Billing code 75984: Catheter exchange imagingMedicare rate & RVUs
Reports fluoroscopic supervision and interpretation during percutaneous exchange of an established drainage catheter, such as a biliary, nephrostomy, or abscess drain.
Medicare pays $93.86 for 75984 nationally in the office. Local office rates run $83.63–$124.24.
Medicare rate · 75984
Catheter exchange imaging
Swap in your local Medicare rate.
- Work RVUs
- 0.81
- Total RVUs
- 2.81
- Global days
- XXX
National rate · 2026
$93.86
Office setting, before claim adjustments.
See every locality for 75984 → · 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 75984 covers
This service covers the physician’s radiological supervision and interpretation during percutaneous exchange of an established drainage catheter. Typical cases include exchanging biliary, nephrostomy, or abscess drainage catheters under fluoroscopy. An interventional radiologist or another physician qualified to perform and interpret the imaging generally provides the service in a hospital or outpatient procedural setting. The work concerns the imaging assessment associated with the exchange, rather than the catheter exchange itself.
Report the code when the documented service includes radiological supervision and interpretation for a drainage catheter exchange. The record should support the exchange and the physician’s interpretation of the imaging. CMS recognizes a professional component, reported with modifier 26, and a technical component for equipment and staff, reported with modifier TC; an unmodified claim represents the global service. The catheter exchange procedure is reported separately when supported by the work performed.
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 75984 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
$83.63 to $124.24
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $84.78 | Unavailable |
| Alaska* | $110.52 | Unavailable |
| Arizona | $91.52 | Unavailable |
| Arkansas | $83.63 | Unavailable |
| Atlanta | $95.44 | Unavailable |
| Austin | $97.38 | Unavailable |
| Bakersfield | $99.64 | Unavailable |
| Baltimore/Surr. Cntys | $99.55 | Unavailable |
| Beaumont | $87.89 | Unavailable |
| Brazoria | $92.98 | Unavailable |
| Chicago | $97.40 | Unavailable |
| Chico | $99.42 | Unavailable |
| Colorado | $97.79 | Unavailable |
| Connecticut | $99.85 | Unavailable |
| Dallas | $93.51 | Unavailable |
| Dc + Md/Va Suburbs | $107.06 | Unavailable |
| Delaware | $92.98 | Unavailable |
| Detroit | $93.20 | Unavailable |
| East St. Louis | $91.07 | Unavailable |
| El Centro | $99.43 | Unavailable |
| Fort Lauderdale | $96.58 | Unavailable |
| Fort Worth | $92.90 | Unavailable |
| Fresno | $99.42 | Unavailable |
| Galveston | $93.22 | Unavailable |
| Hanford-Corcoran | $99.42 | Unavailable |
| Hawaii, Guam | $101.70 | Unavailable |
| Houston | $94.50 | Unavailable |
| Idaho | $87.47 | Unavailable |
| Indiana | $87.95 | Unavailable |
| Iowa | $86.97 | Unavailable |
| Kansas | $86.51 | Unavailable |
| Kentucky | $86.50 | Unavailable |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | $105.98 | Unavailable |
| Madera | $99.42 | Unavailable |
| Manhattan | $107.40 | Unavailable |
| Merced | $99.42 | Unavailable |
| Metropolitan Boston | $107.21 | Unavailable |
| Metropolitan Kansas City | $89.87 | Unavailable |
| Metropolitan Philadelphia | $97.44 | Unavailable |
| Metropolitan St. Louis | $90.77 | Unavailable |
| Miami | $100.07 | Unavailable |
| Minnesota | $94.08 | Unavailable |
| Mississippi | $84.29 | Unavailable |
| Modesto | $99.42 | Unavailable |
| Montana** | $93.85 | Unavailable |
| Napa | $114.91 | Unavailable |
| Nebraska | $87.44 | Unavailable |
| Nevada** | $93.53 | Unavailable |
| New Hampshire | $96.21 | Unavailable |
| New Mexico | $88.98 | Unavailable |
| New Orleans | $90.37 | Unavailable |
| North Carolina | $88.69 | Unavailable |
| North Dakota** | $92.47 | Unavailable |
| Northern Nj | $106.03 | Unavailable |
| Nyc Suburbs/Long Island | $109.78 | Unavailable |
| Ohio | $88.27 | Unavailable |
| Oklahoma | $86.44 | Unavailable |
| Oxnard-Thousand Oaks-Ventura | $105.47 | Unavailable |
| Portland | $100.85 | Unavailable |
| Poughkpsie/N Nyc Suburbs | $101.69 | Unavailable |
| Puerto Rico | $94.53 | Unavailable |
| Queens | $108.35 | Unavailable |
| Redding | $99.42 | Unavailable |
| Rest Of California | $99.42 | Unavailable |
| Rest Of Florida | $92.20 | Unavailable |
| Rest Of Georgia | $87.34 | Unavailable |
| Rest Of Illinois | $89.56 | Unavailable |
| Rest Of Louisiana | $86.35 | Unavailable |
| Rest Of Maine | $87.82 | Unavailable |
| Rest Of Maryland | $94.71 | Unavailable |
| Rest Of Massachusetts | $97.23 | Unavailable |
| Rest Of Michigan | $88.55 | Unavailable |
| Rest Of Missouri | $84.90 | Unavailable |
| Rest Of New Jersey | $101.10 | Unavailable |
| Rest Of New York | $89.94 | Unavailable |
| Rest Of Oregon | $92.90 | Unavailable |
| Rest Of Pennsylvania | $88.44 | Unavailable |
| Rest Of Texas | $90.34 | Unavailable |
| Rest Of Washington | $97.07 | Unavailable |
| Rhode Island | $96.25 | Unavailable |
| Riverside-San Bernardino-Ontario | $100.19 | Unavailable |
