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CPT code 75563: Cardiac MRI, stress imaging with contrast2026 Medicare rate & RVUs in Puerto Rico

Reports cardiac MRI assessment with stress imaging and contrast when the examination evaluates heart morphology and function alongside stress-related findings.

CMS RVU26DEffective Oct 1, 2026One payment locality5.1K Medicare services in 2024

In Puerto Rico, Medicare pays $433.39 for 75563 in the office.

$433.39Office (non-facility)
Not available in this settingHospital or facility
+0.8%vs the national office rate ($429.87)

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.

We’ll open 75563 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Puerto Rico
  2. What 75563 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 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 Puerto Rico 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. Puerto Rico pays $433.39. The RVUs are the same everywhere; the geographic indexes change the dollars.

75563 in Puerto Rico vs other payment areas
  1. Puerto Rico · this page$433.39
  2. Los Angeles, CA · California$492.04+$58.65
  3. Washington, DC area · District of Columbia$493.93+$60.54
  4. Miami, FL · Florida$450.94+$17.55
  5. Chicago, IL · Illinois$438.68+$5.29
  6. Manhattan, NY · New York$492.04+$58.65
  7. Alaska · Alaska$497.81+$64.42

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

Every other payment area

75563 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$386.82—
ArkansasArkansas$381.33—
ArizonaArizona$419.01—
Bakersfield, CACalifornia$461.16—
Chico, CACalifornia$460.60—
El Centro, CACalifornia$460.63—
Fresno, CACalifornia$460.60—
Hanford, CACalifornia$460.60—

75563 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.

$381.33

$521.72

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

View every state and territory as a table
75563 office rate range by state
State / territoryOffice rate rangeLocalities
AK$497.811
AL$386.821
AR$381.331
AZ$419.011
CA$460.60–$582.8429
CO$450.871
CT$458.061
DC$493.931
DE$425.931
FL$418.00–$450.943
GA$395.52–$436.402
GU$472.561
HI$472.561
IA$399.051
ID$401.071
IL$404.24–$443.254
IN$403.421
KS$395.991
KY$393.151
LA$392.05–$411.262
MA$447.75–$496.772
MD$434.36–$493.933
ME$401.82–$425.082
MI$402.07–$421.862
MN$435.831
MO$384.61–$414.183
MS$383.111
MT$429.861
NC$406.151
ND$426.891
NE$401.571
NH$442.651
NJ$464.35–$488.692
NM$403.741
NV$429.361
NY$412.03–$502.235
OH$401.461
OK$393.761
OR$427.07–$466.452
PA$402.78–$446.002
PR$433.391
RI$441.981
SC$404.271
SD$426.541
TN$397.791
TX$400.08–$448.468
UT$409.741
VA$422.84–$493.932
VI$433.391
VT$424.121
WA$447.28–$508.072
WI$412.671
WV$389.191
WY$428.571

See 75563 in every payment locality

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

Office or facility?

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 Puerto Rico 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

91

Locality
Puerto Rico
Physician work
1.000
Practice expense
1.011
Malpractice
0.985
Office calculation for 75563 in Puerto Rico
ComponentRVULocality factorAdjusted
Physician work2.93× 1.0002.9300
Practice expense9.79× 1.0119.8977
Malpractice0.15× 0.9850.1477
Total RVUs12.9754
Conversion factor× 33.4009

Office rate, Puerto Rico$433.39

Office: (2.93 × 1 + 9.79 × 1.011 + 0.15 × 0.985) × $33.4009 = $433.39

Open 75563 in the RVU calculator

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

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

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.

