CPT code 75563: Cardiac MRI, stress imaging with contrast2026 Medicare rate & RVUs in Napa, CA
Reports cardiac MRI assessment with stress imaging and contrast when the examination evaluates heart morphology and function alongside stress-related findings.
In Napa, CA, Medicare pays $537.55 for 75563 in the office.
Check a contract rate as a % of Medicare · 75563 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 75563 covers
This service combines cardiac MRI assessment of heart morphology and function with stress imaging and contrast-enhanced sequences. It is commonly performed in a hospital or advanced imaging center by a cardiac MRI team, with interpretation by a radiologist or cardiologist experienced in cardiac imaging. Stress imaging can help assess suspected myocardial ischemia, while the contrast-enhanced sequences contribute information about myocardial tissue and cardiac structure.
Select this code when the documented examination includes cardiac MRI, stress imaging, and contrast-enhanced sequences. The report should support the cardiac MRI protocol performed, use of contrast and stress imaging, and the interpreting clinician’s findings. Bill the global service without a component modifier, or report modifier 26 for the professional interpretation and modifier TC for the equipment-and-staff portion. 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 Napa, CA compares for 75563
Across 109 of 109 payment localities, the office rate for 75563 runs from $381.33 in Arkansas to $582.84 in San Benito County, CA. Napa, CA pays $537.55. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Napa, CA · this page$537.55
- Bakersfield, CA · California$461.16−$76.39
- Chico, CA · California$460.60−$76.95
- El Centro, CA · California$460.63−$76.92
- Fresno, CA · California$460.60−$76.95
- Hanford, CA · California$460.60−$76.95
- Los Angeles, CA · California$492.04−$45.51
Other areas in California first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| Madera, CACalifornia | $460.60 | — |
| Merced, CACalifornia | $460.60 | — |
| Modesto, CACalifornia | $460.60 | — |
| Oxnard, CACalifornia | $490.23 | — |
| Redding, CACalifornia | $460.60 | — |
| Rest of CaliforniaCalifornia | $460.60 | — |
| Riverside, CACalifornia | $462.29 | — |
| Sacramento, CACalifornia | $484.37 | — |
| Salinas, CACalifornia | $482.57 | — |
| San Diego, CACalifornia | $494.60 | — |
| Marin County, CACalifornia | $570.52 | — |
| San Francisco, CACalifornia | $570.35 | — |
| San Benito County, CACalifornia | $582.84 | — |
| Santa Clara County, CACalifornia | $582.15 | — |
| San Luis Obispo, CACalifornia | $474.66 | — |
| Santa Cruz, CACalifornia | $499.90 | — |
| Santa Maria, CACalifornia | $484.57 | — |
| Santa Rosa, CACalifornia | $505.04 | — |
| Stockton, CACalifornia | $460.60 | — |
| Vallejo, CACalifornia | $537.31 | — |
| Visalia, CACalifornia | $460.60 | — |
| Yuba City, CACalifornia | $460.60 | — |
| Washington, DC areaDistrict of Columbia | $493.93 | — |
| Miami, FLFlorida | $450.94 | — |
| Chicago, ILIllinois | $438.68 | — |
| Manhattan, NYNew York | $492.04 | — |
| AlaskaAlaska | $497.81 | — |