| Sacramento-Roseville-Folsom | $104.25 | Unavailable |
| Salinas | $103.86 | Unavailable |
| San Diego-Chula Vista-Carlsbad | $106.23 | Unavailable |
| San Francisco-Oakland-Berkeley (Marin Cnty) | $121.59 | Unavailable |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | $121.51 | Unavailable |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | $124.24 | Unavailable |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | $123.92 | Unavailable |
| San Luis Obispo-Paso Robles | $102.19 | Unavailable |
| Santa Cruz-Watsonville | $107.20 | Unavailable |
| Santa Maria-Santa Barbara | $104.23 | Unavailable |
| Santa Rosa-Petaluma | $108.28 | Unavailable |
| Seattle (King Cnty) | $109.41 | Unavailable |
| South Carolina | $88.61 | Unavailable |
| South Dakota** | $92.30 | Unavailable |
| Southern Maine | $92.41 | Unavailable |
| Stockton | $99.42 | Unavailable |
| Suburban Chicago | $97.59 | Unavailable |
| Tennessee | $86.91 | Unavailable |
| Utah | $89.75 | Unavailable |
| Vallejo | $114.80 | Unavailable |
| Vermont | $92.06 | Unavailable |
| Virgin Islands | $94.53 | Unavailable |
| Virginia | $92.07 | Unavailable |
| Visalia | $99.42 | Unavailable |
| West Virginia | $86.42 | Unavailable |
| Wisconsin | $89.53 | Unavailable |
| Wyoming** | $93.25 | Unavailable |
| Yuba City | $99.42 | Unavailable |
75984 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.
$83.63
$111.83
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 | $110.52 | 1 |
| AL | $84.78 | 1 |
| AR | $83.63 | 1 |
| AZ | $91.52 | 1 |
| CA | $99.42–$124.24 | 29 |
| CO | $97.79 | 1 |
| CT | $99.85 | 1 |
| DC | $107.06 | 1 |
| DE | $92.98 | 1 |
| FL | $92.20–$100.07 | 3 |
| GA | $87.34–$95.44 | 2 |
| GU | $101.70 | 1 |
| HI | $101.70 | 1 |
| IA | $86.97 | 1 |
| ID | $87.47 | 1 |
| IL | $89.56–$97.59 | 4 |
| IN | $87.95 | 1 |
| KS | $86.51 | 1 |
| KY | $86.50 | 1 |
| LA | $86.35–$90.37 | 2 |
| MA | $97.23–$107.21 | 2 |
| MD | $94.71–$107.06 | 3 |
| ME | $87.82–$92.41 | 2 |
| MI | $88.55–$93.20 | 2 |
| MN | $94.08 | 1 |
| MO | $84.90–$90.77 | 3 |
| MS | $84.29 | 1 |
| MT | $93.85 | 1 |
| NC | $88.69 | 1 |
| ND | $92.47 | 1 |
| NE | $87.44 | 1 |
| NH | $96.21 | 1 |
| NJ | $101.10–$106.03 | 2 |
| NM | $88.98 | 1 |
| NV | $93.53 | 1 |
| NY | $89.94–$109.78 | 5 |
| OH | $88.27 | 1 |
| OK | $86.44 | 1 |
| OR | $92.90–$100.85 | 2 |
| PA | $88.44–$97.44 | 2 |
| PR | $94.53 | 1 |
| RI | $96.25 | 1 |
| SC | $88.61 | 1 |
| SD | $92.30 | 1 |
| TN | $86.91 | 1 |
| TX | $87.89–$97.38 | 8 |
| UT | $89.75 | 1 |
| VA | $92.07–$107.06 | 2 |
| VI | $94.53 | 1 |
| VT | $92.06 | 1 |
| WA | $97.07–$109.41 | 2 |
| WI | $89.53 | 1 |
| WV | $86.42 | 1 |
| WY | $93.25 | 1 |
How the 75984 rate is calculated
Each of 75984’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 · 75984
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 0.81Practice expense 1.93Malpractice 0.07
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 75984
The CMS indicators that decide how 75984 is paid alongside other services.
CMS payment indicators · 75984
Catheter exchange imaging
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| 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
75984 without 26 · national office
$93.86
Catheter exchange imaging
75984-26 · Professional component
$37.07
Pays only the interpretation and report.
75984 compared with similar codes
Compare codes
75984 vs 49423 vs 75989: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 49423Drain catheter exchange
- 49423 represents replacement of a percutaneous drainage catheter. Code 75984 represents the radiological supervision and interpretation associated with the exchange.
- 75989Drainage imaging
- 75989 concerns imaging guidance for percutaneous drainage, such as placing a drain. Code 75984 concerns imaging interpretation during exchange of an established drainage catheter.
75984 billing questions
When should I use this code instead of 75989?
Use 75984 for the radiological supervision and interpretation associated with exchanging an established drainage catheter. Code 75989 concerns radiological guidance for percutaneous drainage, such as drainage catheter placement.
Is this the catheter exchange procedure code?
No. This code reports the radiological supervision and interpretation; the catheter exchange itself is represented by a separate procedure code when appropriate.
Which modifiers identify the components?
Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical service, including equipment and staff. Without either modifier, the claim represents the global service.
What documentation supports reporting 75984?
Document the established drainage catheter exchange and the radiological supervision and interpretation performed. The record should make clear that the imaging service relates to the exchange.
Can this be reported with a nephrostomy tube change?
It may accompany a nephrostomy or pyelostomy tube change when the documented imaging service is the supervision and interpretation of the exchange.
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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