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

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

CMS RVU26DEffective Oct 1, 2026One payment locality54.4K Medicare services in 2024

In Queens, NY, Medicare pays $422.81 for 75561 in the office.

$422.81Office (non-facility)
Not available in this settingHospital or facility
+15.8%vs the national office rate ($365.07)

Check a contract rate as a % of Medicare · 75561 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 75561 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Queens, NY
  2. What 75561 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 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.

How Queens, NY compares for 75561

Across 109 of 109 payment localities, the office rate for 75561 runs from $323.84 in Arkansas to $493.73 in San Benito County, CA. Queens, NY pays $422.81. The RVUs are the same everywhere; the geographic indexes change the dollars.

75561 in Queens, NY vs other payment areas
  1. Queens, NY · this page$422.81
  2. Manhattan, NY · New York$418.02−$4.79
  3. NYC suburbs and Long Island, NY · New York$426.81+$4.00
  4. Poughkeepsie and northern NYC suburbs, NY · New York$396.09−$26.72
  5. Rest of New York · New York$349.82−$72.99
  6. Los Angeles, CA · California$417.23−$5.58
  7. Washington, DC area · District of Columbia$419.21−$3.60

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

Every other payment area

75561 in every other Medicare payment locality
Payment localityOfficeFacility
Miami, FLFlorida$384.02—
Chicago, ILIllinois$373.53—
AlaskaAlaska$423.13—
AlabamaAlabama$328.49—
ArkansasArkansas$323.84—
ArizonaArizona$355.82—
Bakersfield, CACalifornia$391.15—
Chico, CACalifornia$390.61—

75561 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$323.84

$442.17

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

View every state and territory as a table
75561 office rate range by state
State / territoryOffice rate rangeLocalities
AK$423.131
AL$328.491
AR$323.841
AZ$355.821
CA$390.61–$493.7329
CO$382.611
CT$389.011
DC$419.211
DE$361.691
FL$355.48–$384.023
GA$336.31–$370.742
GU$400.671
HI$400.671
IA$338.661
ID$340.411
IL$343.95–$376.964
IN$342.411
KS$336.171
KY$334.101
LA$333.21–$349.522
MA$380.00–$421.392
MD$368.81–$419.213
ME$341.16–$360.752
MI$341.77–$358.882
MN$369.531
MO$326.96–$351.873
MS$325.511
MT$365.061
NC$344.821
ND$362.101
NE$340.761
NH$375.731
NJ$394.27–$414.792
NM$343.241
NV$364.511
NY$349.82–$426.815
OH$341.171
OK$334.511
OR$362.48–$395.702
PA$342.23–$378.852
PR$368.021
RI$375.231
SC$343.401
SD$361.751
TN$337.711
TX$339.95–$380.638
UT$348.051
VA$358.92–$419.212
VI$368.021
VT$359.841
WA$379.56–$430.872
WI$350.051
WV$331.181
WY$363.771

See 75561 in every payment locality

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.

The exact Queens, NY inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

8,474

Code
75561
Physician work
2.54
Practice expense
8.24
Malpractice
0.15

GPCI2026.csv

81

Locality
Queens, NY
Physician work
1.064
Practice expense
1.182
Malpractice
1.442
Office calculation for 75561 in Queens, NY
ComponentRVULocality factorAdjusted
Physician work2.54× 1.0642.7026
Practice expense8.24× 1.1829.7397
Malpractice0.15× 1.4420.2163
Total RVUs12.6585
Conversion factor× 33.4009

Office rate, Queens, NY$422.81

Office: (2.54 × 1.064 + 8.24 × 1.182 + 0.15 × 1.442) × $33.4009 = $422.81

Open 75561 in the RVU calculator

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

Codes related to 75561

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 75561
CodeHow it relatesOffice range, Queens, NY
Same family
75557Cardiac MRI, morphology and function, no contrastCardiac MRI for morphology and function without contrast.$322.38
75559Cardiac MRI, stress imaging, no contrastCardiac MRI with stress imaging, without contrast.$438.89
75563Cardiac MRI, stress imaging with contrastCardiac MRI with stress imaging and contrast.$497.86
Add-on codes
75565Cardiac MRI, velocity flow mappingAdd-on code for cardiac MRI velocity flow mapping performed with this study.$52.83

How 75561 has changed in Queens, NY

75561 · Office / nonfacility

$422.81

Effective 2026-10-01

The base rate is $8.41 higher than on 2025-10-01, moving from $414.40 to $422.81 (2.0%).

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

    $414.40changed to$422.81

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.60 changed to 2.54
    • Practice expense RVU 8.22 changed to 8.24
    • Work GPCI 1.065 changed to 1.064
    • Practice expense GPCI 1.195 changed to 1.182
    • Malpractice GPCI 1.462 changed to 1.442

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $435.91changed to$414.40

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 8.47 changed to 8.22
    • Malpractice RVU 0.14 changed to 0.15

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $428.80changed to$435.91

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $457.83changed to$428.80

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 8.65 changed to 8.47
    • Malpractice RVU 0.13 changed to 0.14
    • Work GPCI 1.061 changed to 1.065
    • Practice expense GPCI 1.212 changed to 1.195
    • Malpractice GPCI 2.061 changed to 1.462

  5. January 1, 2023

    RVU23A

    $483.01changed to$457.83

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 8.87 changed to 8.65
    • Malpractice RVU 0.12 changed to 0.13
    • Work GPCI 1.056 changed to 1.061
    • Practice expense GPCI 1.228 changed to 1.212
    • Malpractice GPCI 2.661 changed to 2.061