| AlabamaAlabama | $386.82 | — |
| ArkansasArkansas | $381.33 | — |
| ArizonaArizona | $419.01 | — |
| ColoradoColorado | $450.87 | — |
| ConnecticutConnecticut | $458.06 | — |
| DelawareDelaware | $425.93 | — |
| Fort Lauderdale, FLFlorida | $438.17 | — |
| Rest of FloridaFlorida | $418.00 | — |
| Atlanta, GAGeorgia | $436.40 | — |
| Rest of GeorgiaGeorgia | $395.52 | — |
| Hawaii, Guam, HIHawaii | $472.56 | — |
| IowaIowa | $399.05 | — |
| IdahoIdaho | $401.07 | — |
| East St. Louis, ILIllinois | $408.79 | — |
| Rest of IllinoisIllinois | $404.24 | — |
| Suburban Chicago, ILIllinois | $443.25 | — |
| IndianaIndiana | $403.42 | — |
| KansasKansas | $395.99 | — |
| KentuckyKentucky | $393.15 | — |
| New Orleans, LALouisiana | $411.26 | — |
| Rest of LouisianaLouisiana | $392.05 | — |
| Metropolitan Boston, MAMassachusetts | $496.77 | — |
| Rest of MassachusettsMassachusetts | $447.75 | — |
| Baltimore area, MDMaryland | $456.49 | — |
| Rest of MarylandMaryland | $434.36 | — |
| Rest of MaineMaine | $401.82 | — |
| Southern Maine, MEMaine | $425.08 | — |
| Detroit, MIMichigan | $421.86 | — |
| Rest of MichiganMichigan | $402.07 | — |
| MinnesotaMinnesota | $435.83 | — |
| Metropolitan Kansas City, MOMissouri | $409.81 | — |
| Metropolitan St. Louis, MOMissouri | $414.18 | — |
| Rest of MissouriMissouri | $384.61 | — |
| MississippiMississippi | $383.11 | — |
| MontanaMontana | $429.86 | — |
| North CarolinaNorth Carolina | $406.15 | — |
| North DakotaNorth Dakota | $426.89 | — |
| NebraskaNebraska | $401.57 | — |
| New HampshireNew Hampshire | $442.65 | — |
| Northern New JerseyNew Jersey | $488.69 | — |
| Rest of New JerseyNew Jersey | $464.35 | — |
| New MexicoNew Mexico | $403.74 | — |
| NevadaNevada | $429.36 | — |
| NYC suburbs and Long Island, NYNew York | $502.23 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $466.39 | — |
| Queens, NYNew York | $497.86 | — |
| Rest of New YorkNew York | $412.03 | — |
| OhioOhio | $401.46 | — |
| OklahomaOklahoma | $393.76 | — |
| Portland, OROregon | $466.45 | — |
| Rest of OregonOregon | $427.07 | — |
| Metropolitan Philadelphia, PAPennsylvania | $446.00 | — |
| Rest of PennsylvaniaPennsylvania | $402.78 | — |
| Puerto RicoPuerto Rico | $433.39 | — |
| Rhode IslandRhode Island | $441.98 | — |
| South CarolinaSouth Carolina | $404.27 | — |
| South DakotaSouth Dakota | $426.54 | — |
| TennesseeTennessee | $397.79 | — |
| Austin, TXTexas | $448.46 | — |
| Beaumont, TXTexas | $400.08 | — |
| Brazoria, TXTexas | $426.61 | — |
| Dallas, TXTexas | $428.73 | — |
| Fort Worth, TXTexas | $425.53 | — |
| Galveston, TXTexas | $427.50 | — |
| Houston, TXTexas | $430.25 | — |
| Rest of TexasTexas | $412.71 | — |
| UtahUtah | $409.74 | — |
| VirginiaVirginia | $422.84 | — |
| Virgin Islands, VIUnited States Virgin Islands | $433.39 | — |
| VermontVermont | $424.12 | — |
| Rest of WashingtonWashington | $447.28 | — |
| King County, WAWashington | $508.07 | — |
| WisconsinWisconsin | $412.67 | — |
| West VirginiaWest Virginia | $389.19 | — |
| WyomingWyoming | $428.57 | — |
75563 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.
