CPT 75820
Global XXX ActiveVein x-ray arm/leg
CPT 75820 Billing & Documentation Guide
CPT code 75820 (Vein x-ray arm/leg) is classified under Radiology with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 1.02, a non-facility practice expense RVU of 2.1, and a malpractice RVU of 0.09, a total non-facility RVU of 3.21 and facility RVU of 3.21. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $110.54, though rates vary from $95.87 to $140.57 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 75820, ensure documentation supports medical necessity and the specific components required for the code's level of service. For E/M codes, document MDM (medical decision-making) elements: problems addressed, data reviewed, and risk. For procedural codes, document the indication, technique, and any complications. Always verify NCCI edits before bundling 75820 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
No global period (E/M and other non-procedural services)
MUE Limit (Medically Unlikely Edits)
Submitting more than 2 units of 75820 for the same patient on the same date triggers automatic line denial unless an appropriate modifier and supporting documentation justify the higher quantity.
RVU Breakdown, CPT 75820
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 1.02 | 1.02 |
| Practice Expense RVU | 2.1 | 2.1 |
| Malpractice RVU | 0.09 | 0.09 |
| Total RVU | 3.21 | 3.21 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 75820
State-level averages across all MAC localities. Non-facility rates typically apply to office-based services; facility rates apply to hospital outpatient / inpatient.
| State | Non-Facility | Facility | Range (Non-Fac) | Localities |
|---|---|---|---|---|
| California | $119.91 | $119.91 | $113.13 - $140.57 | 29 |
| Florida | $110.3 | $110.3 | $105.64 - $114.69 | 3 |
| Georgia | $104.63 | $104.63 | $100.22 - $109.05 | 2 |
| Illinois | $107.71 | $107.71 | $102.81 - $111.7 | 4 |
| Michigan | $104.16 | $104.16 | $101.5 - $106.82 | 2 |
| North Carolina | $101.43 | $101.43 | $101.43 - $101.43 | 1 |
| New York | $118.02 | $118.02 | $102.82 - $125.23 | 5 |
| Ohio | $101.14 | $101.14 | $101.14 - $101.14 | 1 |
| Pennsylvania | $106.3 | $106.3 | $101.3 - $111.29 | 2 |
| Texas | $106.1 | $106.1 | $100.69 - $111.01 | 8 |
Source: CMS PFSRVU 2026 · Updated 2026-04-01. Full locality-level detail available for all 53 states, contact us for custom reports.
NCCI Bundling Edits, CPT 75820
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 75820 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 01916 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 01924 | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 01925 | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 01926 | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0553T | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
| 0708T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0709T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 35201 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 35206 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 35226 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
Frequently Asked Questions, CPT 75820
What does CPT code 75820 mean? +
CPT code 75820 represents: Vein x-ray arm/leg. It's in the Radiology category with a global period of XXX.
What is the Medicare reimbursement for CPT 75820? +
The 2026 Medicare national average non-facility payment for CPT 75820 is $110.54. Rates range from $95.87 to $140.57 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 75820? +
Radiology codes rely heavily on the professional/technical split: modifier 26 (professional component only) and TC (technical component only). Also common: 50 (bilateral imaging), 76 (repeat by same physician), 77 (repeat by different physician), and LT/RT for laterality.
What bundling edits apply to CPT 75820? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on June 2, 2026.
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