Billing code 75774: Arterial imagingMedicare rate & RVUs in Oregon

Reports interpretation and imaging of an additional selectively studied artery after the initial angiographic examination, when a separate vessel is evaluated.

CMS RVU26DEffective Oct 1, 20262 payment localities91.4K Medicare services in 2024

Medicare pays $94.16–$101.67 for 75774 in the office in Oregon, from Rest Of Oregon to Portland. Which amount applies depends on the service address.

$94.16–$101.67Office (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 75774 for the payment locality that covers the ZIP.

On this page 9 sections
  1. Rate in Oregon
  2. What 75774 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 75774 covers

This add-on covers angiographic imaging of a separately selected artery beyond the initial examination. A physician, commonly an interventional radiologist or another specialist performing an angiographic procedure, evaluates the additional vessel using selective contrast injection and imaging, then interprets the findings. It may be useful when the initial study identifies a need to assess another artery for a stenosis, aneurysm, bleeding source, or other vascular finding.

Report one unit for each additional vessel actually studied, alongside the primary angiography code; it cannot be billed by itself. The procedure report should identify the additional vessel, describe the selective injection and images, and document the interpretation. This add-on is paid within the primary procedure’s global period. Modifier 26 identifies the interpretation, modifier TC identifies the equipment-and-staff portion, and billing without either modifier represents the global service.

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 75774 pays more and less in Oregon

75774 office and facility rates by payment locality
Payment localityOfficeFacility
Portland$101.67Unavailable
Rest Of Oregon$94.16Unavailable

How the 75774 rate is calculated

Each of 75774’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 · 75774

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 0.98Practice expense 1.79Malpractice 0.08

2.8500 adjusted RVUs×$33.4009 conversion factor=$95.19

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

Payment rules and modifiers for 75774

The CMS indicators that decide how 75774 is paid alongside other services.

CMS payment indicators · 75774

Arterial imaging

RuleCMS valueWhat it means
Global periodZZZAdd-on code: falls within the primary procedure’s global period.
Multiple procedures0No multiple-procedure reduction.
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

75774 without 26 · national office

$95.19

Arterial imaging

75774-26 · Professional component

$44.42

Pays only the interpretation and report.

When to use modifier 26

75774 compared with similar codes

Compare codes

75774 vs 75710 vs 75716 vs 75726: national Medicare rates

Swap in your local Medicare rate.

  • 75774
    Arterial imaging · 0.98 wRVU
    $95.19
  • 75710
    Extremity angiography · 1.71 wRVU
    $149.30+$54.11
  • 75716
    Extremity angiography · 1.92 wRVU
    $162.66+$67.47
  • 75726
    Visceral angiography · 2 wRVU
    $167.67+$72.48

How to choose

75710Extremity angiography
Use 75710 for the initial unilateral extremity angiographic examination. 75774 represents an additional selectively studied vessel after a primary examination.
75716Extremity angiography
Use 75716 for the initial bilateral extremity angiographic examination. Report 75774 only for additional vessel imaging beyond that examination.
75726Visceral angiography
Use 75726 for the primary abdominal visceral angiographic examination. 75774 is for a separately studied additional vessel, not another primary abdominal study.

75774 billing questions

Can 75774 be billed by itself?

No. It is an add-on and must be reported with a primary angiography procedure. The record should support imaging of an additional, separately selected vessel.

What supports reporting an additional unit?

Document each additional vessel studied, including its selective injection, images, and interpreted findings. Extra views of the same vessel alone do not establish another vessel.

How does 75774 differ from 75710 or 75716?

Those codes describe the initial unilateral or bilateral extremity angiographic examination. Use 75774 for an additional selectively studied vessel beyond the primary examination, not to represent the initial study.

When should modifier 26 or TC be used?

Use modifier 26 for the physician’s interpretation or TC for the technical service involving equipment and staff. Without either modifier, the claim represents the global service.

Does 75774 require a primary angiography code on the claim?

Yes. Submit it with the primary angiography procedure that provides the initial examination; payment is within that procedure’s global period.

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 75774PPRRVU2026_Oct_nonQPP.csv, line 8,549 (RVU26D)

Open CMS sourceHow we calculate rates

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