49405 reports image-guided catheter drainage of a peritoneal or retroperitoneal collection. Use 75989 for the radiologic guidance service only when separate reporting is supported by the drainage procedure coding.
On this page
CMS RVU26D · Effective 2026-10-01
75989 Drainage imaging Medicare reimbursement rates
Reports radiologic guidance and interpretation during percutaneous catheter placement to drain an abscess, cyst, or other fluid collection. Compare 75989 office and facility rates across CMS payment localities.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 75989?
The service location and office or facility setting determine which base rate applies. These are the supported base rates for the 109 payment areas shown below, using the same CMS release.
Office / nonfacility
$101.12–$146.73
109 of 109 localities have a supported rate.
Lowest: Arkansas
Highest: San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
A spread of $45.61 per service.
Facility setting
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Where 75989 pays more and less
109 payment localities
$101.12 to $146.73
Interventional radiology
About 75989: Radiologic guidance for catheter drainage
Reports radiologic guidance and interpretation during percutaneous catheter placement to drain an abscess, cyst, or other fluid collection.
This service covers radiologic guidance and interpretation while a catheter is placed percutaneously to drain a collection such as an abscess or cyst. It represents the imaging work, not the drainage procedure itself. A radiologist or other qualified physician typically interprets the images in a hospital or outpatient setting while the treating proceduralist performs the catheter placement.
Report the code when the documented service includes radiologic guidance for catheter placement and the applicable drainage procedure coding permits separate reporting of that imaging service. The record should support the target collection, image-guided catheter placement, and the physician’s interpretation. CMS recognizes professional and technical components: modifier 26 reports the interpretation, modifier TC reports the equipment and staff, and an unmodified claim represents the global service. Both modifiers are separately priced in the fee schedule.
CMS billing rules for 75989
- Professional and technical components
- Diagnostic test with a professional component (modifier 26, interpretation) and a technical component (modifier TC, equipment and staff); billing without a modifier is the global service.
Where the value comes from
- Work RVU1.16 · 34%
- Practice expense (office) RVU2.12 · 63%
- Malpractice RVU0.09 · 3%
9.8K
Medicare services in 2024 · #1476 by national volume
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.
75989 compared with similar codes
Office rate ranges across all CMS payment localities, from the same CMS release.
49406 reports image-guided catheter drainage of a soft-tissue collection. It describes the drainage service, whereas 75989 describes radiologic guidance and interpretation.
49407 reports image-guided catheter drainage of a visceral collection. Select it for the drainage service when applicable; 75989 represents the associated guidance and interpretation only when separately reportable.
See how rates vary across the country
75989 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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.
$101.12
$135.19
Color shows the midpoint of each state’s locality range.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | $135.19 | 1 |
| AL | $102.41 | 1 |
| AR | $101.12 | 1 |
| AZ | $109.93 | 1 |
| CA | $118.62–$146.73 | 29 |
| CO | $116.90 | 1 |
| CT | $119.42 | 1 |
| DC | $127.60 | 1 |
| DE | $111.60 | 1 |
| FL | $110.96–$120.06 | 3 |
| GA | $105.49–$114.41 | 2 |
| GU | $121.00 | 1 |
| HI | $121.00 | 1 |
| IA | $104.73 | 1 |
| ID | $105.31 | 1 |
| IL | $108.09–$117.08 | 4 |
| IN | $105.85 | 1 |
| KS | $104.27 | 1 |
| KY | $104.45 | 1 |
| LA | $104.29–$108.79 | 2 |
| MA | $116.32–$127.56 | 2 |
| MD | $113.55–$127.60 | 3 |
| ME | $105.76–$110.81 | 2 |
| MI | $106.79–$112.14 | 2 |
| MN | $112.50 | 1 |
| MO | $102.71–$109.17 | 3 |