$381.33
$521.72
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $497.81 | 1 |
| AL | $386.82 | 1 |
| AR | $381.33 | 1 |
| AZ | $419.01 | 1 |
| CA | $460.60–$582.84 | 29 |
| CO | $450.87 | 1 |
| CT | $458.06 | 1 |
| DC | $493.93 | 1 |
| DE | $425.93 | 1 |
| FL | $418.00–$450.94 | 3 |
| GA | $395.52–$436.40 | 2 |
| GU | $472.56 | 1 |
| HI | $472.56 | 1 |
| IA | $399.05 | 1 |
| ID | $401.07 | 1 |
| IL | $404.24–$443.25 | 4 |
| IN | $403.42 | 1 |
| KS | $395.99 | 1 |
| KY | $393.15 | 1 |
| LA | $392.05–$411.26 | 2 |
| MA | $447.75–$496.77 | 2 |
| MD | $434.36–$493.93 | 3 |
| ME | $401.82–$425.08 | 2 |
| MI | $402.07–$421.86 | 2 |
| MN | $435.83 | 1 |
| MO | $384.61–$414.18 | 3 |
| MS | $383.11 | 1 |
| MT | $429.86 | 1 |
| NC | $406.15 | 1 |
| ND | $426.89 | 1 |
| NE | $401.57 | 1 |
| NH | $442.65 | 1 |
| NJ | $464.35–$488.69 | 2 |
| NM | $403.74 | 1 |
| NV | $429.36 | 1 |
| NY | $412.03–$502.23 | 5 |
| OH | $401.46 | 1 |
| OK | $393.76 | 1 |
| OR | $427.07–$466.45 | 2 |
| PA | $402.78–$446.00 | 2 |
| PR | $433.39 | 1 |
| RI | $441.98 | 1 |
| SC | $404.27 | 1 |
| SD | $426.54 | 1 |
| TN | $397.79 | 1 |
| TX | $400.08–$448.46 | 8 |
| UT | $409.74 | 1 |
| VA | $422.84–$493.93 | 2 |
| VI | $433.39 | 1 |
| VT | $424.12 | 1 |
| WA | $447.28–$508.07 | 2 |
| WI | $412.67 | 1 |
| WV | $389.19 | 1 |
| WY | $428.57 | 1 |
How the 75563 rate is calculated
Each of 75563’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 · 75563
RVUs × geographic indexes × conversion factor
Work2.93
2.93 RVUs× 1.000 GPCI
Practice expense9.79
9.79 RVUs× 1.000 GPCI
Malpractice0.15
0.15 RVUs× 1.000 GPCI
Adjusted RVUs
12.8700
Conversion factor
$33.4009
Medicare rate
$429.87
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Napa, CA inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
8,477
- Code
- 75563
- Physician work
- 2.93
- Practice expense
- 9.79
- Malpractice
- 0.15
GPCI2026.csv
17
- Locality
- Napa, CA
- Physician work
- 1.063
- Practice expense
- 1.318
- Malpractice
- 0.508
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.93 | × 1.063 | 3.1146 |
| Practice expense | 9.79 | × 1.318 | 12.9032 |
| Malpractice | 0.15 | × 0.508 | 0.0762 |
| Total RVUs | 16.0940 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Napa, CA$537.55
Office: (2.93 × 1.063 + 9.79 × 1.318 + 0.15 × 0.508) × $33.4009 = $537.55
Payment rules and modifiers for 75563
The CMS indicators that decide how 75563 is paid alongside other services.
CMS payment indicators · 75563
Cardiac MRI, stress imaging with contrast
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 4 | Diagnostic imaging reduction applies to the technical component (and professional component) of additional services. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 1 | Diagnostic test with separate professional (26) and technical (TC) components. |
What modifiers do to the payment
Modifier 26 · payment effect
With and without the modifier
75563 without 26 · national office
$429.87
Cardiac MRI, stress imaging with contrast
75563-26 · Professional component
$137.95
Pays only the interpretation and report.
