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CPT code 75565: Cardiac MRI, velocity flow mapping2026 Medicare rate & RVUs in Kansas

Reports cardiac MRI velocity flow mapping added to a primary cardiac MRI to measure blood-flow direction and velocity in the heart or great vessels.

CMS RVU26DEffective Oct 1, 2026One payment locality27.3K Medicare services in 2024

In Kansas, Medicare pays $41.70 for 75565 in the office.

$41.70Office (non-facility)
Not available in this settingHospital or facility
−8.2%vs the national office rate ($45.43)

Check a contract rate as a % of Medicare · 75565 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 75565 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Kansas
  2. What 75565 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 75565 covers

This add-on captures and analyzes blood-flow velocity during cardiac MRI, such as flow across a valve or through a vessel. It can help quantify regurgitant flow or assess a suspected shunt, including in congenital heart disease. An MRI technologist performs the acquisition, with interpretation by a radiologist or cardiologist. The service is used with a primary cardiac MRI examination, not as a stand-alone study.

Report 75565 only when velocity flow mapping is performed in addition to the primary cardiac MRI; the record should support the mapping acquisition and its interpretation. CMS treats it as an add-on paid within the primary procedure's global period. The diagnostic test has professional and technical components: modifier 26 identifies interpretation, modifier TC identifies equipment and staff, and reporting without either modifier represents the global service.

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 Kansas compares for 75565

Across 109 of 109 payment localities, the office rate for 75565 runs from $40.04 in Arkansas to $62.54 in San Benito County, CA. Kansas pays $41.70. The RVUs are the same everywhere; the geographic indexes change the dollars.

75565 in Kansas vs other payment areas
  1. Kansas · this page$41.70
  2. Los Angeles, CA · California$52.43+$10.73
  3. Washington, DC area · District of Columbia$52.50+$10.80
  4. Miami, FL · Florida$47.46+$5.76
  5. Chicago, IL · Illinois$46.10+$4.40
  6. Manhattan, NY · New York$52.14+$10.44
  7. Alaska · Alaska$51.69+$9.99

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

Every other payment area

75565 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$40.65—
ArkansasArkansas$40.04—
ArizonaArizona$44.23—
Bakersfield, CACalifornia$49.01—
Chico, CACalifornia$48.97—
El Centro, CACalifornia$48.97—
Fresno, CACalifornia$48.97—
Hanford, CACalifornia$48.97—

75565 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.

$40.04

$55.75

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

View every state and territory as a table
75565 office rate range by state
State / territoryOffice rate rangeLocalities
AK$51.691
AL$40.651
AR$40.041
AZ$44.231
CA$48.97–$62.5429
CO$47.821
CT$48.511
DC$52.501
DE$44.991
FL$43.96–$47.463
GA$41.49–$46.112
GU$50.361
HI$50.361
IA$42.071
ID$42.281
IL$42.39–$46.744
IN$42.551
KS$41.701
KY$41.281
LA$41.15–$43.282
MA$47.45–$52.912
MD$45.92–$52.503
ME$42.33–$44.972
MI$42.24–$44.362
MN$46.271
MO$40.30–$43.653
MS$40.181
MT$45.421
NC$42.821
ND$45.231
NE$42.361
NH$46.901
NJ$49.19–$51.882
NM$42.421
NV$45.411
NY$43.47–$53.235
OH$42.201
OK$41.381
OR$45.18–$49.582
PA$42.37–$47.152
PR$45.831
RI$46.761
SC$42.561
SD$45.201
TN$41.901
TX$42.06–$47.558
UT$43.171
VA$44.70–$52.502
VI$45.831
VT$44.891
WA$47.41–$54.182
WI$43.641
WV$40.711
WY$45.341

See 75565 in every payment locality

How the 75565 rate is calculated

Each of 75565’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 · 75565

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.24

0.24 RVUs× 1.000 GPCI

Practice expense1.11

1.11 RVUs× 1.000 GPCI

Malpractice0.01

0.01 RVUs× 1.000 GPCI

Adjusted RVUs

1.3600

Conversion factor

$33.4009

Medicare rate

$45.43

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

The exact Kansas inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

8,480

Code
75565
Physician work
0.24
Practice expense
1.11
Malpractice
0.01

GPCI2026.csv

54

Locality
Kansas
Physician work
1.000
Practice expense
0.904
Malpractice
0.504
Office calculation for 75565 in Kansas
ComponentRVULocality factorAdjusted
Physician work0.24× 1.0000.2400
Practice expense1.11× 0.9041.0034
Malpractice0.01× 0.5040.0050
Total RVUs1.2485
Conversion factor× 33.4009

Office rate, Kansas$41.70

Office: (0.24 × 1 + 1.11 × 0.904 + 0.01 × 0.504) × $33.4009 = $41.70

Open 75565 in the RVU calculator

Payment rules and modifiers for 75565

The CMS indicators that decide how 75565 is paid alongside other services.

