CPT 75885Radiology

Vein x-ray liver w/hemodynam

CPT code 75885 covers an X-ray imaging study of the veins in the liver (hepatic venography) that includes measuring blood flow and pressure within those veins. This specialized procedure helps doctors diagnose liver vein blockages, portal hypertension, and circulation problems.

Showing rates for

National Average

Base Medicare rate

$133.27

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

1.44

PE RVU (NF)

2.56

MP RVU

0.12

Total RVU

4.12

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

NCCI bundling edits

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Billing tips

Document both the venography (imaging with contrast) and hemodynamic measurements (pressure readings with specific WHVP and FHVP values) in the operative report; absence of either component may trigger denial
Impact: Complete documentation preserves full $133.27 reimbursement; missing hemodynamic data may result in downcoding to 75889 with ~$40-50 reduction
Bill 75885 separately from the catheterization access code (36011 or 36012); these are separately reportable services and can add $50-75 to the encounter
Impact: Additional $50-75 reimbursement when access catheterization is properly documented and coded separately
Ensure the report specifies catheter positioning in hepatic veins (right, middle, or left) and includes pressure gradient calculations; generic 'liver vein study' language increases audit risk
Impact: Specific anatomic and quantitative documentation reduces audit risk by 60-70% and supports medical necessity
Do not bill 75885 with 37182-37183 (TIPS creation) on the same date of service unless documentation clearly shows a separate diagnostic study with distinct medical necessity performed before deciding to proceed with TIPS
Impact: Prevents bundling denials; diagnostic venography is typically included in TIPS global period unless pre-procedural diagnostic study clearly documented
Verify that contrast administration and all imaging are documented with times, volumes, and specific findings; missing these elements is the primary trigger for medical record requests
Impact: Complete imaging documentation reduces payer audit rate from 25-30% down to 5-8% for this procedure
For facility billing, ensure moderate sedation is documented separately if provided; this is not included in 75885 and can be billed with 99151-99153 for additional reimbursement

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Frequently asked questions

What is the Medicare reimbursement rate for CPT code 75885 in 2025?

The 2025 Medicare national average reimbursement for CPT 75885 is $133.27 for both facility and non-facility settings. This rate is based on 4.12 total RVUs multiplied by the 2025 conversion factor of 32.3465. Actual reimbursement may vary by geographic locality based on the GPCI adjustments for your specific area.

Does CPT 75885 include the catheterization procedure to access the hepatic veins?

No, CPT 75885 covers only the venography (imaging) and hemodynamic evaluation components. The catheterization and catheter positioning (typically coded with 36011 for first-order or 36012 for second-order catheterization from femoral or jugular access) should be billed separately as these are distinct procedural services not included in the imaging supervision and interpretation code.

What is the difference between CPT 75885 and 75889?

CPT 75885 includes hemodynamic evaluation (pressure measurements and gradient calculations) in addition to hepatic venography, while CPT 75889 covers hepatic venography without hemodynamic assessment. Code 75885 requires documentation of specific pressure measurements (WHVP, FHVP, and HVPG calculation), whereas 75889 involves only imaging of the hepatic veins without pressure data collection.

Can CPT 75885 be billed with a TIPS procedure on the same day?

Generally, diagnostic hepatic venography is considered bundled into the TIPS procedure (CPT 37182-37183) when performed on the same day as part of the pre-procedural assessment. However, if a separate diagnostic venography with hemodynamics was performed as a distinct decision-making procedure prior to the determination to proceed with TIPS, it may be separately billable with modifier 59 and comprehensive documentation justifying the separate service.

What hemodynamic measurements are required to bill CPT 75885?

To bill CPT 75885, you must document wedged hepatic venous pressure (WHVP), free hepatic venous pressure (FHVP), and the calculated hepatic venous pressure gradient (HVPG). These measurements must be recorded in mmHg with specific numerical values in the operative report. Generic statements like 'pressures obtained' without actual values will likely trigger denials or requests for additional documentation.

Who can perform and bill for CPT code 75885?

CPT 75885 is typically performed and billed by interventional radiologists, vascular surgeons, and occasionally gastroenterologists or hepatologists with interventional privileges and appropriate credentials. The physician must have hospital privileges for invasive vascular procedures, and the facility must have fluoroscopic equipment with hemodynamic monitoring capabilities. The professional component (interpretation) and technical component may be billed separately using modifiers 26 and TC.

How often can CPT 75885 be billed for the same patient?

There is no specific frequency limitation for CPT 75885, but each procedure must have documented medical necessity. Payers scrutinize repeat hepatic venography with hemodynamics and typically require evidence of clinical change (worsening liver function, new symptoms, pre/post-intervention assessment) to justify repeat procedures. Routine surveillance without clinical indication will likely be denied. Document specific clinical changes and reference established clinical guidelines for portal hypertension monitoring when billing repeat procedures.