Use 75870 for intracranial venous sinuses, such as the cavernous or sagittal sinus. Use 75872 for epidural venous imaging.
On this page
CMS RVU26D · Effective 2026-10-01
75870 Venography Medicare reimbursement rates in Guam
Radiological supervision and interpretation for contrast x-ray imaging of intracranial venous sinuses, such as the cavernous or sagittal sinus. Compare 75870 office and facility rates across CMS payment localities in Guam.
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 75870 in Guam?
Guam has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$199.70
1 of 1 localities have a supported rate.
Payment area: Hawaii, Guam
One mapped payment locality.
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.
Radiology
About 75870: Cranial venous sinus venography interpretation
Radiological supervision and interpretation for contrast x-ray imaging of intracranial venous sinuses, such as the cavernous or sagittal sinus.
This service covers the physician’s radiological supervision and interpretation of contrast x-ray venography of intracranial venous sinuses. A radiologist or neurointerventional specialist may interpret the study when clinicians need to assess venous drainage or investigate suspected sinus thrombosis or obstruction. The anatomy is the venous sinuses within the skull, not the epidural venous plexus or veins of the neck.
Report the service for the interpretation of the venographic study, with documentation identifying the imaged sinuses, the contrast study performed, and the physician’s findings. The code has professional and technical components: modifier 26 identifies the interpretation, modifier TC identifies the equipment and staff portion, and no modifier represents the global service. When multiple cardiovascular diagnostic procedures are performed, the multiple procedure reduction applies to the technical component.
CMS billing rules for 75870
- 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.
- Multiple procedures
- Cardiovascular diagnostic multiple procedure reduction applies to the technical component.
Where the value comes from
- Work RVU1.11 · 20%
- Practice expense (office) RVU4.16 · 75%
- Malpractice RVU0.24 · 4%
208
Medicare services in 2024 · #4292 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.
75870 compared with similar codes
Office rates for Guam, from the same CMS release.
Compare 75870 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.
1 of 1 payment localities
Hawaii, Guam →
Office / nonfacility
$199.70
Facility
Unavailable
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How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 75870 in Hawaii, Guam.
PPRRVU2026_Oct_nonQPP.csv
8,594
- Code
- 75870
- Physician work
- 1.11
- Practice expense
- 4.16
- Malpractice
- 0.24
GPCI2026.csv
46
- Locality
- Hawaii, Guam
- Physician work
- 1.000
- Practice expense
- 1.137
- Malpractice
- 0.579
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.11 | × 1.000 | 1.1100 |
| Practice expense | 4.16 | × 1.137 | 4.7299 |
| Malpractice | 0.24 | × 0.579 | 0.1390 |
| Total RVUs | 5.9789 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Hawaii, Guam$199.70
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.11 | 1 |
| Practice expense | 4.16 | 1.137 |
| Malpractice | 0.24 | 0.579 |
(1.11 × 1 + 4.16 × 1.137 + 0.24 × 0.579) × $33.4009 = $199.70
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
75870 billing questions
How is this different from code 75872?
Code 75870 is for venous sinuses within the skull. Code 75872 is for imaging the epidural venous system.
Which modifier identifies the interpretation?
Use modifier 26 for the professional interpretation. Modifier TC identifies the technical component; billing without either modifier represents the global service.
Does a multiple procedure reduction affect this service?
The cardiovascular diagnostic multiple procedure reduction applies to the technical component when applicable. It does not reduce the professional component under the CMS rule provided.
Does this code include catheter placement?
The code represents radiological supervision and interpretation of the venographic images. Document any separately reported catheter placement service and code it under the applicable rules.
Can this code describe CT or MR venous imaging?
No. This code is for x-ray venography of intracranial venous sinuses, not CT or MR venous imaging.
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.
