Billing code 75705: Spinal angiographyMedicare rate & RVUs in Virginia
Selective spinal artery angiography provides contrast imaging to evaluate spinal vascular lesions and report the radiologist's interpretation with separately identifiable technical work.
Medicare pays $282.56–$332.80 for 75705 in the office in Virginia, from Virginia to Dc + Md/Va Suburbs. 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 75705 covers
This service covers selective contrast imaging of spinal arteries, with radiological supervision and interpretation. It is commonly performed in a hospital or other imaging facility by an interventional radiologist or neuroradiologist when a spinal vascular lesion, such as an arteriovenous malformation or fistula, needs angiographic evaluation. The study may involve imaging multiple spinal arterial feeders to define the lesion’s blood supply.
Report the code for the spinal arterial imaging and interpretation, supported by the angiographic images and a report identifying the vessels studied and findings. Catheter placement is described separately when supported by the procedure performed; the applicable placement code depends on the catheter’s position. Bill globally when one entity provides both the professional interpretation and technical service, or use modifier 26 for the professional component and TC for the technical component. When multiple cardiovascular diagnostic procedures are performed, the multiple procedure reduction applies to the technical component.
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 75705 pays more and less in Virginia
| Payment locality | Office | Facility |
|---|---|---|
| Dc + Md/Va Suburbs | $332.80 | Unavailable |
| Virginia | $282.56 | Unavailable |
How the 75705 rate is calculated
Each of 75705’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 · 75705
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 2.13Practice expense 6.08Malpractice 0.50
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 75705
The CMS indicators that decide how 75705 is paid alongside other services.
CMS payment indicators · 75705
Spinal angiography
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 6 | Diagnostic cardiovascular reduction applies to the technical component. |
| 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
75705 without 26 · national office
$290.92
Spinal angiography
75705-26 · Professional component
$122.92
Pays only the interpretation and report.
75705 compared with similar codes
Compare codes
75705 vs 75710 vs 75726 vs 75774: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 75710Extremity angiography
- 75710 describes unilateral arm or leg arterial imaging. Use 75705 when the selectively studied arteries supply the spine.
- 75726Visceral angiography
- 75726 is for abdominal arterial imaging; 75705 is for selective spinal artery imaging, even when access involves vessels arising from the aorta.
- 75774Arterial imaging
- 75774 describes additional selective vessel imaging beyond a basic examination. It is an add-on, not the primary code for the spinal angiographic study.
75705 billing questions
When should this code be chosen instead of an extremity angiography code?
Use 75705 for selective imaging of spinal arteries. Codes such as 75710 describe angiography of an arm or leg, not the spinal arterial supply.
Can catheter placement be reported separately?
A catheter placement service may be separately reported when supported by the procedure. Select the placement code according to the catheter’s arterial position and order.
How should the professional and technical work be billed?
Report the global service without a component modifier when one entity provides both parts. Use modifier 26 for the interpretation or TC for the technical service when billed separately.
Does the multiple procedure reduction affect both components?
The cardiovascular diagnostic multiple procedure reduction applies to the technical component.
What documentation supports reporting spinal angiography?
Retain the angiographic images and a report identifying the spinal arteries selectively studied and the interpretation of the 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 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
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