| MS | $101.93 | 1 |
| MT | $112.56 | 1 |
| NC | $106.73 | 1 |
| ND | $110.78 | 1 |
| NE | $105.24 | 1 |
| NH | $115.09 | 1 |
| NJ | $120.92–$126.54 | 2 |
| NM | $107.29 | 1 |
| NV | $112.13 | 1 |
| NY | $108.13–$131.00 | 5 |
| OH | $106.42 | 1 |
| OK | $104.31 | 1 |
| OR | $111.38–$120.27 | 2 |
| PA | $106.59–$116.74 | 2 |
| PR | $113.29 | 1 |
| RI | $115.31 | 1 |
| SC | $106.73 | 1 |
| SD | $110.56 | 1 |
| TN | $104.73 | 1 |
| TX | $105.97–$116.40 | 8 |
| UT | $108.01 | 1 |
| VA | $110.47–$127.60 | 2 |
| VI | $113.29 | 1 |
| VT | $110.37 | 1 |
| WA | $116.10–$130.02 | 2 |
| WI | $107.51 | 1 |
| WV | $104.58 | 1 |
| WY | $111.78 | 1 |
Compare 75989 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | Office $102.41 | Facility Unavailable |
| Alaska* | Office $135.19 | Facility Unavailable |
| Arizona | Office $109.93 | Facility Unavailable |
| Arkansas | Office $101.12 | Facility Unavailable |
| Atlanta | Office $114.41 | Facility Unavailable |
| Austin | Office $116.40 | Facility Unavailable |
| Bakersfield | Office $118.92 | Facility Unavailable |
| Baltimore/Surr. Cntys | Office $119.06 | Facility Unavailable |
| Beaumont | Office $105.97 | Facility Unavailable |
| Brazoria | Office $111.57 | Facility Unavailable |
| Chicago | Office $117.08 | Facility Unavailable |
| Chico | Office $118.62 | Facility Unavailable |
| Colorado | Office $116.90 | Facility Unavailable |
| Connecticut | Office $119.42 | Facility Unavailable |
| Dallas | Office $112.20 | Facility Unavailable |
| Dc + Md/Va Suburbs | Office $127.60 | Facility Unavailable |
| Delaware | Office $111.60 | Facility Unavailable |
| Detroit | Office $112.14 | Facility Unavailable |
| East St. Louis | Office $109.94 | Facility Unavailable |
| El Centro | Office $118.64 | Facility Unavailable |
| Fort Lauderdale | Office $115.91 | Facility Unavailable |
| Fort Worth | Office $111.53 | Facility Unavailable |
| Fresno | Office $118.62 | Facility Unavailable |
| Galveston | Office $111.86 | Facility Unavailable |
| Hanford-Corcoran | Office $118.62 | Facility Unavailable |
| Hawaii, Guam | Office $121.00 | Facility Unavailable |
| Houston | Office $113.51 | Facility Unavailable |
| Idaho | Office $105.31 | Facility Unavailable |
| Indiana | Office $105.85 | Facility Unavailable |
| Iowa | Office $104.73 | Facility Unavailable |
| Kansas | Office $104.27 | Facility Unavailable |
| Kentucky | Office $104.45 | Facility Unavailable |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office $126.10 | Facility Unavailable |
| Madera | Office $118.62 | Facility Unavailable |
| Manhattan | Office $128.27 | Facility Unavailable |
| Merced | Office $118.62 | Facility Unavailable |
| Metropolitan Boston | Office $127.56 | Facility Unavailable |
| Metropolitan Kansas City | Office $108.17 | Facility Unavailable |
| Metropolitan Philadelphia | Office $116.74 | Facility Unavailable |
| Metropolitan St. Louis | Office $109.17 | Facility Unavailable |
| Miami | Office $120.06 | Facility Unavailable |
| Minnesota | Office $112.50 | Facility Unavailable |
| Mississippi | Office $101.93 | Facility Unavailable |
| Modesto | Office $118.62 | Facility Unavailable |
| Montana** | Office $112.56 | Facility Unavailable |
| Napa | Office $136.04 | Facility Unavailable |
| Nebraska | Office $105.24 | Facility Unavailable |
| Nevada** | Office $112.13 | Facility Unavailable |
| New Hampshire | Office $115.09 | Facility Unavailable |
| New Mexico | Office $107.29 | Facility Unavailable |
| New Orleans | Office $108.79 | Facility Unavailable |
| North Carolina | Office $106.73 | Facility Unavailable |
| North Dakota** | Office $110.78 | Facility Unavailable |
| Northern Nj | Office $126.54 | Facility Unavailable |
| Nyc Suburbs/Long Island | Office $131.00 | Facility Unavailable |
| Ohio | Office $106.42 | Facility Unavailable |
| Oklahoma | Office $104.31 | Facility Unavailable |
| Oxnard-Thousand Oaks-Ventura | Office $125.40 | Facility Unavailable |
| Portland | Office $120.27 | Facility Unavailable |
| Poughkpsie/N Nyc Suburbs | Office $121.66 | Facility Unavailable |
| Puerto Rico | Office $113.29 | Facility Unavailable |
| Queens | Office $129.26 | Facility Unavailable |
