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See a sample rate comparisonCPT 75870 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 | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | 26 - Professional component None 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 75870 |
| Medicaid Fee Schedule | View Medicaid rates for 75870 |
National average reimbursement for CPT 75870 by major payers:
$210.13
$266.24
$218.97
$288.37
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CPT 75870
5 of 25 sample ratesHigher to lower in this preview
Landon Hitchcock
Northern Arizona Healthcare Corporation
$448.79Published ratePreston Spindle
Radiology Associates Of North Texas, PA
$230.07Published rateChildrens National Medical Center
Childrens Hospital
$177.70Published rateJohn Martin
Northern Arizona Healthcare Corporation
$104.87Published rateTiffany Witek
Northern Arizona Healthcare Corporation
$58.06Published rate
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See a sample payer proposalCPT 75870 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The CPT 75870 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 75870 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 75870. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 75870 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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