When to use modifier 26

Codes related to 75563

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

Codes related to 75563
CodeHow it relatesOffice range, Puerto Rico
Same family
75559Cardiac MRI, stress imaging, no contrastCardiac MRI with stress imaging, but without contrast-enhanced sequences.$383.13
75561Cardiac MRI, morphology and function with contrastCardiac MRI with contrast-enhanced sequences when stress imaging is not performed.$368.02
75557Cardiac MRI, morphology and function, no contrastCardiac MRI for morphology and function without contrast or stress imaging.$281.70
Add-on codes
75565Cardiac MRI, velocity flow mappingAdd-on code for cardiac MRI flow velocity mapping performed with this examination.$45.83

How 75563 has changed in Puerto Rico

75563 · Office / nonfacility

$433.39

Effective 2026-10-01

The base rate is $18.23 higher than on 2025-10-01, moving from $415.16 to $433.39 (4.4%).

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

    $415.16changed to$433.39

    • 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
    • Practice expense GPCI 1.007 changed to 1.011
    • Malpractice GPCI 0.982 changed to 0.985

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $437.30changed to$415.16

    • 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.

  3. March 9, 2024

    RVU24AR

    $430.16changed to$437.30

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $450.99changed to$430.16

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 10.09 changed to 9.93
    • Practice expense GPCI 1.008 changed to 1.007
    • Malpractice GPCI 0.984 changed to 0.982

  5. October 1, 2023

    RVU23D

    $448.33changed to$450.99

    • Practice expense GPCI 1.000 changed to 1.008
    • Malpractice GPCI 1.000 changed to 0.984

  6. January 1, 2023

    RVU23A

    $472.78changed to$448.33

    • 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
    • Practice expense GPCI 1.008 changed to 1.000
    • Malpractice GPCI 0.986 changed to 1.000

    Held through RVU23B, RVU23C.

  7. January 1, 2022

    RVU22A

    $500.97changed to$472.78

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 11.14 changed to 10.45

    Held through RVU22B, RVU22C, RVU22D.

  8. January 1, 2021

    RVU21A

    $508.34changed to$500.97

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 10.87 changed to 11.14
    • Malpractice GPCI 0.988 changed to 0.986

    Held through RVU21B, RVU21C, RVU21D.

  9. January 1, 2020

    RVU20A

    $516.67changed to$508.34

    • 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
    • Practice expense GPCI 1.007 changed to 1.008
    • Malpractice GPCI 0.990 changed to 0.988

    Held through RVU20B, RVU20C, RVU20D.

  10. January 1, 2019

    RVU19A

    $529.16changed to$516.67

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 11.48 changed to 11.12

    Held through RVU19B, RVU19C, RVU19D.

  11. January 1, 2018

    RVU18AR1

    $453.74changed to$529.16

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 11.16 changed to 11.48
    • Practice expense GPCI 0.856 changed to 1.007
    • Malpractice GPCI 0.642 changed to 0.990

    Held through RVU18B, RVU18C, RVU18D.

  12. January 1, 2017

    RVU17A

    $385.79changed to$453.74

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 10.97 changed to 11.16
    • Practice expense GPCI 0.705 changed to 0.856
    • Malpractice GPCI 0.293 changed to 0.642

    Held through RVU17B, RVU17C, RVU17D.

  13. January 1, 2016

    RVU16A

    $387.14changed to$385.79

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 10.96 changed to 10.97
    • Malpractice RVU 0.16 changed to 0.14

    Held through RVU16B, RVU16C, RVU16D.

  14. July 1, 2015

    RVU15C

    $385.21changed to$387.14

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  15. January 1, 2015

    RVU15A

    $388.01changed to$385.21

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 11.27 changed to 10.96
    • Malpractice RVU 0.12 changed to 0.16
    • Practice expense GPCI 0.692 changed to 0.705
    • Malpractice GPCI 0.271 changed to 0.293

    Held through RVU15B.

  16. January 1, 2014

    RVU14A

    $423.26changed to$388.01

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 13.88 changed to 11.27
    • Practice expense GPCI 0.678 changed to 0.692
    • Malpractice GPCI 0.249 changed to 0.271

    Held through RVU14B, RVU14C, RVU14D.