How 75563 has changed in Napa, CA
75563 · Office / nonfacility
$537.55
Effective 2026-10-01
The base rate is $24.72 higher than on 2025-10-01, moving from $512.83 to $537.55 (4.8%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$512.83changed to$537.55
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 3.00 changed to 2.93
- Practice expense RVU 9.62 changed to 9.79
- Work GPCI 1.058 changed to 1.063
- Practice expense GPCI 1.310 changed to 1.318
- Malpractice GPCI 0.521 changed to 0.508
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$541.10changed to$512.83
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 9.93 changed to 9.62
- Malpractice RVU 0.14 changed to 0.15
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$532.26changed to$541.10
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$541.81changed to$532.26
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 10.09 changed to 9.93
- Work GPCI 1.051 changed to 1.058
- Practice expense GPCI 1.265 changed to 1.310
- Malpractice GPCI 0.513 changed to 0.521
January 1, 2023
RVU23A
$551.85changed to$541.81
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 10.45 changed to 10.09
- Malpractice RVU 0.13 changed to 0.14
- Work GPCI 1.044 changed to 1.051
- Practice expense GPCI 1.220 changed to 1.265
- Malpractice GPCI 0.504 changed to 0.513
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$585.80changed to$551.85
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 11.14 changed to 10.45
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$601.56changed to$585.80
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 10.87 changed to 11.14
- Work GPCI 1.049 changed to 1.044
- Practice expense GPCI 1.238 changed to 1.220
- Malpractice GPCI 0.496 changed to 0.504
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$619.72changed to$601.56
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 11.12 changed to 10.87
- Malpractice RVU 0.14 changed to 0.13
- Work GPCI 1.055 changed to 1.049
- Practice expense GPCI 1.256 changed to 1.238
- Malpractice GPCI 0.458 changed to 0.496
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$635.32changed to$619.72
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 11.48 changed to 11.12
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$625.26changed to$635.32
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 11.16 changed to 11.48
- Work GPCI 1.057 changed to 1.055
- Practice expense GPCI 1.271 changed to 1.256
- Malpractice GPCI 0.477 changed to 0.458
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
No ratechanged to$625.26
Held through RVU17B, RVU17C, RVU17D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $537.55 | Not available in this setting | RVU26D |
| 2026-07-01 | $537.55 | Not available in this setting | RVU26C |
| 2026-04-01 | $537.55 | Not available in this setting | RVU26B |
| 2026-01-01 | $537.55 | Not available in this setting | RVU26A |
| 2025-10-01 | $512.83 | Not available in this setting | RVU25D |
| 2025-07-01 | $512.83 | Not available in this setting | RVU25C |
| 2025-04-01 | $512.83 | Not available in this setting | RVU25B |
| 2025-01-01 | $512.83 | Not available in this setting | RVU25A |
| 2024-10-01 | $541.10 | Not available in this setting | RVU24D |
| 2024-07-01 | $541.10 | Not available in this setting | RVU24C |
| 2024-04-01 | $541.10 | Not available in this setting | RVU24B |
| 2024-03-09 | $541.10 | Not available in this setting | RVU24AR |
| 2024-01-01 | $532.26 | Not available in this setting | RVU24A |
| 2023-10-01 | $541.81 | Not available in this setting | RVU23D |
| 2023-07-01 | $541.81 | Not available in this setting | RVU23C |
| 2023-04-01 | $541.81 | Not available in this setting | RVU23B |
| 2023-01-01 | $541.81 | Not available in this setting | RVU23A |
| 2022-10-01 | $551.85 | Not available in this setting | RVU22D |
| 2022-07-01 | $551.85 | Not available in this setting | RVU22C |
| 2022-04-01 | $551.85 | Not available in this setting | RVU22B |
| 2022-01-01 | $551.85 | Not available in this setting | RVU22A |
| 2021-10-01 | $585.80 | Not available in this setting | RVU21D |
