$768.10
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.
On this page
CMS RVU26D · Effective 2026-10-01
75989 Drainage imaging Medicare reimbursement rates in Tennessee
Reports radiologic guidance and interpretation during percutaneous catheter placement to drain an abscess, cyst, or other fluid collection. Compare 75989 office and facility rates across CMS payment localities in Tennessee.
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 75989 in Tennessee?
Tennessee has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$104.73
1 of 1 localities have a supported rate.
Payment area: Tennessee
One mapped payment locality.
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.
Interventional radiology
About 75989: Radiologic guidance for catheter drainage
Reports radiologic guidance and interpretation during percutaneous catheter placement to drain an abscess, cyst, or other fluid collection.
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.
CMS billing rules for 75989
- 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 RVU1.16 · 34%
- Practice expense (office) RVU2.12 · 63%
- Malpractice RVU0.09 · 3%
9.8K
Medicare services in 2024 · #1476 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.
75989 compared with similar codes
Office rates for Tennessee, from the same CMS release.
$767.49
49406 reports image-guided catheter drainage of a soft-tissue collection. It describes the drainage service, whereas 75989 describes radiologic guidance and interpretation.
$676.02
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.
Compare 75989 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.
1 of 1 payment localities
Tennessee →
Office / nonfacility
$104.73
Facility
Unavailable
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How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 75989 in Tennessee.
PPRRVU2026_Oct_nonQPP.csv
8,636
- Code
- 75989
- Physician work
- 1.16
- Practice expense
- 2.12
- Malpractice
- 0.09
GPCI2026.csv
95
- Locality
- Tennessee
- Physician work
- 1.000
- Practice expense
- 0.909
- Malpractice
- 0.537
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.16 | × 1.000 | 1.1600 |
| Practice expense | 2.12 | × 0.909 | 1.9271 |
| Malpractice | 0.09 | × 0.537 | 0.0483 |
| Total RVUs | 3.1354 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Tennessee$104.73
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.16 | 1 |
| Practice expense | 2.12 | 0.909 |
| Malpractice | 0.09 | 0.537 |
(1.16 × 1 + 2.12 × 0.909 + 0.09 × 0.537) × $33.4009 = $104.73
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
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 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.
8,63375984,,Xray control catheter change,A,,0.81,1.93,,1.93,NA,0.07,2.81,2.81,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,63475984,26,Xray control catheter change,A,,0.81,0.24,,0.24,,0.06,1.11,1.11,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,63575984,TC,Xray control catheter change,A,,0.00,1.69,,1.69,NA,0.01,1.70,1.70,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,03,0,99,0.00,0.00,0.00
8,63675989,,Abscess drainage under x-ray,A,,1.16,2.12,,2.12,NA,0.09,3.37,3.37,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,63775989,26,Abscess drainage under x-ray,A,,1.16,0.39,,0.39,,0.08,1.63,1.63,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,63875989,TC,Abscess drainage under x-ray,A,,0.00,1.73,,1.73,NA,0.01,1.74,1.74,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,03,0,99,0.00,0.00,0.00
8,63976000,,Fluoroscopy <1 hr phys/qhp,A,,0.30,0.98,,0.98,NA,0.04,1.32,1.32,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,7.34,7.34,0.12
9214412,RI,01,RHODE ISLAND,1.019,1.033,0.892
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537
9604412,TX,31,AUSTIN,1.002,1.058,0.886
9704412,TX,20,BEAUMONT,1.000,0.910,0.929
9804412,TX,09,BRAZORIA,1.008,0.991,0.780