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $510.22changed to$483.01

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 9.39 changed to 8.87
    • Malpractice RVU 0.13 changed to 0.12

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $507.53changed to$510.22

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 9.11 changed to 9.39
    • Malpractice RVU 0.11 changed to 0.13
    • Work GPCI 1.054 changed to 1.056
    • Practice expense GPCI 1.214 changed to 1.228
    • Malpractice GPCI 2.391 changed to 2.661

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $511.04changed to$507.53

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 9.29 changed to 9.11
    • Malpractice RVU 0.14 changed to 0.11
    • Work GPCI 1.052 changed to 1.054
    • Practice expense GPCI 1.200 changed to 1.214
    • Malpractice GPCI 2.121 changed to 2.391

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $521.71changed to$511.04

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 9.55 changed to 9.29

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $507.77changed to$521.71

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 9.26 changed to 9.55
    • Malpractice GPCI 2.151 changed to 2.121

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $502.10changed to$507.77

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 9.16 changed to 9.26
    • Practice expense GPCI 1.199 changed to 1.200
    • Malpractice GPCI 2.181 changed to 2.151

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $504.26changed to$502.10

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 9.15 changed to 9.16
    • Malpractice RVU 0.15 changed to 0.14

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $501.75changed to$504.26

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $512.84changed to$501.75

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 9.48 changed to 9.15
    • Malpractice RVU 0.12 changed to 0.15
    • Work GPCI 1.057 changed to 1.052
    • Practice expense GPCI 1.197 changed to 1.199
    • Malpractice GPCI 1.836 changed to 2.181

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $574.50changed to$512.84

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 11.67 changed to 9.48
    • Work GPCI 1.062 changed to 1.057
    • Practice expense GPCI 1.195 changed to 1.197
    • Malpractice GPCI 1.491 changed to 1.836

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $574.50

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$422.81Not available in this settingRVU26D
2026-07-01$422.81Not available in this settingRVU26C
2026-04-01$422.81Not available in this settingRVU26B
2026-01-01$422.81Not available in this settingRVU26A
2025-10-01$414.40Not available in this settingRVU25D
2025-07-01$414.40Not available in this settingRVU25C
2025-04-01$414.40Not available in this settingRVU25B
2025-01-01$414.40Not available in this settingRVU25A
2024-10-01$435.91Not available in this settingRVU24D
2024-07-01$435.91Not available in this settingRVU24C
2024-04-01$435.91Not available in this settingRVU24B
2024-03-09$435.91Not available in this settingRVU24AR
2024-01-01$428.80Not available in this settingRVU24A
2023-10-01$457.83Not available in this settingRVU23D
2023-07-01$457.83Not available in this settingRVU23C
2023-04-01$457.83Not available in this settingRVU23B
2023-01-01$457.83Not available in this settingRVU23A
2022-10-01$483.01Not available in this settingRVU22D
2022-07-01$483.01Not available in this settingRVU22C
2022-04-01$483.01Not available in this settingRVU22B
2022-01-01$483.01Not available in this settingRVU22A
2021-10-01$510.22Not available in this settingRVU21D
2021-07-01$510.22Not available in this settingRVU21C
2021-04-01$510.22Not available in this settingRVU21B
2021-01-01$510.22Not available in this settingRVU21A
2020-10-01$507.53Not available in this settingRVU20D
2020-07-01$507.53Not available in this settingRVU20C
2020-04-01$507.53Not available in this settingRVU20B
2020-01-01$507.53Not available in this settingRVU20A
2019-10-01$511.04Not available in this settingRVU19D
2019-07-01$511.04Not available in this settingRVU19C
2019-04-01$511.04Not available in this settingRVU19B
2019-01-01$511.04Not available in this settingRVU19A
2018-10-01$521.71Not available in this settingRVU18D
2018-07-01$521.71Not available in this settingRVU18C
2018-04-01$521.71Not available in this settingRVU18B
2018-01-01$521.71Not available in this settingRVU18AR1
2017-10-01$507.77Not available in this settingRVU17D
2017-07-01$507.77Not available in this settingRVU17C
2017-04-01$507.77Not available in this settingRVU17B
2017-01-01$507.77Not available in this settingRVU17A
2016-10-01$502.10Not available in this settingRVU16D
2016-07-01$502.10Not available in this settingRVU16C
2016-04-01$502.10Not available in this settingRVU16B
2016-01-01$502.10Not available in this settingRVU16A
2015-10-01$504.26Not available in this settingRVU15D
2015-07-01$504.26Not available in this settingRVU15C
2015-04-01$501.75Not available in this settingRVU15B
2015-01-01$501.75Not available in this settingRVU15A
2014-10-01$512.84Not available in this settingRVU14D
2014-07-01$512.84Not available in this settingRVU14C
2014-04-01$512.84Not available in this settingRVU14B
2014-01-01$512.84Not available in this settingRVU14A
2013-10-01$574.50Not available in this settingRVU13D
2013-07-01$574.50Not available in this settingRVU13C
2013-04-01$574.50Not available in this settingRVU13B
2013-01-01$574.50Not available in this settingRVU13AR

Price 75561 for an earlier date of service

Where the Queens, NY rate applies

Queens, NY is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in New York. Some span more than one payment area; confirm with the service ZIP.

Browse all communities in New York

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)
Geographic factors for Queens, NYGPCI2026.csv, line 81 (RVU26D)

Open CMS sourceHow we calculate rates

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