CPT 75736Radiology

Artery x-rays pelvis

CPT code 75736 covers imaging studies that visualize the arteries in the pelvic region using x-ray technology with contrast dye. This diagnostic procedure helps doctors identify blockages, narrowing, or other abnormalities in the blood vessels supplying the pelvis and lower extremities.

Showing rates for

National Average

Base Medicare rate

$140.06

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

1.14

PE RVU (NF)

3.08

MP RVU

0.11

Total RVU

4.33

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

NCCI bundling edits

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Billing tips

Always verify whether the service is being performed as a complete procedure (global) or if professional and technical components need to be billed separately based on practice setting
Impact: Incorrect component billing can result in 50-60% payment loss or overpayment recovery
Document specific arterial branches visualized (common iliac, internal iliac, external iliac, gluteal, obturator) to support medical necessity and differentiate from lower extremity studies
Impact: Prevents denials for insufficient documentation and supports appropriate code selection versus 75716 or 75630
When performed with interventional procedures (angioplasty, stent placement), ensure diagnostic angiography is separately billable by documenting it was not for roadmapping but for diagnostic evaluation
Impact: Can recover additional $140.06 when properly documented with modifier 59; otherwise bundled with interventional procedure
Verify pre-authorization requirements as many payers require prior approval for non-emergent pelvic angiography
Impact: Failure to obtain authorization can result in 100% claim denial regardless of medical necessity
Report bilateral procedures correctly; 75736 is inherently bilateral, so do not use modifier 50 unless payer-specific guidance requires it
Impact: Incorrect bilateral modifier use may trigger denial or 50% payment reduction for inappropriate modifier
Link appropriate ICD-10 codes documenting vascular pathology (I73.9, I74.3, I77.0) rather than general symptom codes to reduce denial rates
Specific vascular diagnosis codes reduce medical necessity denials by approximately 30-40%

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Frequently asked questions

What is the Medicare reimbursement rate for CPT 75736 in 2025?

The 2025 Medicare national average reimbursement for CPT 75736 is $140.06 for both facility and non-facility settings. This rate is based on 4.33 total RVUs multiplied by the 2025 conversion factor of 32.3465. Actual reimbursement may vary by geographic locality.

Can CPT 75736 be billed with an intervention code on the same date of service?

Yes, but only if the diagnostic angiography was performed for evaluation beyond roadmapping and prior to the decision to intervene. Documentation must clearly establish the diagnostic study was separately identifiable, and modifier 59 should be appended to prevent bundling denials. Many payers will deny diagnostic angiography when performed solely for procedural guidance during interventions.

What RVU values are assigned to CPT 75736 for 2025?

CPT 75736 has a work RVU of 1.14, non-facility practice expense RVU of 3.08, facility practice expense RVU of 3.08, and malpractice RVU of 0.11, totaling 4.33 RVUs. These values reflect the physician work, practice costs, and liability insurance associated with performing and interpreting pelvic arterial angiography.

Do I need modifier 26 when billing CPT 75736 in a hospital setting?

Yes, when performing only the professional component (interpretation and report) in a hospital or facility that owns the equipment, append modifier 26 to bill for the physician's interpretation service only. The facility will bill the technical component separately with modifier TC. Omitting modifier 26 in this scenario results in incorrect global billing.

What documentation is required to support medical necessity for CPT 75736?

Required documentation includes clinical indication with specific symptoms (claudication, rest pain, decreased pulses), results of prior non-invasive testing, physical examination findings, and explanation of how angiographic findings will impact treatment decisions. Documentation should justify why catheter-based angiography is necessary rather than non-invasive alternatives like CT or MR angiography.

Is CPT 75736 a bilateral procedure or should I use modifier 50?

CPT 75736 is inherently bilateral and includes imaging of pelvic arteries on both sides. Do not append modifier 50 for bilateral procedures as this is already included in the code definition. Using modifier 50 inappropriately may trigger denials or payment reductions. If only one side is imaged due to clinical circumstances, consider modifier 52 for reduced services.

What are common CPT codes that should not be billed together with 75736?

Avoid bundling 75736 with codes for lower extremity runoff angiography (75716) when part of the same continuous imaging session, as this may be considered inclusive. Also, diagnostic angiography codes bundled with the same-territory intervention codes (such as iliac angioplasty 37220-37223) will typically deny without proper documentation and modifier 59 supporting separate diagnostic intent.