CPT code 75565: Cardiac MRI, velocity flow mapping2026 Medicare rate & RVUs in Austin, TX
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.
In Austin, TX, Medicare pays $47.55 for 75565 in the office.
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.
On this page 11 sections
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 Austin, TX 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. Austin, TX pays $47.55. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Austin, TX · this page$47.55
- Beaumont, TX · Texas$42.06−$5.49
- Brazoria, TX · Texas$45.08−$2.47
- Dallas, TX · Texas$45.30−$2.25
- Fort Worth, TX · Texas$44.94−$2.61
- Galveston, TX · Texas$45.17−$2.38
- Houston, TX · Texas$45.36−$2.19
Other areas in Texas first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| Rest of TexasTexas | $43.50 | — |
| Los Angeles, CACalifornia | $52.43 | — |
| Washington, DC areaDistrict of Columbia | $52.50 | — |
| Miami, FLFlorida | $47.46 | — |
| Chicago, ILIllinois | $46.10 | — |
| Manhattan, NYNew York | $52.14 | — |
| AlaskaAlaska | $51.69 | — |
| 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 | — |
| Madera, CACalifornia | $48.97 | — |
| Merced, CACalifornia | $48.97 | — |
| Modesto, CACalifornia | $48.97 | — |
| Napa, CACalifornia | $57.56 | — |
| Oxnard, CACalifornia | $52.27 | — |
| Redding, CACalifornia | $48.97 | — |
| Rest of CaliforniaCalifornia | $48.97 | — |
| Riverside, CACalifornia | $49.08 | — |
| Sacramento, CACalifornia | $51.60 | — |
| Salinas, CACalifornia | $51.41 | — |
| San Diego, CACalifornia | $52.78 | — |
| Marin County, CACalifornia | $61.21 | — |
| San Francisco, CACalifornia | $61.20 | — |
| San Benito County, CACalifornia | $62.54 | — |
| Santa Clara County, CACalifornia | $62.49 | — |
| San Luis Obispo, CACalifornia | $50.56 | — |
| Santa Cruz, CACalifornia | $53.41 | — |
| Santa Maria, CACalifornia | $51.65 | — |
| Santa Rosa, CACalifornia | $53.96 | — |
| Stockton, CACalifornia | $48.97 | — |
| Vallejo, CACalifornia | $57.54 | — |
| Visalia, CACalifornia | $48.97 | — |
| Yuba City, CACalifornia | $48.97 | — |
| ColoradoColorado | $47.82 | — |
| ConnecticutConnecticut | $48.51 | — |
| DelawareDelaware | $44.99 | — |
| Fort Lauderdale, FLFlorida | $46.18 | — |
| Rest of FloridaFlorida | $43.96 | — |
| Atlanta, GAGeorgia | $46.11 | — |
| Rest of GeorgiaGeorgia | $41.49 | — |
| Hawaii, Guam, HIHawaii | $50.36 | — |
| IowaIowa | $42.07 | — |
| IdahoIdaho | $42.28 | — |
| East St. Louis, ILIllinois | $42.80 | — |
| Rest of IllinoisIllinois | $42.39 | — |
| Suburban Chicago, ILIllinois | $46.74 | — |
| IndianaIndiana | $42.55 | — |
| KansasKansas | $41.70 | — |
| KentuckyKentucky | $41.28 | — |
| New Orleans, LALouisiana | $43.28 | — |
| Rest of LouisianaLouisiana | $41.15 | — |
| Metropolitan Boston, MAMassachusetts | $52.91 | — |
| Rest of MassachusettsMassachusetts | $47.45 | — |
| Baltimore area, MDMaryland | $48.34 | — |
| Rest of MarylandMaryland | $45.92 | — |
| Rest of MaineMaine | $42.33 | — |
| Southern Maine, MEMaine | $44.97 | — |
| Detroit, MIMichigan | $44.36 | — |
| Rest of MichiganMichigan | $42.24 | — |
| MinnesotaMinnesota | $46.27 | — |
| Metropolitan Kansas City, MOMissouri | $43.16 | — |
| Metropolitan St. Louis, MOMissouri | $43.65 | — |
| Rest of MissouriMissouri | $40.30 | — |
| MississippiMississippi | $40.18 | — |
| MontanaMontana | $45.42 | — |
| North CarolinaNorth Carolina | $42.82 | — |
| North DakotaNorth Dakota | $45.23 | — |
