How much does Medicare pay for CPT 75822?

Medicare allowed an average of $111.17 per service and paid $88.56 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $322.65, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 75822?

Review by radiologist of both arms and legs veins of both arms or legs image. It was billed 3,665 times to 3,381 Medicare beneficiaries by 151 providers in 2024.

Does 75822 pay differently in an office than a hospital?

Yes. The allowed amount averaged $128.19 in an office setting and $67.26 in a facility. The office rate is generally higher because the practice supplies the room, staff and equipment out of that single payment; in a hospital those are billed separately by the facility.

Which specialty bills 75822 most?

Cardiology, with 1,008 services from 32 clinicians. Next are Interventional Cardiology, Interventional Radiology, Vascular Surgery.

CPT 75822

Review by radiologist of both arms and legs veins of both arms or legs image

$111.17Medicare-allowed amount per service, averaged across 3,665 services

Providers submitted

$322.65

Asking price, not received

Medicare allowed

$111.17

The fee schedule figure

Medicare paid

$88.56

Balance is patient coinsurance

Providers submitted an average of $322.65 for this code and Medicare allowed $111.17 — 2.9× less. That gap is normal and means nothing on its own: Medicare pays its fee schedule regardless of what is billed, so the submitted figure describes a hospital chargemaster, not a price anyone paid. Of the allowed amount Medicare paid $88.56 (80%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $128.19
Hospital / facility: $67.26

The office rate is higher because the practice supplies the room, staff and equipment out of that payment. In a hospital the facility bills those separately, so the clinician's share is smaller — the total cost to Medicare is usually higher, not lower. 2,641 services were billed in an office setting and 1,024 in a facility.

Services: 3,665
Beneficiaries: 3,381
Providers billing it: 151
Total allowed: $407,438

What Medicare pays for CPT 75822

Across 3,665 services billed by 151 providers to 3,381 beneficiaries, Medicare allowed an average of $111.17 per service. The allowed amount is the figure that matters: it is what Medicare and the patient together owe, set by the fee schedule and adjusted for local practice costs. What a provider chose to submit has no bearing on it.

Who bills 75822

Specialty	Services	Beneficiaries	Avg allowed	Providers
Cardiology	1,008	855	$107.66	32
Interventional Cardiology	740	689	$111.15	34
Interventional Radiology	415	399	$116.63	20
Vascular Surgery	337	326	$122.03	16
Nephrology	331	329	$94.48	18
Internal Medicine	238	232	$128.69	7
Diagnostic Radiology	191	172	$127.63	9
General Surgery	174	155	$103.90	8
Ambulatory Surgical Center	106	103	$73.40	2
Cardiac Surgery	66	66	$122.50	2
Thoracic Surgery	29	26	$128.69	1
Clinical Cardiac Electrophysiology	18	17	$134.95	1
Peripheral Vascular Disease	12	12	$61.74	1

75822 reimbursement by state

Two different numbers. Allowed is what Medicare actually allowed in that state, which includes the local practice-cost adjustment. Standardized strips that geographic adjustment out of the payment, so it is the column to use when comparing states — a difference there reflects how the code was billed, not what it costs to run a practice locally.

State	Services	Allowed	Standardized pmt	Providers
Florida	776	$117.76	$91.02	30
Texas	422	$113.00	$90.57	20
California	384	$108.92	$77.48	11
Michigan	186	$122.08	$88.05	9
New Jersey	175	$145.92	$101.05	7
Illinois	174	$99.31	$82.21	5
Kansas	162	$70.84	$57.38	6
Arizona	156	$93.24	$74.30	5
New York	124	$133.37	$87.58	5
Louisiana	114	$101.92	$84.49	5
Maryland	95	$148.93	$100.95	2
North Carolina	83	$118.21	$95.99	4
Alabama	79	$109.22	$88.62	5
Georgia	71	$86.59	$66.56	3
Indiana	66	$105.96	$89.81	2
Colorado	60	$134.39	$100.50	4
Tennessee	54	$94.63	$78.75	4
Arkansas	52	$66.54	$49.72	2
Oklahoma	51	$72.71	$58.69	3
Massachusetts	48	$70.18	$49.72	2
Delaware	44	$137.22	$100.96	2
Ohio	42	$98.88	$78.01	2
Nevada	35	$120.61	$97.94	1
New Mexico	34	$124.95	$101.26	1
Virginia	33	$88.27	$67.57	2
South Carolina	27	$150.23	$101.01	1
Missouri	26	$98.42	$77.34	2
Hawaii	23	$139.71	$101.04	1
Wisconsin	17	$65.30	$46.72	1
Minnesota	15	$62.97	$49.63	1
Kentucky	14	$118.55	$102.33	1
Pennsylvania	12	$126.68	$88.29	1
West Virginia	11	$68.58	$49.77	1

Related codes

75898Imaging of blood vessel$96.01
75894Review by radiologist of image for insertion of material to block bloo$76.92
75820Review by radiologist of 1 arm or leg vein of 1 arm or leg image$62.07
75825Review by radiologist of major lower body vein image$90.69
75827Review by radiologist of major upper body vein image$86.09

Billing this code is not the same as earning it

An allowed amount is revenue to a practice, not income to a clinician. It funds staff, premises, equipment and supplies before anyone is paid. What clinicians actually earn is published separately by the Department of Labor, and what industry pays them is published separately again by CMS — this site carries both.

What doctors are paid →·Look up a clinician →·All procedure codes →

Where this comes from. CMS Medicare Physician & Other Practitioners, by Provider and Service, 2024. It covers fee-for-service Original Medicare Part B only — not Medicare Advantage, not Medicaid, and not commercial insurance, which typically pays more for the same code.

How it is averaged. CMS publishes one average per provider per code. Every figure here is re-weighted by the number of services, so a clinician who billed the code 4,000 times counts 4,000 times more than one who billed it twice. CMS also suppresses any provider-code pair with fewer than 11 beneficiaries, so low-volume practice is missing from these totals by design.