CMS payment indicators · 75565

Cardiac MRI, velocity flow mapping

RuleCMS valueWhat it means
Global periodZZZAdd-on code: falls within the primary procedure’s global period.
Multiple procedures0No multiple-procedure reduction.
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

75565 without 26 · national office

$45.43

Cardiac MRI, velocity flow mapping

75565-26 · Professional component

$11.36

Pays only the interpretation and report.

When to use modifier 26

Codes related to 75565

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

Codes related to 75565
CodeHow it relatesOffice range, Kansas
Primary code
75557Cardiac MRI, morphology and function, no contrastPrimary cardiac MRI without stress imaging or contrast; report mapping as an add-on when performed.$258.60
75559Cardiac MRI, stress imaging, no contrastPrimary cardiac MRI with stress imaging and without contrast.$351.38
75561Cardiac MRI, morphology and function with contrastPrimary cardiac MRI with contrast and without stress imaging.$336.17
75563Cardiac MRI, stress imaging with contrastPrimary cardiac MRI with stress imaging and contrast.$395.99

How 75565 has changed in Kansas

75565 · Office / nonfacility

$41.70

Effective 2026-10-01

The base rate is $1.20 higher than on 2025-10-01, moving from $40.50 to $41.70 (3.0%).

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

    $40.50changed to$41.70

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.25 changed to 0.24
    • Practice expense RVU 1.10 changed to 1.11
    • Practice expense GPCI 0.906 changed to 0.904
    • Malpractice GPCI 0.540 changed to 0.504

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $42.88changed to$40.50

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 1.14 changed to 1.10

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $42.18changed to$42.88

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $44.29changed to$42.18

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 1.16 changed to 1.14
    • Practice expense GPCI 0.907 changed to 0.906
    • Malpractice GPCI 0.499 changed to 0.540

  5. January 1, 2023

    RVU23A

    $46.52changed to$44.29

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 1.20 changed to 1.16
    • Practice expense GPCI 0.908 changed to 0.907
    • Malpractice GPCI 0.458 changed to 0.499

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $49.12changed to$46.52

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 1.27 changed to 1.20

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $49.28changed to$49.12

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 1.22 changed to 1.27
    • Practice expense GPCI 0.910 changed to 0.908
    • Malpractice GPCI 0.536 changed to 0.458

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $50.27changed to$49.28

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 1.25 changed to 1.22
    • Practice expense GPCI 0.911 changed to 0.910
    • Malpractice GPCI 0.615 changed to 0.536

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $51.53changed to$50.27

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 1.29 changed to 1.25

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $51.19changed to$51.53

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense GPCI 0.907 changed to 0.911
    • Malpractice GPCI 0.639 changed to 0.615

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $50.57changed to$51.19

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 1.28 changed to 1.29
    • Practice expense GPCI 0.903 changed to 0.907
    • Malpractice GPCI 0.662 changed to 0.639

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $50.99changed to$50.57

    • Conversion factor 35.9335 changed to 35.8043
    • Malpractice RVU 0.02 changed to 0.01

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $50.74changed to$50.99

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $51.40changed to$50.74

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 1.30 changed to 1.28
    • Practice expense GPCI 0.899 changed to 0.903
    • Malpractice GPCI 0.810 changed to 0.662

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $58.13changed to$51.40

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 1.61 changed to 1.30
    • Practice expense GPCI 0.894 changed to 0.899
    • Malpractice GPCI 0.957 changed to 0.810

