75810
No office rateVein x-ray spleen/liver
75810 represents radiological supervision and interpretation for splenoportography; 38200 represents the splenic contrast injection.
On this page
CMS RVU26D · Effective 2026-10-01
38200 Splenic injection Medicare reimbursement rates in New Jersey
Reports direct contrast injection into the spleen to opacify splenic and portal venous structures for radiographic evaluation. Compare 38200 office and facility rates across CMS payment localities in New Jersey.
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 38200 in New Jersey?
New Jersey has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$114.85–$117.63
2 of 2 localities have a 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.
Diagnostic radiology
About 38200: Direct splenic contrast injection for imaging
Reports direct contrast injection into the spleen to opacify splenic and portal venous structures for radiographic evaluation.
This service is the direct injection of contrast into the spleen to make the splenic and portal venous circulation visible on x-ray imaging, traditionally for splenoportography. It is distinct from drawing a splenic specimen or performing a bone marrow procedure. The procedure is generally performed by a radiologist or another physician with expertise in image-guided splenic access in a hospital or other procedural setting. It is now uncommon in routine practice.
Report 38200 for the injection procedure, supported by documentation of splenic access and contrast administration for the imaging study. The radiologic interpretation is represented separately when the applicable imaging code is reported. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. Do not append modifier 50; bilateral adjustment is inappropriate for this service. Assistant-at-surgery payment requires documented medical necessity, and co-surgeon and team-surgery payment are not permitted.
CMS billing rules for 38200
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Assistant at surgery is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU2.57 · 79%
- Practice expense (office) RVU0.46 · 14%
- Malpractice RVU0.24 · 7%
22
Medicare services in 2024 · #5869 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.
38200 compared with similar codes
Office rates for New Jersey, from the same CMS release.
$179.65–$187.47
Use 75726 for catheter-based visceral angiography. Code 38200 describes direct splenic injection for splenoportography.
$68.91–$72.16
76942 describes ultrasound guidance for needle placement, not the splenic contrast injection itself.
Compare 38200 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.
2 of 2 payment localities
Northern Nj →
Office / nonfacility
Unavailable
Facility
$117.63
Rest Of New Jersey →
Office / nonfacility
Unavailable
Facility
$114.85
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
38200 billing questions
Is 38200 the imaging interpretation?
No. It represents the splenic contrast injection. Splenoportography imaging supervision and interpretation is represented by 75810 when that service is performed and reported.
How is this different from a visceral angiogram?
38200 describes direct injection into the spleen for splenoportography. A catheter-based visceral angiographic study, such as 75726, is a different imaging approach.
Can modifier 50 be used?
No. CMS specifies that bilateral adjustment does not apply and modifier 50 is inappropriate for this service.
What same-day care is included?
The 0-day global period includes same-day preoperative and postoperative care. When other procedures occur in the same session, the standard multiple-procedure reduction applies to the lower-valued procedure or procedures.
Can an assistant or another surgeon be paid?
Assistant-at-surgery payment is available only when medical necessity is documented. CMS does not permit co-surgeon or team-surgery payment for this code.
What should the record support?
Document direct splenic access, contrast injection, and the purpose of opacifying the splenic and portal venous circulation for 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.
4,70638115,,Repair of ruptured spleen,A,,21.33,8.95,NA,8.95,,5.70,35.98,35.98,0,090,0.11,0.73,0.16,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,70738120,,Laparoscopy splenectomy,A,,16.64,9.02,NA,9.02,,4.24,29.90,29.90,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,70838129,,Unlisted laps px spleen,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,2,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
4,70938200,,Injection for spleen x-ray,A,,2.57,0.46,NA,0.46,,0.24,3.27,3.27,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,71038204,,Bl donor search management,B,+,1.95,0.42,NA,0.42,,0.21,2.58,2.58,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
4,71138205,,Harvest allogeneic stem cell,R,,1.46,0.52,NA,0.52,,0.08,2.06,2.06,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,71238206,,Harvest auto stem cells,R,,1.46,0.47,NA,0.47,,0.09,2.02,2.02,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00