Billing code 75891: Hepatic venographyMedicare rate & RVUs

Medicare pays $122.92 for 75891 nationally in the office. Local office rates run $109.78–$162.21.

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 75891 covers

This service covers radiological supervision and interpretation of contrast x-ray imaging of veins in the liver. A radiologist interprets the images to assess hepatic venous anatomy and contrast flow, such as when clinicians investigate suspected abnormal venous drainage or obstruction. The study is typically performed in a hospital or other facility as part of a catheter-based diagnostic evaluation; the imaging professional service is distinct from the equipment and staff used to obtain the images.

Select the code that matches the hepatic venography actually performed, including whether the study includes hemodynamic evaluation and any other distinctions in the applicable code family. The report should identify the liver venous study and describe the interpretation; the procedure record supports the imaging performed. Bill globally when one entity provides both components, or use modifier 26 for interpretation and modifier TC for the technical service when those components are billed separately. 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 75891 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

75891 rates by state

Office rate range in each state. Select a state to see its payment localities.

How the 75891 rate is calculated

Each of 75891’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.

Payment rules and modifiers for 75891

The CMS indicators that decide how 75891 is paid alongside other services.

What modifiers do to the payment

When to use modifier 26

75891 compared with similar codes

How to choose

75887Hepatic venography

75887 identifies hepatic venography without hemodynamic evaluation. Choose based on whether that specific service description matches the study performed.

75889Hepatic venography

75889 is another liver venography code, with a CMS short descriptor identifying hemodynamic evaluation. Apply the code definition that matches the documented procedure.

75893Venous sampling

75893 describes venous sampling by catheter, rather than contrast x-ray imaging of the liver’s venous circulation.

Codes related to 75891

Related codes aren’t interchangeable: bill the code that matches the service performed.

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

Open CMS sourceHow we calculate rates