`75809` Nonvascular shunt x-ray

What 75809 is

CMS fee schedule short descriptor: Nonvascular shunt x-ray.

Full CPT long descriptions are licensed by the American Medical Association and are not published on this site; the short descriptor above is the one CMS prints in its own fee schedule file. See About CPT.

Medicare payment for 75809 (CY2026)

	Work RVU	Practice expense RVU	Malpractice RVU	Total	Medicare rate
Non-facility (office)	0.46	2.04	0.05	2.55	$85.17
Facility (hospital, ASC)	0.46	2.04	0.05	2.55	$85.17

National rates: total RVUs x the CY2026 conversion factor of 33.4009 (non-QP), before geographic adjustment. Actual Medicare payment is 80% of the rate shown after the deductible; the patient or secondary payer owes the 20% coinsurance.

Adjust for a Medicare locality:

Status: Active - payable under the Physician Fee Schedule. Global period: Global concept does not apply.

Medically Unlikely Edit (MUE)

Medicare caps 75809 at 1 unit per date of service for practitioner claims (MAI 3 - date of service edit (clinical): units above the MUE may pay with documentation on appeal), rationale: Nature of Service/Procedure. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.

Billed with 75809? These codes are bundled into it

75809 is a Column 1 code in 19 active NCCI PTP edits. When one of these Column 2 codes is reported on the same date of service, it is denied as bundled - unless the edit's modifier indicator is 1 and documentation supports a distinct service with an NCCI-associated modifier.

Column 2 code	Short description	Modifier indicator
`01916`	Anes dx arteriography/vngrph	0 - no modifier bypass	Check pair
`01924`	Anes ther ivntl rad artl nos	0 - no modifier bypass	Check pair
`01925`	Anes ivntl rad artl crtd/c	0 - no modifier bypass	Check pair
`01926`	Anes ivntl rad icr icar/aort	0 - no modifier bypass	Check pair
`36005`	Injection ext venography	1 - modifier may bypass	Check pair
`36591`	Draw blood off venous device	0 - no modifier bypass	Check pair
`36592`	Collect blood from picc	0 - no modifier bypass	Check pair
`76000`	Fluoroscopy <1 hr phys/qhp	1 - modifier may bypass	Check pair
`76942`	Echo guide for biopsy	1 - modifier may bypass	Check pair
`76998`	Us guide intraop	1 - modifier may bypass	Check pair
`77001`	Fluoroguide for vein device	1 - modifier may bypass	Check pair
`77002`	Needle localization by xray	1 - modifier may bypass	Check pair
`96523`	Irrig drug delivery device	0 - no modifier bypass	Check pair
`99446`	Ntrprof ph1/ntrnet/ehr 5-10	1 - modifier may bypass	Check pair
`99447`	Ntrprof ph1/ntrnet/ehr 11-20	1 - modifier may bypass	Check pair
`99448`	Ntrprof ph1/ntrnet/ehr 21-30	1 - modifier may bypass	Check pair
`99449`	Ntrprof ph1/ntrnet/ehr 31/>	1 - modifier may bypass	Check pair
`99451`	Ntrprof ph1/ntrnet/ehr 5/>	1 - modifier may bypass	Check pair
`99452`	Ntrprof ph1/ntrnet/ehr rfrl	1 - modifier may bypass	Check pair

75809 is bundled into these codes

75809 appears as a Column 2 code in 5 active edits. Reported with one of these Column 1 codes on the same date of service, 75809 is the code that denies.

Column 1 code	Short description	Modifier indicator
`37211`	Thrombolytic art therapy	1	Check pair
`37212`	Thrombolytic venous therapy	1	Check pair
`37213`	Thromblytic art/ven therapy	1	Check pair
`37214`	Cessj therapy cath removal	1	Check pair
`61645`	Perq art m-thrombect &/nfs	1	Check pair

Data: CMS CY2026 Physician Fee Schedule RVU file (October release, RVU26D) and Medicare NCCI PTP practitioner edits v32.3 (2026 Q4). Verify against the official files before billing or contracting decisions.