Billing code 75860: Neck venographyMedicare rate & RVUs in Illinois
Reports radiographic evaluation and interpretation of neck veins, such as jugular veins, when contrast imaging is used to assess venous patency or obstruction.
Medicare pays $124.37–$135.92 for 75860 in the office in Illinois, from Rest Of Illinois to Chicago. Which amount applies depends on the service address.
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 9 sections
What 75860 covers
This service covers radiographic imaging and interpretation of the neck’s veins after contrast opacification. A radiologist or interventional radiologist may interpret a study evaluating suspected jugular narrowing, occlusion, or collateral venous drainage. The images and report should establish that the examined venous territory is in the neck; a study of the chest’s central veins or veins in an extremity is coded to its own anatomic service.
Report 75860 for the neck venography imaging and interpretation, supported by the imaging record and a signed report describing the findings. It may be billed globally, or split into the professional interpretation with modifier 26 and the technical service with modifier TC. When multiple cardiovascular diagnostic procedures are performed, the CMS multiple-procedure reduction applies to the technical component. The code represents the imaging service, not catheter placement; any separately reported catheter service must be supported by its own documentation.
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 75860 pays more and less in Illinois
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
4 payment localities
$124.37 to $135.92
| Payment locality | Office | Facility |
|---|---|---|
| Chicago | $135.92 | Unavailable |
| East St. Louis | $126.94 | Unavailable |
| Rest Of Illinois | $124.37 | Unavailable |
| Suburban Chicago | $135.59 | Unavailable |
How the 75860 rate is calculated
Each of 75860’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 · 75860
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 1.11Practice expense 2.64Malpractice 0.13
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 75860
The CMS indicators that decide how 75860 is paid alongside other services.
CMS payment indicators · 75860
Neck venography
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 6 | Diagnostic cardiovascular reduction applies to the technical component. |
| 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
75860 without 26 · national office
$129.60
Neck venography
75860-26 · Professional component
$53.44
Pays only the interpretation and report.
75860 compared with similar codes
Compare codes
75860 vs 75827 vs 75870 vs 75820 vs 75822: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 75827SVC venography
- Choose 75860 for neck veins; 75827 describes venography of the chest, including the superior vena cava territory.
- 75870Venography
- 75870 is for venous imaging of the skull. 75860 applies when the examined veins are in the neck.
- 75820Extremity venography
- 75820 applies to a single upper or lower extremity, not the neck.
- 75822Extremity venography
- 75822 applies to bilateral upper or bilateral lower extremity venography, not neck venography.
75860 billing questions
When should I choose 75860 rather than 75827?
Use 75860 when the imaged venous territory is the neck, such as the jugular veins. Use 75827 for venography of the chest, including the superior vena cava territory.
Can the professional interpretation and technical service be billed separately?
Yes. Report modifier 26 for the professional interpretation or modifier TC for the technical service; without either modifier, the claim 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 reduce the professional component under the rule provided for this code.
Does 75860 include venous catheter placement?
No. It represents the neck venography imaging and interpretation, not catheter placement. Report a catheter service separately only when it is performed, documented, and separately reportable.
What documentation supports reporting 75860?
Keep the imaging record and an interpretation that identifies the neck veins examined and documents the findings. The record should distinguish a neck study from imaging of the chest, skull, or extremities.
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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