Billing code 75989: Drainage imagingMedicare rate & RVUs in Oregon
Reports radiologic guidance and interpretation during percutaneous catheter placement to drain an abscess, cyst, or other fluid collection.
Medicare pays $111.38–$120.27 for 75989 in the office in Oregon, from Rest Of Oregon to Portland. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 75989 covers
This service covers radiologic guidance and interpretation while a catheter is placed percutaneously to drain a collection such as an abscess or cyst. It represents the imaging work, not the drainage procedure itself. A radiologist or other qualified physician typically interprets the images in a hospital or outpatient setting while the treating proceduralist performs the catheter placement.
Report the code when the documented service includes radiologic guidance for catheter placement and the applicable drainage procedure coding permits separate reporting of that imaging service. The record should support the target collection, image-guided catheter placement, and the physician’s interpretation. CMS recognizes professional and technical components: modifier 26 reports the interpretation, modifier TC reports the equipment and staff, and an unmodified claim represents the global service. Both modifiers are separately priced in the fee schedule.
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 75989 pays more and less in Oregon
| Payment locality | Office | Facility |
|---|---|---|
| Portland | $120.27 | Unavailable |
| Rest Of Oregon | $111.38 | Unavailable |
How the 75989 rate is calculated
Each of 75989’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 · 75989
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 1.16Practice expense 2.12Malpractice 0.09
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 75989
The CMS indicators that decide how 75989 is paid alongside other services.
CMS payment indicators · 75989
Drainage imaging
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 1 | Diagnostic test with separate professional (26) and technical (TC) components. |
What modifiers do to the payment
Modifier 26 · payment effect
With and without the modifier
75989 without 26 · national office
$112.56
Drainage imaging
75989-26 · Professional component
$54.44
Pays only the interpretation and report.
75989 compared with similar codes
Compare codes
75989 vs 49405 vs 49406 vs 49407: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 49405Visceral drainage
- 49405 reports image-guided catheter drainage of a peritoneal or retroperitoneal collection. Use 75989 for the radiologic guidance service only when separate reporting is supported by the drainage procedure coding.
- 49406Catheter drainage
- 49406 reports image-guided catheter drainage of a soft-tissue collection. It describes the drainage service, whereas 75989 describes radiologic guidance and interpretation.
- 49407Pelvic drainage
- 49407 reports image-guided catheter drainage of a visceral collection. Select it for the drainage service when applicable; 75989 represents the associated guidance and interpretation only when separately reportable.
75989 billing questions
Does this code report the drainage procedure itself?
No. It represents radiologic guidance and interpretation during catheter placement; the drainage procedure is coded separately when appropriate.
When should modifier 26 or TC be used?
Use modifier 26 for the physician’s interpretation and modifier TC for the technical service, including equipment and staff. Without either modifier, the claim represents the global service.
Can this be reported with a catheter drainage code?
Check the drainage code’s descriptor and instructions first. Codes that include image guidance in the drainage service generally account for that guidance rather than supporting separate reporting of 75989.
What documentation supports reporting this service?
Document the collection being targeted, image-guided catheter placement, and the interpreting physician’s findings or interpretation.
Is this code for needle aspiration without catheter placement?
The service described here involves radiologic guidance associated with catheter placement. Do not use it to represent a different imaging or drainage service.
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
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