Billing code 75870: VenographyMedicare rate & RVUs in Ohio

Radiological supervision and interpretation for contrast x-ray imaging of intracranial venous sinuses, such as the cavernous or sagittal sinus.

CMS RVU26DEffective Oct 1, 20261 payment locality208 Medicare services in 2024

Medicare pays $172.01 for 75870 in the office in Ohio (Ohio). Which amount applies depends on the service address.

$172.01Office (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 75870 for the payment locality that covers the ZIP.

On this page 9 sections
  1. Rate in Ohio
  2. What 75870 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 75870 covers

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.

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 in Ohio

75870 office and facility rates by payment locality
Payment localityOfficeFacility
Ohio$172.01Unavailable

How the 75870 rate is calculated

Each of 75870’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 · 75870

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 1.11Practice expense 4.16Malpractice 0.24

5.5100 adjusted RVUs×$33.4009 conversion factor=$184.04

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 75870

The CMS indicators that decide how 75870 is paid alongside other services.

CMS payment indicators · 75870

Venography

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

75870 without 26 · national office

$184.04

Venography

75870-26 · Professional component

$62.46

Pays only the interpretation and report.

When to use modifier 26

75870 compared with similar codes

Compare codes

75870 vs 75872 vs 75860 vs 75880: national Medicare rates

Swap in your local Medicare rate.

  • 75870
    Venography · 1.11 wRVU
    $184.04
  • 75872
    Venography · 1.11 wRVU
    $125.59−$58.45
  • 75860
    Neck venography · 1.11 wRVU
    $129.60−$54.44
  • 75880
    Orbital venography · 0.68 wRVU
    $105.21−$78.83

How to choose

75872Venography
Use 75870 for intracranial venous sinuses, such as the cavernous or sagittal sinus. Use 75872 for epidural venous imaging.
75860Neck venography
Code 75860 describes neck venography; 75870 is specific to venous sinuses within the skull.
75880Orbital venography
Code 75880 concerns venography of the eye socket region, not intracranial venous sinus imaging.

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 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 75870PPRRVU2026_Oct_nonQPP.csv, line 8,594 (RVU26D)
Geographic factors for OhioGPCI2026.csv, line 85 (RVU26D)

Open CMS sourceHow we calculate rates

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