| 2021-07-01 | $585.80 | Not available in this setting | RVU21C |
| 2021-04-01 | $585.80 | Not available in this setting | RVU21B |
| 2021-01-01 | $585.80 | Not available in this setting | RVU21A |
| 2020-10-01 | $601.56 | Not available in this setting | RVU20D |
| 2020-07-01 | $601.56 | Not available in this setting | RVU20C |
| 2020-04-01 | $601.56 | Not available in this setting | RVU20B |
| 2020-01-01 | $601.56 | Not available in this setting | RVU20A |
| 2019-10-01 | $619.72 | Not available in this setting | RVU19D |
| 2019-07-01 | $619.72 | Not available in this setting | RVU19C |
| 2019-04-01 | $619.72 | Not available in this setting | RVU19B |
| 2019-01-01 | $619.72 | Not available in this setting | RVU19A |
| 2018-10-01 | $635.32 | Not available in this setting | RVU18D |
| 2018-07-01 | $635.32 | Not available in this setting | RVU18C |
| 2018-04-01 | $635.32 | Not available in this setting | RVU18B |
| 2018-01-01 | $635.32 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | $625.26 | Not available in this setting | RVU17D |
| 2017-07-01 | $625.26 | Not available in this setting | RVU17C |
| 2017-04-01 | $625.26 | Not available in this setting | RVU17B |
| 2017-01-01 | $625.26 | Not available in this setting | RVU17A |
| 2016-10-01 | Rate data unavailable | Not available in this setting | RVU16D |
| 2016-07-01 | Rate data unavailable | Not available in this setting | RVU16C |
| 2016-04-01 | Rate data unavailable | Not available in this setting | RVU16B |
| 2016-01-01 | Rate data unavailable | Not available in this setting | RVU16A |
| 2015-10-01 | Rate data unavailable | Not available in this setting | RVU15D |
| 2015-07-01 | Rate data unavailable | Not available in this setting | RVU15C |
| 2015-04-01 | Rate data unavailable | Not available in this setting | RVU15B |
| 2015-01-01 | Rate data unavailable | Not available in this setting | RVU15A |
| 2014-10-01 | Rate data unavailable | Not available in this setting | RVU14D |
| 2014-07-01 | Rate data unavailable | Not available in this setting | RVU14C |
| 2014-04-01 | Rate data unavailable | Not available in this setting | RVU14B |
| 2014-01-01 | Rate data unavailable | Not available in this setting | RVU14A |
| 2013-10-01 | Rate data unavailable | Not available in this setting | RVU13D |
| 2013-07-01 | Rate data unavailable | Not available in this setting | RVU13C |
| 2013-04-01 | Rate data unavailable | Not available in this setting | RVU13B |
| 2013-01-01 | Rate data unavailable | Not available in this setting | RVU13AR |
Where the Napa, CA rate applies
Napa, CA is a Medicare payment area, not a city. Our Census mapping connects it to 11 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.
- Napa
- American Canyon
- Angwin
- Calistoga
- Deer Park
- Moskowite Corner
- Oakville
- Rutherford
75563 billing questions
How does 75563 differ from 75559?
75563 includes contrast-enhanced sequences in addition to stress imaging. 75559 describes cardiac MRI with stress imaging without contrast.
When should 75561 be used instead?
Use 75561 for cardiac MRI with contrast when stress imaging is not part of the examination. 75563 is the choice when the exam includes both contrast and stress imaging.
Can the professional and technical portions be billed separately?
Yes. Report modifier 26 for the professional interpretation or modifier TC for the technical portion; billing without either modifier represents the global service.
Does a multiple procedure reduction affect this code?
CMS applies the diagnostic imaging multiple procedure reduction to the technical and professional components when applicable.
What documentation supports reporting 75563?
The record should identify the cardiac MRI examination, contrast-enhanced sequences, stress imaging, and the interpreting clinician’s findings.
Can flow velocity mapping be reported with 75563?
Code 75565 is an add-on for cardiac MRI flow velocity mapping and may be reported with 75563 when that mapping 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
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