CPT code 75559: Cardiac MRI, stress imaging, no contrast2026 Medicare rate & RVUs in Indiana

Reports cardiac MRI assessment of heart structure and function with stress imaging when the study is performed without contrast material.

CMS RVU26DEffective Oct 1, 2026One payment locality37 Medicare services in 2024

In Indiana, Medicare pays $357.76 for 75559 in the office.

$357.76Office (non-facility)
Not available in this settingHospital or facility
−5.9%vs the national office rate ($380.10)

Check a contract rate as a % of Medicare · 75559 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 75559 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Indiana
  2. What 75559 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 75559 covers

This study uses magnetic resonance imaging to assess cardiac structure and function during stress, without contrast material. It is typically performed in a hospital imaging department by MRI staff, with a radiologist or cardiologist interpreting the images. Stress imaging may be used to evaluate how the heart responds to stress when assessing suspected ischemia or other cardiac concerns.

Select this code when the cardiac MRI includes stress imaging and no contrast is administered; a stress study performed with contrast is represented by 75563. The record should support the cardiac MRI protocol, stress imaging, absence of contrast, and the interpreting provider’s findings. The service has professional and technical components: report modifier 26 for interpretation only, modifier TC for equipment and staff only, or no component modifier when billing the global service. CMS applies the diagnostic imaging multiple procedure reduction to both the technical and professional components when applicable.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Indiana compares for 75559

Across 109 of 109 payment localities, the office rate for 75559 runs from $338.81 in Arkansas to $512.84 in San Benito County, CA. Indiana pays $357.76. The RVUs are the same everywhere; the geographic indexes change the dollars.

75559 in Indiana vs other payment areas
  1. Indiana · this page$357.76
  2. Los Angeles, CA · California$434.09+$76.33
  3. Washington, DC area · District of Columbia$435.59+$77.83
  4. Miami, FL · Florida$397.21+$39.45
  5. Chicago, IL · Illinois$386.93+$29.17
  6. Manhattan, NY · New York$433.81+$76.05
  7. Alaska · Alaska$444.77+$87.01

Other areas in Indiana first, then benchmark localities. Bars start at $0.

Every other payment area

75559 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$343.48—
ArkansasArkansas$338.81—
ArizonaArizona$370.89—
Bakersfield, CACalifornia$407.40—
Chico, CACalifornia$406.94—
El Centro, CACalifornia$406.95—
Fresno, CACalifornia$406.94—
Hanford, CACalifornia$406.94—

75559 rates by state

Office rate range in each state. Select a state to see its payment localities.

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$338.81

$459.89

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
75559 office rate range by state
State / territoryOffice rate rangeLocalities
AK$444.771
AL$343.481
AR$338.811
AZ$370.891
CA$406.94–$512.8429
CO$398.391
CT$404.381
DC$435.591
DE$376.851
FL$369.62–$397.213
GA$350.54–$385.612
GU$416.951
HI$416.951
IA$354.071
ID$355.751
IL$357.79–$391.184
IN$357.761
KS$351.381
KY$348.681
LA$347.72–$364.072
MA$395.75–$438.012
MD$384.13–$435.593
ME$356.29–$376.222
MI$356.20–$372.812
MN$385.641
MO$341.33–$366.663
MS$340.191
MT$380.091
NC$360.001
ND$377.921
NE$356.241
NH$391.131
NJ$410.09–$431.252
NM$357.581
NV$379.771
NY$365.00–$442.375
OH$355.751
OK$349.301
OR$377.89–$411.812
PA$356.92–$394.032
PR$383.131
RI$390.781
SC$358.251
SD$377.661
TN$352.901
TX$354.62–$396.138
UT$362.911
VA$374.26–$435.592
VI$383.131
VT$375.481
WA$395.33–$447.852
WI$365.791
WV$344.981
WY$379.151

See 75559 in every payment locality

How the 75559 rate is calculated

Each of 75559’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 75559

RVUs × geographic indexes × conversion factor

Office or facility?