| Redding | Office $118.62 | Facility Unavailable |
| Rest Of California | Office $118.62 | Facility Unavailable |
| Rest Of Florida | Office $110.96 | Facility Unavailable |
| Rest Of Georgia | Office $105.49 | Facility Unavailable |
| Rest Of Illinois | Office $108.09 | Facility Unavailable |
| Rest Of Louisiana | Office $104.29 | Facility Unavailable |
| Rest Of Maine | Office $105.76 | Facility Unavailable |
| Rest Of Maryland | Office $113.55 | Facility Unavailable |
| Rest Of Massachusetts | Office $116.32 | Facility Unavailable |
| Rest Of Michigan | Office $106.79 | Facility Unavailable |
| Rest Of Missouri | Office $102.71 | Facility Unavailable |
| Rest Of New Jersey | Office $120.92 | Facility Unavailable |
| Rest Of New York | Office $108.13 | Facility Unavailable |
| Rest Of Oregon | Office $111.38 | Facility Unavailable |
| Rest Of Pennsylvania | Office $106.59 | Facility Unavailable |
| Rest Of Texas | Office $108.66 | Facility Unavailable |
| Rest Of Washington | Office $116.10 | Facility Unavailable |
| Rhode Island | Office $115.31 | Facility Unavailable |
| Riverside-San Bernardino-Ontario | Office $119.61 | Facility Unavailable |
| Sacramento-Roseville-Folsom | Office $124.10 | Facility Unavailable |
| Salinas | Office $123.63 | Facility Unavailable |
| San Diego-Chula Vista-Carlsbad | Office $126.23 | Facility Unavailable |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office $143.65 | Facility Unavailable |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office $143.55 | Facility Unavailable |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office $146.73 | Facility Unavailable |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office $146.31 | Facility Unavailable |
| San Luis Obispo-Paso Robles | Office $121.67 | Facility Unavailable |
| Santa Cruz-Watsonville | Office $127.20 | Facility Unavailable |
| Santa Maria-Santa Barbara | Office $124.01 | Facility Unavailable |
| Santa Rosa-Petaluma | Office $128.47 | Facility Unavailable |
| Seattle (King Cnty) | Office $130.02 | Facility Unavailable |
| South Carolina | Office $106.73 | Facility Unavailable |
| South Dakota** | Office $110.56 | Facility Unavailable |
| Southern Maine | Office $110.81 | Facility Unavailable |
| Stockton | Office $118.62 | Facility Unavailable |
| Suburban Chicago | Office $117.06 | Facility Unavailable |
| Tennessee | Office $104.73 | Facility Unavailable |
| Utah | Office $108.01 | Facility Unavailable |
| Vallejo | Office $135.89 | Facility Unavailable |
| Vermont | Office $110.37 | Facility Unavailable |
| Virgin Islands | Office $113.29 | Facility Unavailable |
| Virginia | Office $110.47 | Facility Unavailable |
| Visalia | Office $118.62 | Facility Unavailable |
| West Virginia | Office $104.58 | Facility Unavailable |
| Wisconsin | Office $107.51 | Facility Unavailable |
| Wyoming** | Office $111.78 | Facility Unavailable |
| Yuba City | Office $118.62 | Facility Unavailable |
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75989 billing questions
Does this code report the drainage procedure itself?
No. It represents radiologic guidance and interpretation during catheter placement; the drainage procedure is coded separately when appropriate.
When should modifier 26 or TC be used?
Use modifier 26 for the physician’s interpretation and modifier TC for the technical service, including equipment and staff. Without either modifier, the claim represents the global service.
Can this be reported with a catheter drainage code?
Check the drainage code’s descriptor and instructions first. Codes that include image guidance in the drainage service generally account for that guidance rather than supporting separate reporting of 75989.
What documentation supports reporting this service?
Document the collection being targeted, image-guided catheter placement, and the interpreting physician’s findings or interpretation.
Is this code for needle aspiration without catheter placement?
The service described here involves radiologic guidance associated with catheter placement. Do not use it to represent a different imaging or drainage service.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
