CPT code 75561: Cardiac MRI, morphology and function with contrast2026 Medicare rate & RVUs in Louisiana

Cardiac MRI with contrast evaluates heart structure and function when detailed assessment is needed without pharmacologic or exercise stress imaging.

CMS RVU26DEffective Oct 1, 20262 payment localities54.4K Medicare services in 2024

Medicare pays $333.21–$349.52 for 75561 in the office in Louisiana, from Rest of Louisiana to New Orleans, LA. Which amount applies depends on the service address.

$333.21–$349.52Office (non-facility)
—Hospital or facility

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

Your location

Medicare pays by the payment locality where the service is performed.

On this page 9 sections
  1. Rate in Louisiana
  2. What 75561 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

What 75561 covers

This cardiac MRI evaluates heart structure and function using images acquired before and after intravenous contrast, without stress imaging. It can assess ventricular size and performance, chamber anatomy, myocardium, and cardiac masses; contrast-enhanced tissue assessment may help evaluate conditions such as cardiomyopathy, myocarditis, scar, or selected congenital abnormalities. A technologist performs the scan in a hospital or outpatient imaging facility, and a radiologist or cardiologist interprets the study.

Report 75561 when the performed protocol includes contrast-enhanced morphology and function imaging without a stress component. Documentation should identify the clinical indication, contrast administration, imaging performed, and findings supporting the structural and functional assessment. Medicare recognizes professional and technical components: use modifier 26 for the interpretation, modifier TC for equipment and staff, or neither modifier when billing the global service. When multiple diagnostic imaging procedures are performed, the diagnostic imaging multiple-procedure reduction applies to both the professional and technical components.

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.

Where 75561 pays more and less in Louisiana

75561 office and facility rates by payment locality
Payment localityOfficeFacility
New Orleans, LA$349.52Unavailable
Rest of Louisiana$333.21Unavailable

How the 75561 rate is calculated

Each of 75561’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 · 75561

RVUs × geographic indexes × conversion factor

Office or facility?

Work2.54

2.54 RVUs× 1.000 GPCI

Practice expense8.24

8.24 RVUs× 1.000 GPCI

Malpractice0.15

0.15 RVUs× 1.000 GPCI

Adjusted RVUs

10.9300

Conversion factor

$33.4009

Medicare rate

$365.07

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

Payment rules and modifiers for 75561

The CMS indicators that decide how 75561 is paid alongside other services.

CMS payment indicators · 75561

Cardiac MRI, morphology and function with 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

75561 without 26 · national office

$365.07

Cardiac MRI, morphology and function with contrast

75561-26 · Professional component

$119.91

Pays only the interpretation and report.

When to use modifier 26

75561 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • 75561

    Cardiac MRI, morphology and function with contrast2.54 wRVU

    $365.07

  • 75557

    Cardiac MRI, morphology and function, no contrast2.29 wRVU

    $279.57−$85.50

  • 75559

    Cardiac MRI, stress imaging, no contrast2.88 wRVU

    $380.10+$15.03

  • 75563

    Cardiac MRI, stress imaging with contrast2.93 wRVU

    $429.87+$64.80

  • 75565

    Cardiac MRI, velocity flow mapping0.24 wRVU

    $45.43−$319.64

How to choose

75557Cardiac MRIMorphology and function, no contrast
75557 describes cardiac morphology and function imaging without contrast. Use 75561 when the performed study includes contrast-enhanced imaging.
75559Cardiac MRIStress imaging, no contrast
75559 includes stress imaging but not contrast. 75561 is the contrast-enhanced morphology and function study without stress imaging.
75563Cardiac MRIStress imaging with contrast
75563 includes both stress imaging and contrast. Choose 75561 when contrast is used but the cardiac MRI does not include stress imaging.
75565Cardiac MRIVelocity flow mapping
75565 covers additional cardiac MRI velocity flow mapping and is an add-on, not a substitute for the primary morphology and function study.

75561 billing questions

How does 75561 differ from 75557?

75561 is for cardiac MRI with contrast; 75557 is the corresponding morphology and function study without contrast. Choose based on the protocol performed and documented.

When is a stress cardiac MRI code more appropriate?

Use a stress cardiac MRI code when the study includes stress imaging. 75561 describes the contrast-enhanced morphology and function study without a stress component.

Can the professional and technical portions be billed separately?

Yes. Report modifier 26 for the professional interpretation or TC for the technical service; billing without either modifier represents the global service.

Can 75565 be reported with 75561?

75565 is an add-on for cardiac MRI velocity flow mapping and may be reported with 75561 when that additional mapping service is performed and documented.

How does the multiple-procedure reduction affect 75561?

When multiple diagnostic imaging procedures are performed, the CMS multiple-procedure reduction applies to both the professional and technical components of 75561.

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 75561PPRRVU2026_Oct_nonQPP.csv, line 8,474 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 75561 pays in Louisiana?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets · Coming soon

Put 75561 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Join the waitlist