Work2.88

2.88 RVUs× 1.000 GPCI

Practice expense8.39

8.39 RVUs× 1.000 GPCI

Malpractice0.11

0.11 RVUs× 1.000 GPCI

Adjusted RVUs

11.3800

Conversion factor

$33.4009

Medicare rate

$380.10

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Indiana inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

8,471

Code
75559
Physician work
2.88
Practice expense
8.39
Malpractice
0.11

GPCI2026.csv

52

Locality
Indiana
Physician work
1.000
Practice expense
0.927
Malpractice
0.486
Office calculation for 75559 in Indiana
ComponentRVULocality factorAdjusted
Physician work2.88× 1.0002.8800
Practice expense8.39× 0.9277.7775
Malpractice0.11× 0.4860.0535
Total RVUs10.7110
Conversion factor× 33.4009

Office rate, Indiana$357.76

Office: (2.88 × 1 + 8.39 × 0.927 + 0.11 × 0.486) × $33.4009 = $357.76

Open 75559 in the RVU calculator

Payment rules and modifiers for 75559

The CMS indicators that decide how 75559 is paid alongside other services.

CMS payment indicators · 75559

Cardiac MRI, stress imaging, no contrast

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures4Diagnostic imaging reduction applies to the technical component (and professional component) of additional services.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical1Diagnostic test with separate professional (26) and technical (TC) components.

What modifiers do to the payment

Modifier 26 · payment effect

With and without the modifier

75559 without 26 · national office

$380.10

Cardiac MRI, stress imaging, no contrast

75559-26 · Professional component

$135.27

Pays only the interpretation and report.

When to use modifier 26

How 75559 has changed in Indiana

75559 · Office / nonfacility

$357.76

Effective 2026-10-01

The base rate is $16.36 higher than on 2025-10-01, moving from $341.40 to $357.76 (4.8%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
  1. January 1, 2026

    RVU26A

    $341.40changed to$357.76

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.95 changed to 2.88
    • Practice expense RVU 8.19 changed to 8.39
    • Practice expense GPCI 0.922 changed to 0.927
    • Malpractice GPCI 0.485 changed to 0.486

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $360.23changed to$341.40

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 8.48 changed to 8.19

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $354.35changed to$360.23

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $366.77changed to$354.35

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 8.58 changed to 8.48
    • Malpractice RVU 0.12 changed to 0.11
    • Practice expense GPCI 0.911 changed to 0.922
    • Malpractice GPCI 0.475 changed to 0.485
  5. January 1, 2023

    RVU23A

    $379.35changed to$366.77

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 8.84 changed to 8.58
    • Practice expense GPCI 0.900 changed to 0.911
    • Malpractice GPCI 0.465 changed to 0.475

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $407.93changed to$379.35

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 9.65 changed to 8.84

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $418.49changed to$407.93

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 9.45 changed to 9.65
    • Malpractice RVU 0.11 changed to 0.12
    • Practice expense GPCI 0.910 changed to 0.900
    • Malpractice GPCI 0.422 changed to 0.465

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $428.83changed to$418.49

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 9.68 changed to 9.45
    • Malpractice RVU 0.14 changed to 0.11
    • Practice expense GPCI 0.919 changed to 0.910
    • Malpractice GPCI 0.379 changed to 0.422

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    No ratechanged to$428.83

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2017

    RVU17A

    $411.32changed toNo rate

    Held through RVU17B, RVU17C, RVU17D, RVU18AR1, RVU18B, RVU18C, RVU18D.

  11. January 1, 2016

    RVU16A

    No ratechanged to$411.32

    Held through RVU16B, RVU16C, RVU16D.