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $58.13

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$41.70Not available in this settingRVU26D
2026-07-01$41.70Not available in this settingRVU26C
2026-04-01$41.70Not available in this settingRVU26B
2026-01-01$41.70Not available in this settingRVU26A
2025-10-01$40.50Not available in this settingRVU25D
2025-07-01$40.50Not available in this settingRVU25C
2025-04-01$40.50Not available in this settingRVU25B
2025-01-01$40.50Not available in this settingRVU25A
2024-10-01$42.88Not available in this settingRVU24D
2024-07-01$42.88Not available in this settingRVU24C
2024-04-01$42.88Not available in this settingRVU24B
2024-03-09$42.88Not available in this settingRVU24AR
2024-01-01$42.18Not available in this settingRVU24A
2023-10-01$44.29Not available in this settingRVU23D
2023-07-01$44.29Not available in this settingRVU23C
2023-04-01$44.29Not available in this settingRVU23B
2023-01-01$44.29Not available in this settingRVU23A
2022-10-01$46.52Not available in this settingRVU22D
2022-07-01$46.52Not available in this settingRVU22C
2022-04-01$46.52Not available in this settingRVU22B
2022-01-01$46.52Not available in this settingRVU22A
2021-10-01$49.12Not available in this settingRVU21D
2021-07-01$49.12Not available in this settingRVU21C
2021-04-01$49.12Not available in this settingRVU21B
2021-01-01$49.12Not available in this settingRVU21A
2020-10-01$49.28Not available in this settingRVU20D
2020-07-01$49.28Not available in this settingRVU20C
2020-04-01$49.28Not available in this settingRVU20B
2020-01-01$49.28Not available in this settingRVU20A
2019-10-01$50.27Not available in this settingRVU19D
2019-07-01$50.27Not available in this settingRVU19C
2019-04-01$50.27Not available in this settingRVU19B
2019-01-01$50.27Not available in this settingRVU19A
2018-10-01$51.53Not available in this settingRVU18D
2018-07-01$51.53Not available in this settingRVU18C
2018-04-01$51.53Not available in this settingRVU18B
2018-01-01$51.53Not available in this settingRVU18AR1
2017-10-01$51.19Not available in this settingRVU17D
2017-07-01$51.19Not available in this settingRVU17C
2017-04-01$51.19Not available in this settingRVU17B
2017-01-01$51.19Not available in this settingRVU17A
2016-10-01$50.57Not available in this settingRVU16D
2016-07-01$50.57Not available in this settingRVU16C
2016-04-01$50.57Not available in this settingRVU16B
2016-01-01$50.57Not available in this settingRVU16A
2015-10-01$50.99Not available in this settingRVU15D
2015-07-01$50.99Not available in this settingRVU15C
2015-04-01$50.74Not available in this settingRVU15B
2015-01-01$50.74Not available in this settingRVU15A
2014-10-01$51.40Not available in this settingRVU14D
2014-07-01$51.40Not available in this settingRVU14C
2014-04-01$51.40Not available in this settingRVU14B
2014-01-01$51.40Not available in this settingRVU14A
2013-10-01$58.13Not available in this settingRVU13D
2013-07-01$58.13Not available in this settingRVU13C
2013-04-01$58.13Not available in this settingRVU13B
2013-01-01$58.13Not available in this settingRVU13AR

Price 75565 for an earlier date of service

Where the Kansas rate applies

Kansas is a Medicare payment area, not a city. Our Census mapping connects it to 740 cities and communities in Kansas. Some span more than one payment area; confirm with the service ZIP.

  • Abbyville
  • Abilene
  • Ada
  • Admire
  • Agenda
  • Agra
  • Albert
  • Alden

Browse all communities in Kansas

75565 billing questions

Can 75565 be billed by itself?

No. It is an add-on for velocity flow mapping performed with a primary cardiac MRI, such as 75557, 75559, 75561, or 75563.

How is 75565 different from the primary cardiac MRI code?

The primary code identifies the cardiac MRI examination, including whether stress imaging or contrast is used. 75565 separately identifies additional velocity flow mapping performed during that examination.

When should modifier 26 or TC be used?

Use modifier 26 for the professional interpretation and modifier TC for the technical service, including equipment and staff. Without either modifier, the claim represents the global service.

What documentation supports reporting 75565?

Document that velocity flow mapping was acquired and interpreted as part of the cardiac MRI, along with the clinical reason for assessing flow, such as suspected regurgitation or a shunt.

Is 75565 paid separately from the primary MRI's global period?

CMS treats 75565 as an add-on paid within the primary procedure's global period.

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 75565PPRRVU2026_Oct_nonQPP.csv, line 8,480 (RVU26D)
Geographic factors for KansasGPCI2026.csv, line 54 (RVU26D)

Open CMS sourceHow we calculate rates

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