CPT 75726Radiology

Artery x-rays abdomen

CPT code 75726 covers x-ray imaging of arteries in the abdomen, typically performed to visualize blood flow and detect blockages, narrowing, or abnormalities in abdominal blood vessels.

Showing rates for

National Average

Base Medicare rate

$165.61

This calculator gives a typical-case estimate using standard Medicare modifier rules. Actual payment depends on payer policies, documentation, code-specific CMS status indicators, and locality. Verify before billing.

RVU breakdown

Work RVU

2.05

PE RVU (NF)

2.89

MP RVU

0.18

Total RVU

5.12

Conversion factor: 32.3465 · Source: CMS MPFS RVU25A · Confidence: High

NCCI bundling edits

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Billing tips

Verify whether study includes selective catheterization versus flush aortography, as selective studies may require different or additional CPT codes (75625-75630 series)
Impact: Incorrect code selection can result in underpayment of $50-200 or denial for incorrect coding
Document the specific arterial territories imaged (celiac, SMA, IMA, renal) and number of selective catheterizations performed, as multiple territories may warrant additional codes
Impact: Proper documentation supports additional codes worth $165-300 per additional territory when appropriate
Bill only the professional component (modifier 26) in facility settings unless your practice owns the equipment; facility bills technical component separately
Impact: Prevents complete claim denial; professional component typically represents 30-40% of total $165.61
Ensure radiology report includes indication, vessels studied, findings, and clinical correlation to meet LCD requirements
Impact: Incomplete documentation is primary cause of denials; can result in 100% payment loss ($165.61)
Use modifier 59 appropriately when billing with interventional codes (e.g., angioplasty) to demonstrate diagnostic study was separate decision
Impact: Prevents bundling that eliminates $165.61 payment when intervention is performed
Check for ABNs (Advanced Beneficiary Notices) when medical necessity may be questioned, particularly for screening or follow-up studies
Impact: Without ABN, provider cannot collect from patient if Medicare denies, losing entire $165.61

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Frequently asked questions

What is the Medicare reimbursement rate for CPT 75726 in 2025?

The 2025 Medicare national average reimbursement for CPT 75726 is $165.61 for both facility and non-facility settings. This is based on 5.12 total RVUs (2.05 work RVU, 2.89 PE RVU, 0.18 MP RVU) multiplied by the 2025 conversion factor of 32.3465.

Does CPT 75726 include bilateral renal artery imaging?

CPT 75726 typically represents abdominal aorta imaging with or without branch vessels. Bilateral selective renal artery angiography may require specific renal artery codes (75722-75724). Review the complete operative report to determine if additional selective catheterization codes are appropriate alongside or instead of 75726.

Can I bill CPT 75726 with angioplasty codes on the same day?

Yes, but you must append modifier 59 to CPT 75726 to indicate it was a distinct diagnostic study. Documentation must clearly show the angiogram was a separate decision from the intervention, performed in a different territory, or that the intervention was unplanned based on diagnostic findings. Without proper modifier and documentation, the diagnostic angiography will bundle into the interventional procedure.

What modifier should I use when billing only the professional component?

Use modifier 26 when billing only for the physician's interpretation and report in a facility setting where the hospital or facility owns the equipment and bills separately for the technical component. The professional component represents a portion of the total $165.61 reimbursement.

How many RVUs is CPT code 75726 worth in 2025?

CPT 75726 has 5.12 total RVUs in 2025, consisting of 2.05 work RVUs, 2.89 practice expense RVUs, and 0.18 malpractice RVUs. These values are from the CMS Medicare Physician Fee Schedule RVU25A released December 23, 2024.

What documentation is required to support medical necessity for CPT 75726?

Required documentation includes specific clinical indication (symptoms, physical findings, abnormal lab values), results of prior non-invasive imaging when applicable (CTA, MRA, ultrasound), contraindications to non-invasive studies if relevant, description of vessels studied, complete findings, and clinical correlation. Many Medicare LCDs require failure or inadequacy of non-invasive testing before approving invasive angiography.

What are common denial reasons for CPT 75726 claims?

Common denials include lack of medical necessity documentation, bundling with interventional procedures performed during the same session, missing or incorrect modifier 26/TC in split billing scenarios, frequency limitations when recent angiography was performed, and failure to document inadequacy of non-invasive imaging alternatives. Each denial type requires specific appeal strategies with supporting clinical documentation.