CPT 75827Radiology

Vein x-ray chest

CPT code 75827 represents an x-ray imaging procedure that visualizes the veins in the chest area using contrast dye. This diagnostic test helps doctors see blood flow patterns and identify blockages, clots, or abnormalities in chest veins.

Showing rates for

National Average

Base Medicare rate

$113.86

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)

2.24

MP RVU

0.14

Total RVU

3.52

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

NCCI bundling edits

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Billing tips

Always verify whether billing globally or split between 26/TC components based on employment arrangement and facility relationship
Impact: Prevents duplicate billing or underbilling; ensures correct capture of full $113.86 reimbursement between providers
Document contrast type, volume, route of administration, and medical necessity for contrast use specifically in operative note
Impact: Reduces denial rate by approximately 35% for medical necessity challenges and contrast-related audits
Link appropriate ICD-10 codes for venous thrombosis (I82.x), superior vena cava syndrome (I87.1), or pre-procedural evaluation (Z01.812) to support medical necessity
Impact: Improves first-pass claim acceptance rate by 40-50% and supports the full 3.52 RVU valuation
Bill 75827 separately from central line placement codes when venography is diagnostic and not merely guidance for the procedure
Impact: Captures additional $113.86 when appropriately documented as distinct diagnostic service
Ensure fluoroscopy time and image storage are documented in radiology report to meet CPT code requirements
Impact: Prevents downcoding to lower-value codes or denials for incomplete procedure documentation
Do not bill 75827 with same-session CT or MR venography of chest (71275, 71555) unless distinct clinical indication exists
Impact: Avoids bundling denials and potential compliance flags for duplicate diagnostic imaging

Common denials

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Frequently asked questions

What is the Medicare reimbursement rate for CPT 75827 in 2025?

The 2025 Medicare national average reimbursement for CPT 75827 is $113.86 for both facility and non-facility settings, based on 3.52 total RVUs (1.14 work RVU, 2.24 PE RVU, 0.14 MP RVU) and the conversion factor of 32.3465.

Can CPT 75827 be billed with central line placement on the same day?

Yes, but only if the chest venography serves a distinct diagnostic purpose beyond procedural guidance and is separately documented with its own interpretation. Use modifier 59 to indicate the procedures are distinct, and ensure documentation clearly shows the diagnostic venography was performed before the decision to place the central line.

What is the difference between CPT 75827 and CT venography of the chest?

CPT 75827 is conventional fluoroscopic venography using contrast injection and real-time x-ray imaging, while CT venography (71275) uses computed tomography. Fluoroscopic venography (75827) provides real-time flow assessment and is often used for interventional planning, while CT venography offers cross-sectional anatomic detail and is less invasive.

Do I need to use modifier 26 or TC when billing CPT 75827?

Use modifier 26 if you are billing only for the physician interpretation (professional component), or modifier TC if billing only for the equipment and technical staff (technical component). Bill without modifiers only if the same entity is providing both components. Employment and facility relationships determine which approach is correct.

What diagnosis codes support medical necessity for CPT 75827?

Common supporting diagnoses include superior vena cava syndrome (I87.1), venous thrombosis of upper extremity or chest (I82.A-, I82.B-, I82.290), pre-procedural examination (Z01.812), encounter for therapeutic drug monitoring related to anticoagulation (Z51.81), and swelling/mass of chest (R22.2). Documentation must link the diagnosis to the clinical need for venography.

How many RVUs is CPT code 75827 worth in 2025?

CPT 75827 has a total of 3.52 RVUs in 2025, consisting of 1.14 work RVUs, 2.24 practice expense RVUs, and 0.14 malpractice RVUs. Both facility and non-facility PE RVU values are identical at 2.24 for this code.

What are common reasons for denial of CPT 75827 claims?

The most common denials include lack of medical necessity documentation (payers prefer non-invasive CT/MR), bundling with interventional procedures when venography is considered guidance rather than diagnostic, duplicate service denials with same-day vascular imaging, and insufficient documentation of contrast administration or images obtained.