| NebraskaNebraska | $42.36 | — |
| New HampshireNew Hampshire | $46.90 | — |
| Northern New JerseyNew Jersey | $51.88 | — |
| Rest of New JerseyNew Jersey | $49.19 | — |
| New MexicoNew Mexico | $42.42 | — |
| NevadaNevada | $45.41 | — |
| NYC suburbs and Long Island, NYNew York | $53.23 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $49.38 | — |
| Queens, NYNew York | $52.83 | — |
| Rest of New YorkNew York | $43.47 | — |
| OhioOhio | $42.20 | — |
| OklahomaOklahoma | $41.38 | — |
| Portland, OROregon | $49.58 | — |
| Rest of OregonOregon | $45.18 | — |
| Metropolitan Philadelphia, PAPennsylvania | $47.15 | — |
| Rest of PennsylvaniaPennsylvania | $42.37 | — |
| Puerto RicoPuerto Rico | $45.83 | — |
| Rhode IslandRhode Island | $46.76 | — |
| South CarolinaSouth Carolina | $42.56 | — |
| South DakotaSouth Dakota | $45.20 | — |
| TennesseeTennessee | $41.90 | — |
| UtahUtah | $43.17 | — |
| VirginiaVirginia | $44.70 | — |
| Virgin Islands, VIUnited States Virgin Islands | $45.83 | — |
| VermontVermont | $44.89 | — |
| Rest of WashingtonWashington | $47.41 | — |
| King County, WAWashington | $54.18 | — |
| WisconsinWisconsin | $43.64 | — |
| West VirginiaWest Virginia | $40.71 | — |
| WyomingWyoming | $45.34 | — |
75565 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.
$40.04
$55.75
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 | $51.69 | 1 |
| AL | $40.65 | 1 |
| AR | $40.04 | 1 |
| AZ | $44.23 | 1 |
| CA | $48.97–$62.54 | 29 |
| CO | $47.82 | 1 |
| CT | $48.51 | 1 |
| DC | $52.50 | 1 |
| DE | $44.99 | 1 |
| FL | $43.96–$47.46 | 3 |
| GA | $41.49–$46.11 | 2 |
| GU | $50.36 | 1 |
| HI | $50.36 | 1 |
| IA | $42.07 | 1 |
| ID | $42.28 | 1 |
| IL | $42.39–$46.74 | 4 |
| IN | $42.55 | 1 |
| KS | $41.70 | 1 |
| KY | $41.28 | 1 |
| LA | $41.15–$43.28 | 2 |
| MA | $47.45–$52.91 | 2 |
| MD | $45.92–$52.50 | 3 |
| ME | $42.33–$44.97 | 2 |
| MI | $42.24–$44.36 | 2 |
| MN | $46.27 | 1 |
| MO | $40.30–$43.65 | 3 |
| MS | $40.18 | 1 |
| MT | $45.42 | 1 |
| NC | $42.82 | 1 |
| ND | $45.23 | 1 |
| NE | $42.36 | 1 |
| NH | $46.90 | 1 |
| NJ | $49.19–$51.88 | 2 |
| NM | $42.42 | 1 |
| NV | $45.41 | 1 |
| NY | $43.47–$53.23 | 5 |
| OH | $42.20 | 1 |
| OK | $41.38 | 1 |
| OR | $45.18–$49.58 | 2 |
| PA | $42.37–$47.15 | 2 |
| PR | $45.83 | 1 |
| RI | $46.76 | 1 |
| SC | $42.56 | 1 |
| SD | $45.20 | 1 |
| TN | $41.90 | 1 |
| TX | $42.06–$47.55 | 8 |
| UT | $43.17 | 1 |
| VA | $44.70–$52.50 | 2 |
| VI | $45.83 | 1 |
| VT | $44.89 | 1 |
| WA | $47.41–$54.18 | 2 |
| WI | $43.64 | 1 |
| WV | $40.71 | 1 |
| WY | $45.34 | 1 |
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
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 Austin, TX 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
96
- Locality
- Austin, TX
- Physician work
- 1.002
- Practice expense
- 1.058
- Malpractice
- 0.886
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.24 | × 1.002 | 0.2405 |
| Practice expense | 1.11 | × 1.058 | 1.1744 |
| Malpractice | 0.01 | × 0.886 | 0.0089 |
| Total RVUs | 1.4237 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Austin, TX$47.55
Office: (0.24 × 1.002 + 1.11 × 1.058 + 0.01 × 0.886) × $33.4009 = $47.55
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| 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
75565 without 26 · national office
$45.43
Cardiac MRI, velocity flow mapping
75565-26 · Professional component
$11.36
Pays only the interpretation and report.
