Billing code 75840: Adrenal venographyMedicare rate & RVUs
Reports fluoroscopic contrast imaging and interpretation of one adrenal venous system during catheter-based evaluation of adrenal venous drainage.
Medicare pays $125.59 for 75840 nationally in the office. Local office rates run $112.07–$166.06.
Medicare rate · 75840
Adrenal venography
Swap in your local Medicare rate.
- Work RVUs
- 1.11
- Total RVUs
- 3.76
- Global days
- XXX
National rate · 2026
$125.59
Office setting, before claim adjustments.
See every locality for 75840 → · 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 75840 covers
Adrenal venography uses contrast introduced through an intravascular catheter to show adrenal venous drainage under fluoroscopy. The radiologist interprets the images and documents the findings. It may be performed during catheter-based evaluation of suspected endocrine causes of hypertension or adrenal hormone excess, including procedures that involve adrenal vein sampling. The service is typically performed in an interventional radiology or hospital angiography suite.
Choose this code when one adrenal venous system is imaged; bilateral imaging is represented by 75842. Documentation should identify the side and vessels imaged and support the contrast study and interpretation. Report modifier 26 for the professional interpretation, modifier TC for the technical service, or neither when billing the global service. CMS separately prices 26 and TC. 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 75840 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
$112.07 to $166.06
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $113.59 | Unavailable |
| Alaska* | $148.33 | Unavailable |
| Arizona | $122.50 | Unavailable |
| Arkansas | $112.07 | Unavailable |
| Atlanta | $127.67 | Unavailable |
| Austin | $130.28 | Unavailable |
| Bakersfield | $133.33 | Unavailable |
| Baltimore/Surr. Cntys | $133.13 | Unavailable |
| Beaumont | $117.68 | Unavailable |
| Brazoria | $124.45 | Unavailable |
| Chicago | $130.17 | Unavailable |
| Chico | $133.03 | Unavailable |
| Colorado | $130.85 | Unavailable |
| Connecticut | $133.54 | Unavailable |
| Dallas | $125.15 | Unavailable |
| Dc + Md/Va Suburbs | $143.15 | Unavailable |
| Delaware | $124.44 | Unavailable |
| Detroit | $124.66 | Unavailable |
| East St. Louis | $121.80 | Unavailable |
| El Centro | $133.05 | Unavailable |
| Fort Lauderdale | $129.13 | Unavailable |
| Fort Worth | $124.34 | Unavailable |
| Fresno | $133.03 | Unavailable |
| Galveston | $124.77 | Unavailable |
| Hanford-Corcoran | $133.03 | Unavailable |
| Hawaii, Guam | $136.04 | Unavailable |
| Houston | $126.42 | Unavailable |
| Idaho | $117.16 | Unavailable |
| Indiana | $117.80 | Unavailable |
| Iowa | $116.51 | Unavailable |
| Kansas | $115.89 | Unavailable |
| Kentucky | $115.84 | Unavailable |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | $141.75 | Unavailable |
| Madera | $133.03 | Unavailable |
| Manhattan | $143.57 | Unavailable |
| Merced | $133.03 | Unavailable |
| Metropolitan Boston | $143.37 | Unavailable |
| Metropolitan Kansas City | $120.30 | Unavailable |
| Metropolitan Philadelphia | $130.34 | Unavailable |
| Metropolitan St. Louis | $121.49 | Unavailable |
| Miami | $133.69 | Unavailable |
| Minnesota | $125.95 | Unavailable |
| Mississippi | $112.92 | Unavailable |
| Modesto | $133.03 | Unavailable |
| Montana** | $125.58 | Unavailable |
| Napa | $153.64 | Unavailable |
| Nebraska | $117.13 | Unavailable |
| Nevada** | $125.17 | Unavailable |
| New Hampshire | $128.72 | Unavailable |
| New Mexico | $119.09 | Unavailable |
| New Orleans | $120.95 | Unavailable |
| North Carolina | $118.77 | Unavailable |
| North Dakota** | $123.80 | Unavailable |
| Northern Nj | $141.81 | Unavailable |
| Nyc Suburbs/Long Island | $146.70 | Unavailable |
| Ohio | $118.17 | Unavailable |
| Oklahoma | $115.77 | Unavailable |
| Oxnard-Thousand Oaks-Ventura | $141.05 | Unavailable |
| Portland | $134.90 | Unavailable |
| Poughkpsie/N Nyc Suburbs | $136.01 | Unavailable |
| Puerto Rico | $126.48 | Unavailable |
| Queens | $144.85 | Unavailable |
| Redding | $133.03 | Unavailable |
| Rest Of California | $133.03 | Unavailable |
| Rest Of Florida | $123.34 | Unavailable |
| Rest Of Georgia | $116.93 | Unavailable |
| Rest Of Illinois | $119.84 | Unavailable |
| Rest Of Louisiana | $115.63 | Unavailable |
| Rest Of Maine | $117.61 | Unavailable |
| Rest Of Maryland | $126.74 | Unavailable |
| Rest Of Massachusetts | $130.10 | Unavailable |
| Rest Of Michigan | $118.54 | Unavailable |
| Rest Of Missouri | $113.71 | Unavailable |
| Rest Of New Jersey | $135.23 | Unavailable |
| Rest Of New York | $120.42 | Unavailable |
| Rest Of Oregon | $124.35 | Unavailable |
| Rest Of Pennsylvania | $118.41 | Unavailable |
| Rest Of Texas | $120.93 | Unavailable |
| Rest Of Washington | $129.88 | Unavailable |
| Rhode Island | $128.79 | Unavailable |
