Vein x-ray liver w/o hemodyn
CPT 75887 covers X-ray imaging of the veins in and around the liver using contrast dye, without measuring blood flow pressures. This diagnostic imaging helps doctors visualize liver blood vessels to detect blockages, abnormalities, or portal vein problems.
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
Conversion factor: 32.3465 · Source: CMS MPFS RVU25A · Confidence: High
NCCI bundling edits
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Billing tips
Always bill 75887 in conjunction with the appropriate catheter placement code (36011 for selective hepatic vein catheterization) as the S&I code alone does not include the procedure itself
Impact: Prevents $133.91 loss by ensuring complete procedure capture; catheter placement adds additional $100-300 to claim
Document whether hemodynamic measurements were taken; if pressure gradients were measured, use 75889 instead of 75887 for higher reimbursement
Impact: Code 75889 reimburses approximately $50-75 more than 75887 when hemodynamics are documented
Verify contrast administration is documented in the medical record with type, amount, and route; missing contrast documentation is a common audit trigger
Impact: Prevents denials and audit recoupments averaging $133.91 per claim
When performed in hospital setting, confirm whether facility or physician is billing the global service; improper splitting without modifiers 26/TC causes duplicate payment issues
Impact: Prevents compliance issues and potential refund demands; ensures correct payment distribution
Review NCCI edits before billing with portal venography (75810) or other hepatic vascular studies on same date; may require modifier 59 if anatomically distinct
Impact: Prevents bundling denials that could cost $133.91 or more depending on paired procedures
For pre-TIPS planning venography, ensure documentation clearly indicates diagnostic purpose separate from any subsequent interventional procedure to support medical necessity
Impact: Reduces denial rate by 30-40% for pre-procedural imaging claims
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