Billing code 75605: Thoracic aortographyMedicare rate & RVUs in Ohio

Reports physician supervision and interpretation of serial contrast images of the thoracic aorta during catheter-based evaluation of aortic disease.

CMS RVU26DEffective Oct 1, 20261 payment locality1.1K Medicare services in 2024

Medicare pays $114.06 for 75605 in the office in Ohio (Ohio). Which amount applies depends on the service address.

$114.06Office (non-facility)
—Hospital or facility

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 75605 for the payment locality that covers the ZIP.

On this page 9 sections
  1. Rate in Ohio
  2. What 75605 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

What 75605 covers

This service covers the physician’s supervision and interpretation of serial images obtained as contrast passes through the thoracic aorta. It may be used to assess aortic anatomy when evaluating suspected aneurysm, dissection, coarctation, or narrowing. A radiologist, cardiologist, vascular surgeon, or another qualified physician may interpret the study during a catheter angiography session in a hospital or other imaging setting.

Select this code when the documented thoracic aortography uses serial image acquisition; 75600 is the related thoracic study without serial imaging. The report should identify the imaged aortic segment, describe the imaging performed, and include the physician’s findings and interpretation. Catheter placement and contrast administration may be represented by separate procedure coding when performed and supported. Modifier 26 identifies the professional interpretation, modifier TC identifies the technical service, and billing without either modifier represents the global service. When the cardiovascular diagnostic multiple procedure reduction applies, it affects the technical component.

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.

75605 in Ohio

75605 office and facility rates by payment locality
Payment localityOfficeFacility
Ohio$114.06Unavailable

How the 75605 rate is calculated

Each of 75605’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 · 75605

RVUs × geographic indexes × conversion factor

Work1.11

1.11 RVUs× 1.000 GPCI

Practice expense2.37

2.37 RVUs× 1.000 GPCI

Malpractice0.14

0.14 RVUs× 1.000 GPCI

Adjusted RVUs

3.6200

Conversion factor

$33.4009

Medicare rate

$120.91

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 75605

The CMS indicators that decide how 75605 is paid alongside other services.

CMS payment indicators · 75605

Thoracic aortography

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures6Diagnostic cardiovascular reduction applies to the technical component.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical1Diagnostic test with separate professional (26) and technical (TC) components.

What modifiers do to the payment

Modifier 26 · payment effect

With and without the modifier

75605 without 26 · national office

$120.91

Thoracic aortography

75605-26 · Professional component

$52.11

Pays only the interpretation and report.

When to use modifier 26

75605 compared with similar codes

Compare codes · National

4 codes, side by side

  • 75605

    Thoracic aortography1.11 wRVU

    $120.91

  • 75600

    Thoracic aortography0.48 wRVU

    $177.36+$56.45

  • 75625

    Abdominal aortography1.4 wRVU

    $125.25+$4.34

  • 75630

    Aortography1.95 wRVU

    $155.65+$34.74

How to choose

75600Thoracic aortography
Both address thoracic aortography; choose 75605 when serial images are obtained and 75600 when they are not.
75625Abdominal aortography
75625 concerns contrast imaging of the abdominal aorta, while 75605 covers the thoracic segment.
75630Aortography
75630 covers abdominal aortic imaging extending into the bilateral iliofemoral arteries; 75605 is limited to the thoracic aorta.

75605 billing questions

How is this different from 75600?

75605 is selected for thoracic aortography with serial image acquisition. Use 75600 for a thoracic study without serial imaging.

What do modifiers 26 and TC represent?

Modifier 26 reports the physician’s professional supervision and interpretation. Modifier TC reports the technical service, including equipment and staff; billing without either modifier represents the global service.

Is catheter placement included in this code?

The code represents supervision and interpretation of the imaging, not catheter placement. Catheter placement may be reported separately when performed and supported by the documentation.

What documentation supports reporting 75605?

Document the thoracic aortic segment examined, the use of serial image acquisition, and the interpreting physician’s findings and conclusions.

Which part can be affected by the cardiovascular multiple procedure reduction?

The reduction applies to the technical component. It does not reduce the professional component under the CMS rule supplied for this code.

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
RVUs for 75605PPRRVU2026_Oct_nonQPP.csv, line 8,504 (RVU26D)
Geographic factors for OhioGPCI2026.csv, line 85 (RVU26D)

Open CMS sourceHow we calculate rates

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