  12. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$357.76Not available in this settingRVU26D
2026-07-01$357.76Not available in this settingRVU26C
2026-04-01$357.76Not available in this settingRVU26B
2026-01-01$357.76Not available in this settingRVU26A
2025-10-01$341.40Not available in this settingRVU25D
2025-07-01$341.40Not available in this settingRVU25C
2025-04-01$341.40Not available in this settingRVU25B
2025-01-01$341.40Not available in this settingRVU25A
2024-10-01$360.23Not available in this settingRVU24D
2024-07-01$360.23Not available in this settingRVU24C
2024-04-01$360.23Not available in this settingRVU24B
2024-03-09$360.23Not available in this settingRVU24AR
2024-01-01$354.35Not available in this settingRVU24A
2023-10-01$366.77Not available in this settingRVU23D
2023-07-01$366.77Not available in this settingRVU23C
2023-04-01$366.77Not available in this settingRVU23B
2023-01-01$366.77Not available in this settingRVU23A
2022-10-01$379.35Not available in this settingRVU22D
2022-07-01$379.35Not available in this settingRVU22C
2022-04-01$379.35Not available in this settingRVU22B
2022-01-01$379.35Not available in this settingRVU22A
2021-10-01$407.93Not available in this settingRVU21D
2021-07-01$407.93Not available in this settingRVU21C
2021-04-01$407.93Not available in this settingRVU21B
2021-01-01$407.93Not available in this settingRVU21A
2020-10-01$418.49Not available in this settingRVU20D
2020-07-01$418.49Not available in this settingRVU20C
2020-04-01$418.49Not available in this settingRVU20B
2020-01-01$418.49Not available in this settingRVU20A
2019-10-01$428.83Not available in this settingRVU19D
2019-07-01$428.83Not available in this settingRVU19C
2019-04-01$428.83Not available in this settingRVU19B
2019-01-01$428.83Not available in this settingRVU19A
2018-10-01Additional calculation requiredNot available in this settingRVU18D
2018-07-01Additional calculation requiredNot available in this settingRVU18C
2018-04-01Additional calculation requiredNot available in this settingRVU18B
2018-01-01Additional calculation requiredNot available in this settingRVU18AR1
2017-10-01Additional calculation requiredNot available in this settingRVU17D
2017-07-01Additional calculation requiredNot available in this settingRVU17C
2017-04-01Additional calculation requiredNot available in this settingRVU17B
2017-01-01Additional calculation requiredNot available in this settingRVU17A
2016-10-01$411.32Not available in this settingRVU16D
2016-07-01$411.32Not available in this settingRVU16C
2016-04-01$411.32Not available in this settingRVU16B
2016-01-01$411.32Not available in this settingRVU16A
2015-10-01Additional calculation requiredNot available in this settingRVU15D
2015-07-01Additional calculation requiredNot available in this settingRVU15C
2015-04-01Additional calculation requiredNot available in this settingRVU15B
2015-01-01Additional calculation requiredNot available in this settingRVU15A
2014-10-01Additional calculation requiredNot available in this settingRVU14D
2014-07-01Additional calculation requiredNot available in this settingRVU14C
2014-04-01Additional calculation requiredNot available in this settingRVU14B
2014-01-01Additional calculation requiredNot available in this settingRVU14A
2013-10-01Additional calculation requiredNot available in this settingRVU13D
2013-07-01Additional calculation requiredNot available in this settingRVU13C
2013-04-01Additional calculation requiredNot available in this settingRVU13B
2013-01-01Additional calculation requiredNot available in this settingRVU13AR

Price 75559 for an earlier date of service

Where the Indiana rate applies

Indiana is a Medicare payment area, not a city. Our Census mapping connects it to 974 cities and communities in Indiana. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Abington
  • Adams
  • Adams Lake
  • Advance
  • Akron
  • Alamo
  • Albany

Browse all communities in Indiana

75559 billing questions

How does 75559 differ from 75563?

Both describe cardiac MRI with stress imaging. Use 75559 when the study is performed without contrast and 75563 when contrast is used.

When should 75557 be reported instead?

75557 represents cardiac MRI for morphology and function without stress imaging. Report 75559 when the study also includes stress imaging.

Can the professional and technical portions be billed separately?

Yes. Use modifier 26 for the interpretation and modifier TC for the technical service. Without either modifier, the claim represents the global service.

Does CMS reduce payment when multiple diagnostic imaging services are performed?

The diagnostic imaging multiple procedure reduction applies to both the technical and professional components of this code when applicable.

What documentation supports reporting 75559?

Document the cardiac MRI protocol, that stress imaging was performed, that contrast was not used, and the interpretation of the study.

Can cardiac MRI flow mapping be reported with 75559?

Code 75565 is an add-on for cardiac MRI velocity flow mapping and may be reported with 75559 when that mapping service is performed and documented.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 75559PPRRVU2026_Oct_nonQPP.csv, line 8,471 (RVU26D)
Geographic factors for IndianaGPCI2026.csv, line 52 (RVU26D)

Open CMS sourceHow we calculate rates

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