$100.32
75893 describes venous blood sampling through a catheter, while 75840 covers contrast imaging and interpretation of adrenal veins.
On this page
CMS RVU26D · Effective 2026-10-01
75840 Adrenal venography Medicare reimbursement rates in Kentucky
Reports fluoroscopic contrast imaging and interpretation of one adrenal venous system during catheter-based evaluation of adrenal venous drainage. Compare 75840 office and facility rates across CMS payment localities in Kentucky.
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 75840 in Kentucky?
Kentucky 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
$115.84
1 of 1 localities have a supported rate.
Payment area: Kentucky
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 75840: Unilateral adrenal venography interpretation
Reports fluoroscopic contrast imaging and interpretation of one adrenal venous system during catheter-based evaluation of adrenal venous drainage.
Adrenal venography uses contrast introduced through an intravascular catheter to show adrenal venous drainage under fluoroscopy. The radiologist interprets the images and documents the findings. It may be performed during catheter-based evaluation of suspected endocrine causes of hypertension or adrenal hormone excess, including procedures that involve adrenal vein sampling. The service is typically performed in an interventional radiology or hospital angiography suite.
Choose this code when one adrenal venous system is imaged; bilateral imaging is represented by 75842. Documentation should identify the side and vessels imaged and support the contrast study and interpretation. Report modifier 26 for the professional interpretation, modifier TC for the technical service, or neither when billing the global service. CMS separately prices 26 and TC. The cardiovascular diagnostic multiple procedure reduction applies to the technical component.
CMS billing rules for 75840
- 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 · 30%
- Practice expense (office) RVU2.56 · 68%
- Malpractice RVU0.09 · 2%
24
Medicare services in 2024 · #5825 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.
75840 compared with similar codes
Office rates for Kentucky, from the same CMS release.
$109.92
75831 is venography of one kidney's veins. Choose by the venous anatomy imaged, not merely because both studies are renal-region venography.
Compare 75840 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
Kentucky →
Office / nonfacility
$115.84
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 75840 in Kentucky.
PPRRVU2026_Oct_nonQPP.csv
8,588
- Code
- 75840
- Physician work
- 1.11
- Practice expense
- 2.56
- Malpractice
- 0.09
GPCI2026.csv
55
- Locality
- Kentucky
- Physician work
- 1.000
- Practice expense
- 0.889
- Malpractice
- 0.915
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.11 | × 1.000 | 1.1100 |
| Practice expense | 2.56 | × 0.889 | 2.2758 |
| Malpractice | 0.09 | × 0.915 | 0.0824 |
| Total RVUs | 3.4682 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Kentucky$115.84
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.11 | 1 |
| Practice expense | 2.56 | 0.889 |
| Malpractice | 0.09 | 0.915 |
(1.11 × 1 + 2.56 × 0.889 + 0.09 × 0.915) × $33.4009 = $115.84
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.
75840 billing questions
When should 75840 be chosen instead of 75842?
Use 75840 for imaging of one adrenal venous system. Use 75842 when the study images both sides.
Does 75840 include adrenal vein sampling?
It represents contrast imaging and interpretation, not the collection of blood samples. When sampling is performed, 75893 may describe that distinct service if the record supports it.
Which modifiers identify the professional and technical services?
Use modifier 26 for the physician's interpretation and TC for equipment and staff. 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 of 75840.
What documentation supports reporting 75840?
The record should establish unilateral adrenal venous imaging, identify the side and vessels examined, and include the radiologist's interpretation.
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.
8,58575833,,Vein x-ray kidneys,A,,1.45,3.02,,3.02,NA,0.22,4.69,4.69,1,XXX,0.00,0.00,0.00,6,2,0,0,0,9,,33.4009,09,0,99,96.31,96.31,0.97
8,58675833,26,Vein x-ray kidneys,A,,1.45,0.50,,0.50,,0.20,2.15,2.15,1,XXX,0.00,0.00,0.00,6,2,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,58775833,TC,Vein x-ray kidneys,A,,0.00,2.52,,2.52,NA,0.02,2.54,2.54,1,XXX,0.00,0.00,0.00,6,2,0,0,0,9,,33.4009,03,0,99,95.81,95.81,0.77
8,58875840,,Vein x-ray adrenal gland,A,,1.11,2.56,,2.56,NA,0.09,3.76,3.76,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,09,0,99,96.08,96.08,0.96
8,58975840,26,Vein x-ray adrenal gland,A,,1.11,0.39,,0.39,,0.07,1.57,1.57,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,59075840,TC,Vein x-ray adrenal gland,A,,0.00,2.17,,2.17,NA,0.02,2.19,2.19,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,03,0,99,95.69,95.69,0.89
8,59175860,,Vein x-ray neck,A,,1.11,2.64,,2.64,NA,0.13,3.88,3.88,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,09,0,99,96.11,96.11,0.96
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136
5707202,LA,99,REST OF LOUISIANA,1.000,0.885,0.958
5814112,ME,03,SOUTHERN MAINE,1.000,0.991,0.631