How 75565 has changed in Austin, TX
75565 · Office / nonfacility
$47.55
Effective 2026-10-01
The base rate is $1.95 higher than on 2025-10-01, moving from $45.60 to $47.55 (4.3%).
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
$45.60changed to$47.55
- 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
- Work GPCI 1.000 changed to 1.002
- Practice expense GPCI 1.046 changed to 1.058
- Malpractice GPCI 0.914 changed to 0.886
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$48.32changed to$45.60
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 1.14 changed to 1.10
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$47.53changed to$48.32
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$50.11changed to$47.53
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 1.16 changed to 1.14
- Practice expense GPCI 1.053 changed to 1.046
- Malpractice GPCI 0.727 changed to 0.914
January 1, 2023
RVU23A
$52.82changed to$50.11
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 1.20 changed to 1.16
- Practice expense GPCI 1.059 changed to 1.053
- Malpractice GPCI 0.539 changed to 0.727
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$55.84changed to$52.82
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 1.27 changed to 1.20
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$55.04changed to$55.84
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 1.22 changed to 1.27
- Practice expense GPCI 1.040 changed to 1.059
- Malpractice GPCI 0.643 changed to 0.539
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$55.27changed to$55.04
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 1.25 changed to 1.22
- Practice expense GPCI 1.021 changed to 1.040
- Malpractice GPCI 0.747 changed to 0.643
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$56.68changed to$55.27
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 1.29 changed to 1.25
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$56.47changed to$56.68
- Conversion factor 35.8887 changed to 35.9996
- Practice expense GPCI 1.020 changed to 1.021
- Malpractice GPCI 0.757 changed to 0.747
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$55.93changed to$56.47
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 1.28 changed to 1.29
- Practice expense GPCI 1.019 changed to 1.020
- Malpractice GPCI 0.766 changed to 0.757
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$56.40changed to$55.93
- Conversion factor 35.9335 changed to 35.8043
- Malpractice RVU 0.02 changed to 0.01
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$56.12changed to$56.40
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$56.72changed to$56.12
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 1.30 changed to 1.28
- Practice expense GPCI 1.014 changed to 1.019
- Malpractice GPCI 0.759 changed to 0.766
Held through RVU15B.
