49423 represents replacement of a percutaneous drainage catheter. Code 75984 represents the radiological supervision and interpretation associated with the exchange.
On this page
CMS RVU26D · Effective 2026-10-01
75984 Catheter exchange imaging Medicare reimbursement rates in Pennsylvania
Reports fluoroscopic supervision and interpretation during percutaneous exchange of an established drainage catheter, such as a biliary, nephrostomy, or abscess drain. Compare 75984 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 75984 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
$88.44–$97.44
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 75984: Drainage catheter exchange imaging interpretation
Reports fluoroscopic supervision and interpretation during percutaneous exchange of an established drainage catheter, such as a biliary, nephrostomy, or abscess drain.
This service covers the physician’s radiological supervision and interpretation during percutaneous exchange of an established drainage catheter. Typical cases include exchanging biliary, nephrostomy, or abscess drainage catheters under fluoroscopy. An interventional radiologist or another physician qualified to perform and interpret the imaging generally provides the service in a hospital or outpatient procedural setting. The work concerns the imaging assessment associated with the exchange, rather than the catheter exchange itself.
Report the code when the documented service includes radiological supervision and interpretation for a drainage catheter exchange. The record should support the exchange and the physician’s interpretation of the imaging. CMS recognizes a professional component, reported with modifier 26, and a technical component for equipment and staff, reported with modifier TC; an unmodified claim represents the global service. The catheter exchange procedure is reported separately when supported by the work performed.
CMS billing rules for 75984
- 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.
Where the value comes from
- Work RVU0.81 · 29%
- Practice expense (office) RVU1.93 · 69%
- Malpractice RVU0.07 · 2%
20.2K
Medicare services in 2024 · #1144 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.
75984 compared with similar codes
Office rates for Pennsylvania, from the same CMS release.
75989 concerns imaging guidance for percutaneous drainage, such as placing a drain. Code 75984 concerns imaging interpretation during exchange of an established drainage catheter.
Compare 75984 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
$97.44
Facility
Unavailable
Rest Of Pennsylvania →
Office / nonfacility
$88.44
Facility
Unavailable
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75984 billing questions
When should I use this code instead of 75989?
Use 75984 for the radiological supervision and interpretation associated with exchanging an established drainage catheter. Code 75989 concerns radiological guidance for percutaneous drainage, such as drainage catheter placement.
Is this the catheter exchange procedure code?
No. This code reports the radiological supervision and interpretation; the catheter exchange itself is represented by a separate procedure code when appropriate.
Which modifiers identify the components?
Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical service, including equipment and staff. Without either modifier, the claim represents the global service.
What documentation supports reporting 75984?
Document the established drainage catheter exchange and the radiological supervision and interpretation performed. The record should make clear that the imaging service relates to the exchange.
Can this be reported with a nephrostomy tube change?
It may accompany a nephrostomy or pyelostomy tube change when the documented imaging service is the supervision and interpretation of the exchange.
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.
