Billing code 75872: VenographyMedicare rate & RVUs

Reports physician interpretation of contrast imaging of the epidural venous system, typically during a catheter-based study evaluating venous anatomy or flow.

CMS RVU26DEffective Oct 1, 2026109 payment localities11 Medicare services in 2024

Medicare pays $125.59 for 75872 nationally in the office. Local office rates run $112.07–$166.06.

Medicare rate · 75872

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 75872 → · 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 75872 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 75872 covers

This service represents the physician’s interpretation of contrast images showing veins in the epidural space. It may be performed by a radiologist or interventional radiologist in a hospital or other procedural imaging setting as part of a diagnostic venous study. The report should identify the epidural venous territory examined and describe the relevant imaging findings.

Report the code for the epidural venous imaging interpretation, not simply for catheter placement or contrast administration. The documentation should support that the study was performed and include a signed interpretation. Modifier 26 identifies the professional interpretation; modifier TC identifies the equipment-and-staff portion. Without either modifier, the claim represents the global service. When the cardiovascular diagnostic multiple-procedure reduction applies, it affects 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 75872 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

$112.07$139.06$166.06
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

75872 office and facility rates by payment locality
Payment localityOfficeFacility
Alabama$113.59Unavailable
Alaska*$148.33Unavailable
Arizona$122.50Unavailable
Arkansas$112.07Unavailable
Atlanta$127.67Unavailable
Austin$130.28Unavailable
Bakersfield$133.33Unavailable
Baltimore/Surr. Cntys$133.13Unavailable
Beaumont$117.68Unavailable
Brazoria$124.45Unavailable

75872 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
75872 office rate range by state
State / territoryOffice rate rangeLocalities
AK$148.331
AL$113.591
AR$112.071
AZ$122.501
CA$133.03–$166.0629
CO$130.851
CT$133.541
DC$143.151
DE$124.441
FL$123.34–$133.693
GA$116.93–$127.672
GU$136.041
HI$136.041
IA$116.511
ID$117.161
IL$119.84–$130.484
IN$117.801
KS$115.891
KY$115.841
LA$115.63–$120.952
MA$130.10–$143.372
MD$126.74–$143.153
ME$117.61–$123.712
MI$118.54–$124.662
MN$125.951
MO$113.71–$121.493
MS$112.921
MT$125.581
NC$118.771
ND$123.801
NE$117.131
NH$128.721
NJ$135.23–$141.812
NM$119.091
NV$125.171
NY$120.42–$146.705
OH$118.171
OK$115.771
OR$124.35–$134.902
PA$118.41–$130.342
PR$126.481
RI$128.791
SC$118.641
SD$123.591
TN$116.411
TX$117.68–$130.288
UT$120.151
VA$123.25–$143.152
VI$126.481
VT$123.251
WA$129.88–$146.302
WI$119.921
WV$115.681
WY$124.811

How the 75872 rate is calculated

Each of 75872’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 · 75872

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 1.11Practice expense 2.56Malpractice 0.09

3.7600 adjusted RVUs×$33.4009 conversion factor=$125.59

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

Payment rules and modifiers for 75872

The CMS indicators that decide how 75872 is paid alongside other services.

CMS payment indicators · 75872

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

75872 without 26 · national office

$125.59

Venography

75872-26 · Professional component

$52.44

Pays only the interpretation and report.

When to use modifier 26

75872 compared with similar codes

Compare codes

75872 vs 75870 vs 75860 vs 75880: national Medicare rates

Swap in your local Medicare rate.

  • 75872
    Venography · 1.11 wRVU
    $125.59
  • 75870
    Venography · 1.11 wRVU
    $184.04+$58.45
  • 75860
    Neck venography · 1.11 wRVU
    $129.60+$4.01
  • 75880
    Orbital venography · 0.68 wRVU
    $105.21−$20.38

How to choose

75870Venography
Use 75872 for epidural veins and 75870 for intracranial veins. The imaged venous territory determines the selection.
75860Neck venography
75860 reports interpretation of jugular venous imaging; 75872 is for epidural venous imaging.
75880Orbital venography
75880 concerns venous imaging of the eye socket. It is distinct from imaging of the epidural venous system reported with 75872.

75872 billing questions

How does this differ from 75870?

75872 is for imaging of the epidural venous system. Code 75870 is for intracranial venous imaging, so select by the venous territory studied.

Can the professional and technical portions be billed separately?

Yes. Report modifier 26 for the physician’s interpretation or modifier TC for the equipment-and-staff portion. Billing without a modifier represents the global service.

Does the multiple-procedure reduction affect both components?

The CMS cardiovascular diagnostic multiple-procedure reduction applies to the technical component. It does not apply to the professional component under the rule supplied for this code.

What documentation supports reporting 75872?

The record should establish that epidural venous contrast imaging was performed and include the interpreting physician’s findings. A catheterization or injection entry alone does not document the 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
RVUs for 75872PPRRVU2026_Oct_nonQPP.csv, line 8,597 (RVU26D)

Open CMS sourceHow we calculate rates

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