Billing code 75756: Artery angiographyMedicare rate & RVUs in Washington

Reports angiographic imaging and interpretation of an internal mammary artery, commonly when assessing a mammary graft in a patient with prior bypass surgery.

CMS RVU26DEffective Oct 1, 20262 payment localities312 Medicare services in 2024

Medicare pays $173.26–$196.71 for 75756 in the office in Washington, from Rest Of Washington to Seattle (King Cnty). Which amount applies depends on the service address.

$173.26–$196.71Office (non-facility)
—Hospital or facility

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 75756 for the payment locality that covers the ZIP.

On this page 9 sections
  1. Rate in Washington
  2. What 75756 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

What 75756 covers

This service covers angiographic images and their interpretation for an internal mammary artery, a chest artery often used as a coronary bypass graft. It is commonly performed in a catheterization laboratory or interventional radiology setting when a physician selectively evaluates a mammary artery, such as to assess a graft in a patient with prior coronary bypass surgery. The interpreting physician reviews the contrast images and documents the findings for the artery examined.

Report the service for the internal mammary artery actually evaluated, with documentation identifying the vessel and supporting the medical reason for imaging. CMS recognizes professional and technical components: report modifier 26 for the physician’s interpretation, modifier TC for equipment and staff, or no component modifier for the global service. 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 75756 pays more and less in Washington

75756 office and facility rates by payment locality
Payment localityOfficeFacility
Rest Of Washington$173.26Unavailable
Seattle (King Cnty)$196.71Unavailable

How the 75756 rate is calculated

Each of 75756’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 · 75756

RVUs × geographic indexes × conversion factor

Work1.11

1.11 RVUs× 1.000 GPCI

Practice expense3.75

3.75 RVUs× 1.000 GPCI

Malpractice0.15

0.15 RVUs× 1.000 GPCI

Adjusted RVUs

5.0100

Conversion factor

$33.4009

Medicare rate

$167.34

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 75756

The CMS indicators that decide how 75756 is paid alongside other services.

CMS payment indicators · 75756

Artery angiography

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures6Diagnostic cardiovascular reduction applies to the technical component.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical1Diagnostic test with separate professional (26) and technical (TC) components.

What modifiers do to the payment

Modifier 26 · payment effect

With and without the modifier

75756 without 26 · national office

$167.34

Artery angiography

75756-26 · Professional component

$54.11

Pays only the interpretation and report.

When to use modifier 26

75756 compared with similar codes

Compare codes · National

4 codes, side by side

  • 75756

    Artery angiography1.11 wRVU

    $167.34

  • 75710

    Extremity angiography1.71 wRVU

    $149.30−$18.04

  • 75726

    Visceral angiography2 wRVU

    $167.67+$0.33

  • 75774

    Arterial imaging0.98 wRVU

    $95.19−$72.15

How to choose

75710Extremity angiography
75710 concerns arteries of one extremity; 75756 concerns an internal mammary artery in the chest.
75726Visceral angiography
75726 is for abdominal visceral arterial imaging, not an internal mammary artery.
75774Arterial imaging
75774 describes selective imaging of an additional vessel after a basic examination; 75756 identifies internal mammary artery imaging.

75756 billing questions

When is this code more appropriate than an extremity angiography code?

Use this code for angiographic evaluation of an internal mammary artery. Codes such as 75710 and 75716 describe imaging of limb arteries instead.

Can the professional and technical portions be billed separately?

Yes. Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical service; billing without either modifier represents the global service.

What documentation supports reporting this service?

The record should identify the internal mammary artery examined, the clinical reason for imaging, and the physician’s interpretation of the angiographic findings.

Does the cardiovascular multiple-procedure reduction affect both components?

CMS applies the reduction to the technical component when multiple cardiovascular diagnostic procedures are performed.

How is this code distinguished from 75774?

This code identifies angiography of an internal mammary artery. Code 75774 describes selective imaging of an additional vessel after a basic examination.

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
RVUs for 75756PPRRVU2026_Oct_nonQPP.csv, line 8,546 (RVU26D)

Open CMS sourceHow we calculate rates

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