| Riverside-San Bernardino-Ontario | $134.02 | Unavailable |
| Sacramento-Roseville-Folsom | $139.46 | Unavailable |
| Salinas | $138.94 | Unavailable |
| San Diego-Chula Vista-Carlsbad | $142.08 | Unavailable |
| San Francisco-Oakland-Berkeley (Marin Cnty) | $162.54 | Unavailable |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | $162.44 | Unavailable |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | $166.06 | Unavailable |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | $165.65 | Unavailable |
| San Luis Obispo-Paso Robles | $136.71 | Unavailable |
| Santa Cruz-Watsonville | $143.35 | Unavailable |
| Santa Maria-Santa Barbara | $139.42 | Unavailable |
| Santa Rosa-Petaluma | $144.80 | Unavailable |
| Seattle (King Cnty) | $146.30 | Unavailable |
| South Carolina | $118.64 | Unavailable |
| South Dakota** | $123.59 | Unavailable |
| Southern Maine | $123.71 | Unavailable |
| Stockton | $133.03 | Unavailable |
| Suburban Chicago | $130.48 | Unavailable |
| Tennessee | $116.41 | Unavailable |
| Utah | $120.15 | Unavailable |
| Vallejo | $153.49 | Unavailable |
| Vermont | $123.25 | Unavailable |
| Virgin Islands | $126.48 | Unavailable |
| Virginia | $123.25 | Unavailable |
| Visalia | $133.03 | Unavailable |
| West Virginia | $115.68 | Unavailable |
| Wisconsin | $119.92 | Unavailable |
| Wyoming** | $124.81 | Unavailable |
| Yuba City | $133.03 | Unavailable |
75840 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.
$112.07
$149.55
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 | $148.33 | 1 |
| AL | $113.59 | 1 |
| AR | $112.07 | 1 |
| AZ | $122.50 | 1 |
| CA | $133.03–$166.06 | 29 |
| CO | $130.85 | 1 |
| CT | $133.54 | 1 |
| DC | $143.15 | 1 |
| DE | $124.44 | 1 |
| FL | $123.34–$133.69 | 3 |
| GA | $116.93–$127.67 | 2 |
| GU | $136.04 | 1 |
| HI | $136.04 | 1 |
| IA | $116.51 | 1 |
| ID | $117.16 | 1 |
| IL | $119.84–$130.48 | 4 |
| IN | $117.80 | 1 |
| KS | $115.89 | 1 |
| KY | $115.84 | 1 |
| LA | $115.63–$120.95 | 2 |
| MA | $130.10–$143.37 | 2 |
| MD | $126.74–$143.15 | 3 |
| ME | $117.61–$123.71 | 2 |
| MI | $118.54–$124.66 | 2 |
| MN | $125.95 | 1 |
| MO | $113.71–$121.49 | 3 |
| MS | $112.92 | 1 |
| MT | $125.58 | 1 |
| NC | $118.77 | 1 |
| ND | $123.80 | 1 |
| NE | $117.13 | 1 |
| NH | $128.72 | 1 |
| NJ | $135.23–$141.81 | 2 |
| NM | $119.09 | 1 |
| NV | $125.17 | 1 |
| NY | $120.42–$146.70 | 5 |
| OH | $118.17 | 1 |
| OK | $115.77 | 1 |
| OR | $124.35–$134.90 | 2 |
| PA | $118.41–$130.34 | 2 |
| PR | $126.48 | 1 |
| RI | $128.79 | 1 |
| SC | $118.64 | 1 |
| SD | $123.59 | 1 |
| TN | $116.41 | 1 |
| TX | $117.68–$130.28 | 8 |
| UT | $120.15 | 1 |
| VA | $123.25–$143.15 | 2 |
| VI | $126.48 | 1 |
| VT | $123.25 | 1 |
| WA | $129.88–$146.30 | 2 |
| WI | $119.92 | 1 |
| WV | $115.68 | 1 |
| WY | $124.81 | 1 |
How the 75840 rate is calculated
Each of 75840’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 · 75840
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 1.11Practice expense 2.56Malpractice 0.09
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 75840
The CMS indicators that decide how 75840 is paid alongside other services.
CMS payment indicators · 75840
Adrenal venography
| 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
75840 without 26 · national office
$125.59
Adrenal venography
75840-26 · Professional component
$52.44
Pays only the interpretation and report.
75840 compared with similar codes
Compare codes
75840 vs 75893 vs 75831: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 75893Venous sampling
- 75893 describes venous blood sampling through a catheter, while 75840 covers contrast imaging and interpretation of adrenal veins.
- 75831Renal venography
- 75831 is venography of one kidney's veins. Choose by the venous anatomy imaged, not merely because both studies are renal-region venography.
75840 billing questions
When should 75840 be chosen instead of 75842?
Use 75840 for imaging of one adrenal venous system. Use 75842 when the study images both sides.
Does 75840 include adrenal vein sampling?
It represents contrast imaging and interpretation, not the collection of blood samples. When sampling is performed, 75893 may describe that distinct service if the record supports it.
Which modifiers identify the professional and technical services?
Use modifier 26 for the physician's interpretation and TC for equipment and staff. Without either modifier, the claim represents the global service.
Does the multiple procedure reduction affect both components?
The CMS cardiovascular diagnostic multiple procedure reduction applies to the technical component of 75840.
What documentation supports reporting 75840?
The record should establish unilateral adrenal venous imaging, identify the side and vessels examined, and include the radiologist's interpretation.
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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