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See a sample rate comparisonCPT 75860 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.
X-Ray Of Brain Or Neck Veins, A Venogram Evaluates The Health Of Veins In The Head Or Neck. X-Rays Are Taken After Introducing A Contrast Agent To Highlight The Blood Vessels.
| Key Fact | Detail |
|---|---|
| Service Type | Radiology Procedures Diagnostic Radiology (Diagnostic Imaging) Procedures |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | 26 - Professional component None 59 - Distinct Procedural Service |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 75860 |
| Medicaid Fee Schedule | View Medicaid rates for 75860 |
National average reimbursement for CPT 75860 by major payers:
$193.59
$238.73
$198.04
$255.66
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CPT 75860
5 of 25 sample ratesHigher to lower in this preview
Health Imaging Partners, LLC
$454.58Published rateRadiology Associates Of North Texas County PA
Radiology Associates Of North Texas, PA
$365.42Published rateAlexander Kelley
Radiology Associates Of North Texas, PA
$143.47Published rateBaycare Home Care, Inc.
Baycare Home Care Inc
$101.19Published rateRestorative Health Rehabilitation Inc
$40.00Published rate
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See a sample payer proposalCPT 75860 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The CPT 75860 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 75860 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 |
|---|---|---|
| 75860-CPT | Low | X-Ray Of Brain Or Neck Veins, A Venogram Evaluates The Health Of Veins In The Head Or Neck. X-Rays Are Taken After Introducing A Contrast Agent To Highlight The Blood Vessels. |
| 75870-CPT | Moderate | X-Ray Of Brain Or Neck Veins, A Venogram Evaluates The Health Of Veins In The Head Or Neck. X-Rays Are Taken After Introducing A Contrast Agent To Highlight The Blood Vessels. |
| 75880-CPT | Low | X-Ray Of The Eye Veins, A Venogram Evaluates The Health Of Veins In One Or Both Eyes. X-Rays Are Taken After Introducing A Contrast Agent To Highlight The Blood Vessels. |
| 75893-CPT | Low | Obtain Blood Sample From Vein, A Sample Of Blood Is Taken Directly From A Vein Or Through A Catheter (Tube) That Has Been Inserted Into A Leg Vein. The Procedure May Include X-Rays Of The Blood Vessel. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 75860. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 75860 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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