision and interpretation. Report a separately performed catheter placement service only when supported by the procedure documentation and applicable coding rules.

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 75831PPRRVU2026_Oct_nonQPP.csv, line 8,582 (RVU26D)

Open CMS sourceHow we calculate rates

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