$117.60
Choose 75860 for neck veins; 75827 describes venography of the chest, including the superior vena cava territory.
On this page
CMS RVU26D · Effective 2026-10-01
75860 Neck venography Medicare reimbursement rates in Wyoming
Reports radiographic evaluation and interpretation of neck veins, such as jugular veins, when contrast imaging is used to assess venous patency or obstruction. Compare 75860 office and facility rates across CMS payment localities in Wyoming.
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 75860 in Wyoming?
Wyoming 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
$128.47
1 of 1 localities have a supported rate.
Payment area: Wyoming**
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.
Diagnostic radiology
About 75860: Neck venography imaging and interpretation
Reports radiographic evaluation and interpretation of neck veins, such as jugular veins, when contrast imaging is used to assess venous patency or obstruction.
This service covers radiographic imaging and interpretation of the neck’s veins after contrast opacification. A radiologist or interventional radiologist may interpret a study evaluating suspected jugular narrowing, occlusion, or collateral venous drainage. The images and report should establish that the examined venous territory is in the neck; a study of the chest’s central veins or veins in an extremity is coded to its own anatomic service.
Report 75860 for the neck venography imaging and interpretation, supported by the imaging record and a signed report describing the findings. It may be billed globally, or split into the professional interpretation with modifier 26 and the technical service with modifier TC. When multiple cardiovascular diagnostic procedures are performed, the CMS multiple-procedure reduction applies to the technical component. The code represents the imaging service, not catheter placement; any separately reported catheter service must be supported by its own documentation.
CMS billing rules for 75860
- 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.
Where the value comes from
- Work RVU1.11 · 29%
- Practice expense (office) RVU2.64 · 68%
- Malpractice RVU0.13 · 3%
1.6K
Medicare services in 2024 · #2616 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.
75860 compared with similar codes
Office rates for Wyoming, from the same CMS release.
$181.95
75870 is for venous imaging of the skull. 75860 applies when the examined veins are in the neck.
$106.44
75820 applies to a single upper or lower extremity, not the neck.
$132.05
75822 applies to bilateral upper or bilateral lower extremity venography, not neck venography.
Compare 75860 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
Wyoming** →
Office / nonfacility
$128.47
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 75860 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
8,591
- Code
- 75860
- Physician work
- 1.11
- Practice expense
- 2.64
- Malpractice
- 0.13
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.11 | × 1.000 | 1.1100 |
| Practice expense | 2.64 | × 1.000 | 2.6400 |
| Malpractice | 0.13 | × 0.740 | 0.0962 |
| Total RVUs | 3.8462 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Wyoming**$128.47
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.11 | 1 |
| Practice expense | 2.64 | 1 |
| Malpractice | 0.13 | 0.74 |
(1.11 × 1 + 2.64 × 1 + 0.13 × 0.74) × $33.4009 = $128.47
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.
75860 billing questions
When should I choose 75860 rather than 75827?
Use 75860 when the imaged venous territory is the neck, such as the jugular veins. Use 75827 for venography of the chest, including the superior vena cava territory.
Can the professional interpretation and technical service be billed separately?
Yes. Report modifier 26 for the professional interpretation or modifier TC for the technical service; without either modifier, the claim represents the global service.
Does the multiple-procedure reduction affect both components?
The CMS cardiovascular diagnostic multiple-procedure reduction applies to the technical component. It does not reduce the professional component under the rule provided for this code.
Does 75860 include venous catheter placement?
No. It represents the neck venography imaging and interpretation, not catheter placement. Report a catheter service separately only when it is performed, documented, and separately reportable.
What documentation supports reporting 75860?
Keep the imaging record and an interpretation that identifies the neck veins examined and documents the findings. The record should distinguish a neck study from imaging of the chest, skull, or extremities.
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.
8,58875840,,Vein x-ray adrenal gland,A,,1.11,2.56,,2.56,NA,0.09,3.76,3.76,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,09,0,99,96.08,96.08,0.96
8,58975840,26,Vein x-ray adrenal gland,A,,1.11,0.39,,0.39,,0.07,1.57,1.57,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,59075840,TC,Vein x-ray adrenal gland,A,,0.00,2.17,,2.17,NA,0.02,2.19,2.19,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,03,0,99,95.69,95.69,0.89
8,59175860,,Vein x-ray neck,A,,1.11,2.64,,2.64,NA,0.13,3.88,3.88,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,09,0,99,96.11,96.11,0.96
8,59275860,26,Vein x-ray neck,A,,1.11,0.38,,0.38,,0.11,1.60,1.60,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,59375860,TC,Vein x-ray neck,A,,0.00,2.26,,2.26,NA,0.02,2.28,2.28,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,03,0,99,95.73,95.73,0.85
8,59475870,,Vein x-ray skull,A,,1.11,4.16,,4.16,NA,0.24,5.51,5.51,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,09,0,99,96.59,96.59,0.75
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,
115*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.,,,,,,