January 1, 2014
RVU14A
$64.29changed to$56.72
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 1.61 changed to 1.30
- Practice expense GPCI 1.009 changed to 1.014
- Malpractice GPCI 0.751 changed to 0.759
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $64.29
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $47.55 | Not available in this setting | RVU26D |
| 2026-07-01 | $47.55 | Not available in this setting | RVU26C |
| 2026-04-01 | $47.55 | Not available in this setting | RVU26B |
| 2026-01-01 | $47.55 | Not available in this setting | RVU26A |
| 2025-10-01 | $45.60 | Not available in this setting | RVU25D |
| 2025-07-01 | $45.60 | Not available in this setting | RVU25C |
| 2025-04-01 | $45.60 | Not available in this setting | RVU25B |
| 2025-01-01 | $45.60 | Not available in this setting | RVU25A |
| 2024-10-01 | $48.32 | Not available in this setting | RVU24D |
| 2024-07-01 | $48.32 | Not available in this setting | RVU24C |
| 2024-04-01 | $48.32 | Not available in this setting | RVU24B |
| 2024-03-09 | $48.32 | Not available in this setting | RVU24AR |
| 2024-01-01 | $47.53 | Not available in this setting | RVU24A |
| 2023-10-01 | $50.11 | Not available in this setting | RVU23D |
| 2023-07-01 | $50.11 | Not available in this setting | RVU23C |
| 2023-04-01 | $50.11 | Not available in this setting | RVU23B |
| 2023-01-01 | $50.11 | Not available in this setting | RVU23A |
| 2022-10-01 | $52.82 | Not available in this setting | RVU22D |
| 2022-07-01 | $52.82 | Not available in this setting | RVU22C |
| 2022-04-01 | $52.82 | Not available in this setting | RVU22B |
| 2022-01-01 | $52.82 | Not available in this setting | RVU22A |
| 2021-10-01 | $55.84 | Not available in this setting | RVU21D |
| 2021-07-01 | $55.84 | Not available in this setting | RVU21C |
| 2021-04-01 | $55.84 | Not available in this setting | RVU21B |
| 2021-01-01 | $55.84 | Not available in this setting | RVU21A |
| 2020-10-01 | $55.04 | Not available in this setting | RVU20D |
| 2020-07-01 | $55.04 | Not available in this setting | RVU20C |
| 2020-04-01 | $55.04 | Not available in this setting | RVU20B |
| 2020-01-01 | $55.04 | Not available in this setting | RVU20A |
| 2019-10-01 | $55.27 | Not available in this setting | RVU19D |
| 2019-07-01 | $55.27 | Not available in this setting | RVU19C |
| 2019-04-01 | $55.27 | Not available in this setting | RVU19B |
| 2019-01-01 | $55.27 | Not available in this setting | RVU19A |
| 2018-10-01 | $56.68 | Not available in this setting | RVU18D |
| 2018-07-01 | $56.68 | Not available in this setting | RVU18C |
| 2018-04-01 | $56.68 | Not available in this setting | RVU18B |
| 2018-01-01 | $56.68 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | $56.47 | Not available in this setting | RVU17D |
| 2017-07-01 | $56.47 | Not available in this setting | RVU17C |
| 2017-04-01 | $56.47 | Not available in this setting | RVU17B |
| 2017-01-01 | $56.47 | Not available in this setting | RVU17A |
| 2016-10-01 | $55.93 | Not available in this setting | RVU16D |
| 2016-07-01 | $55.93 | Not available in this setting | RVU16C |
| 2016-04-01 | $55.93 | Not available in this setting | RVU16B |
| 2016-01-01 | $55.93 | Not available in this setting | RVU16A |
| 2015-10-01 | $56.40 | Not available in this setting | RVU15D |
| 2015-07-01 | $56.40 | Not available in this setting | RVU15C |
| 2015-04-01 | $56.12 | Not available in this setting | RVU15B |
| 2015-01-01 | $56.12 | Not available in this setting | RVU15A |
| 2014-10-01 | $56.72 | Not available in this setting | RVU14D |
| 2014-07-01 | $56.72 | Not available in this setting | RVU14C |
| 2014-04-01 | $56.72 | Not available in this setting | RVU14B |
| 2014-01-01 | $56.72 | Not available in this setting | RVU14A |
| 2013-10-01 | $64.29 | Not available in this setting | RVU13D |
| 2013-07-01 | $64.29 | Not available in this setting | RVU13C |
| 2013-04-01 | $64.29 | Not available in this setting | RVU13B |
| 2013-01-01 | $64.29 | Not available in this setting | RVU13AR |
Where the Austin, TX rate applies
Austin, TX is a Medicare payment area, not a city. Our Census mapping connects it to 31 cities and communities in Texas. Some span more than one payment area; confirm with the service ZIP.
- 75565 in Austin · multiple payment areas
- Barton Creek
- Bee Cave
- Briarcliff
- 75565 in Cedar Park · multiple payment areas
- 75565 in Creedmoor · multiple payment areas
- 75565 in Elgin · multiple payment areas
- Garfield
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
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