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: $423.26

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$433.39Not available in this settingRVU26D
2026-07-01$433.39Not available in this settingRVU26C
2026-04-01$433.39Not available in this settingRVU26B
2026-01-01$433.39Not available in this settingRVU26A
2025-10-01$415.16Not available in this settingRVU25D
2025-07-01$415.16Not available in this settingRVU25C
2025-04-01$415.16Not available in this settingRVU25B
2025-01-01$415.16Not available in this settingRVU25A
2024-10-01$437.30Not available in this settingRVU24D
2024-07-01$437.30Not available in this settingRVU24C
2024-04-01$437.30Not available in this settingRVU24B
2024-03-09$437.30Not available in this settingRVU24AR
2024-01-01$430.16Not available in this settingRVU24A
2023-10-01$450.99Not available in this settingRVU23D
2023-07-01$448.33Not available in this settingRVU23C
2023-04-01$448.33Not available in this settingRVU23B
2023-01-01$448.33Not available in this settingRVU23A
2022-10-01$472.78Not available in this settingRVU22D
2022-07-01$472.78Not available in this settingRVU22C
2022-04-01$472.78Not available in this settingRVU22B
2022-01-01$472.78Not available in this settingRVU22A
2021-10-01$500.97Not available in this settingRVU21D
2021-07-01$500.97Not available in this settingRVU21C
2021-04-01$500.97Not available in this settingRVU21B
2021-01-01$500.97Not available in this settingRVU21A
2020-10-01$508.34Not available in this settingRVU20D
2020-07-01$508.34Not available in this settingRVU20C
2020-04-01$508.34Not available in this settingRVU20B
2020-01-01$508.34Not available in this settingRVU20A
2019-10-01$516.67Not available in this settingRVU19D
2019-07-01$516.67Not available in this settingRVU19C
2019-04-01$516.67Not available in this settingRVU19B
2019-01-01$516.67Not available in this settingRVU19A
2018-10-01$529.16Not available in this settingRVU18D
2018-07-01$529.16Not available in this settingRVU18C
2018-04-01$529.16Not available in this settingRVU18B
2018-01-01$529.16Not available in this settingRVU18AR1
2017-10-01$453.74Not available in this settingRVU17D
2017-07-01$453.74Not available in this settingRVU17C
2017-04-01$453.74Not available in this settingRVU17B
2017-01-01$453.74Not available in this settingRVU17A
2016-10-01$385.79Not available in this settingRVU16D
2016-07-01$385.79Not available in this settingRVU16C
2016-04-01$385.79Not available in this settingRVU16B
2016-01-01$385.79Not available in this settingRVU16A
2015-10-01$387.14Not available in this settingRVU15D
2015-07-01$387.14Not available in this settingRVU15C
2015-04-01$385.21Not available in this settingRVU15B
2015-01-01$385.21Not available in this settingRVU15A
2014-10-01$388.01Not available in this settingRVU14D
2014-07-01$388.01Not available in this settingRVU14C
2014-04-01$388.01Not available in this settingRVU14B
2014-01-01$388.01Not available in this settingRVU14A
2013-10-01$423.26Not available in this settingRVU13D
2013-07-01$423.26Not available in this settingRVU13C
2013-04-01$423.26Not available in this settingRVU13B
2013-01-01$423.26Not available in this settingRVU13AR

Price 75563 for an earlier date of service

Where the Puerto Rico rate applies

Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.

  • Aceitunas
  • Adjuntas
  • Aguada
  • Aguadilla
  • Aguas Buenas
  • Aguas Claras
  • Aguilita
  • Aibonito

Browse all communities in Puerto Rico

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
RVUs for 75563PPRRVU2026_Oct_nonQPP.csv, line 8,477 (RVU26D)
Geographic factors for Puerto RicoGPCI2026.csv, line 91 (RVU26D)

Open CMS sourceHow we calculate rates

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