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See a sample rate comparisonCPT 75809 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Nonvascular Shunt X Ray, Shuntogram For Investigation Of Previously Placed Indwelling Nonvascular Shunt Eg Leveen Shunt Ventriculoperitoneal Shunt Indwelling Infusion Pump Radiological Supervision And Interpretation
| Key Fact | Detail |
|---|---|
| Service Type | Radiology Procedures Diagnostic Radiology (Diagnostic Imaging) Procedures |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 26 - Professional component TC - Technical component |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 75809 |
| Medicaid Fee Schedule | View Medicaid rates for 75809 |
National average reimbursement for CPT 75809 by major payers:
$104.36
$102.28
$100.19
$123.21
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CPT 75809
5 of 25 sample ratesHigher to lower in this preview
Khawaja Rahman
Northern Arizona Healthcare Corporation
$143.39Published rateJelisa Vick
Northern Arizona Healthcare Corporation
$103.80Published rateDavid Van De Wyngaerde
Northern Arizona Healthcare Corporation
$68.56Published rateTimothy Raissian
Northern Arizona Healthcare Corporation
$39.59Published rateBrent Morrow
Northern Arizona Healthcare Corporation
$24.18Published rate
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See a sample payer proposalCPT 75809 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The CPT 75809 code is part of the Radiology Procedures services used for Diagnostic Radiology (Diagnostic Imaging) Procedures. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 75809 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 75805-CPT | High | X-Ray Of Lymph Vessels, X-Rays Taken Of The Lymph Nodes And Vessels In The Abdomen Or Pelvis After Injecting Contrast Material. The Procedure Is Called A Lymphangiogram. |
| 75807-CPT | High | X-Ray Of Lymph Vessels, X-Rays Taken Of The Lymph Nodes And Vessels In The Abdomen Or Pelvis After Injecting Contrast Material. The Procedure Is Called A Lymphangiogram. |
| 75809-CPT | Low | Nonvascular Shunt X Ray, Shuntogram For Investigation Of Previously Placed Indwelling Nonvascular Shunt Eg Leveen Shunt Ventriculoperitoneal Shunt Indwelling Infusion Pump Radiological Supervision And Interpretation |
| 75822-CPT | Low | X-Ray Of Leg Or Arm Vein, An X-Ray Of One Or More Veins In One Or Both Arms Or Legs After Injection Of A Contrast Agent (Venogram). |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 75809. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 75809 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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