75831 is for imaging one renal venous system; 75833 is for bilateral renal venography.
On this page
CMS RVU26D · Effective 2026-10-01
75833 Renal venography Medicare reimbursement rates in Pennsylvania
Reports fluoroscopic contrast imaging and interpretation of both renal veins when bilateral venous anatomy or flow requires diagnostic evaluation. Compare 75833 office and facility rates across CMS payment localities in Pennsylvania.
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 75833 in Pennsylvania?
Pennsylvania 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
$147.97–$163.08
2 of 2 localities have a supported rate.
Facility setting
No 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.
Radiology
About 75833: Bilateral renal venography interpretation
Reports fluoroscopic contrast imaging and interpretation of both renal veins when bilateral venous anatomy or flow requires diagnostic evaluation.
This service covers x-ray imaging and physician interpretation of the veins draining both kidneys, usually during a catheter-based diagnostic evaluation. A radiologist or other qualified physician assesses the contrast images for findings such as impaired venous flow, obstruction, or abnormal venous anatomy. It may be performed when renal vein disease is suspected or when venous anatomy must be defined for treatment planning.
Select the bilateral code when both renal venous systems are imaged; the unilateral counterpart is 75831. The record should support the clinical reason for imaging, the bilateral examination, and the physician’s interpretation. The code has professional and technical components: modifier 26 identifies interpretation, modifier TC identifies the equipment and staff service, and no component modifier represents the global service. The technical component is subject to the cardiovascular diagnostic multiple procedure reduction when applicable. The code is priced as bilateral, so modifier 50 does not increase payment.
CMS billing rules for 75833
- Professional and technical components
- Diagnostic test with a professional component (modifier 26, interpretation) and a technical component (modifier TC, equipment and staff); billing without a modifier is the global service.
- Multiple procedures
- Cardiovascular diagnostic multiple procedure reduction applies to the technical component.
- Bilateral procedures
- The code is already priced as bilateral; modifier 50 does not increase payment.
Where the value comes from
- Work RVU1.45 · 31%
- Practice expense (office) RVU3.02 · 64%
- Malpractice RVU0.22 · 5%
355
Medicare services in 2024 · #3844 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.
75833 compared with similar codes
Office rates for Pennsylvania, from the same CMS release.
75825 evaluates the vena cava, not the renal veins. Use it when the imaged target is the vena cava.
75840 evaluates adrenal venous anatomy; 75833 is specific to imaging both renal venous systems.
Vein x-ray spleen/liver
75810 evaluates splenic or hepatic veins, rather than the renal veins covered by 75833.
Compare 75833 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
Metropolitan Philadelphia →
Office / nonfacility
$163.08
Facility
Unavailable
Rest Of Pennsylvania →
Office / nonfacility
$147.97
Facility
Unavailable
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75833 billing questions
When should 75833 be chosen instead of 75831?
Use 75833 when the study images both renal venous systems. Use 75831 for a unilateral renal venography study.
Can the professional and technical services be billed separately?
Yes. Report modifier 26 for the physician’s interpretation or modifier TC for the technical service. Without either modifier, the claim represents the global service.
Should modifier 50 be added for bilateral imaging?
No. The code is already priced as bilateral, and modifier 50 does not increase payment.
What happens when other cardiovascular diagnostic procedures are performed in the same session?
The cardiovascular diagnostic multiple procedure reduction applies to this code’s technical component. It does not change the professional component under the CMS rule provided.
Does this code include selective catheter placement?
This code represents the imaging supervision and interpretation. A separately reportable catheter placement may be coded when performed and documented; the venography record should identify the imaged renal veins and the physician’s findings.
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.
