CPT code 75571: Calcium scoring, quantitative coronary calcium2026 Medicare rate & RVUs in New York
Noncontrast cardiac CT with quantitative coronary calcium assessment, reported when a clinician needs a measure of calcified coronary atherosclerotic burden.
Medicare pays $95.10–$117.08 for 75571 in the office in New York, from Rest of New York to NYC suburbs and Long Island, NY. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 sections
What 75571 covers
This service uses a noncontrast CT scan of the heart to quantify calcified plaque in the coronary arteries. It is commonly ordered as part of cardiovascular risk assessment; the resulting calcium score measures calcified burden rather than showing the coronary artery lumen as a contrast angiogram would. A radiologic technologist acquires the images, and a radiologist or cardiologist typically interprets them and documents the quantitative findings.
Report 75571 when the study includes both the noncontrast cardiac CT and quantitative coronary calcium evaluation. Documentation should support the scan performed, the quantified result, and the interpreting clinician’s findings. The service may be billed globally, or the interpretation and image acquisition may be billed separately with modifier 26 or TC, respectively. When multiple diagnostic imaging procedures are reported, the CMS multiple-procedure reduction applies to both the technical and professional 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.
Where 75571 pays more and less in New York
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
5 payment localities
$95.10 to $117.08
| Payment locality | Office | Facility |
|---|---|---|
| Manhattan, NY | $114.50 | Unavailable |
| NYC suburbs and Long Island, NY | $117.08 | Unavailable |
| Poughkeepsie and northern NYC suburbs, NY | $108.23 | Unavailable |
| Queens, NY | $115.84 | Unavailable |
| Rest of New York | $95.10 | Unavailable |
How the 75571 rate is calculated
Each of 75571’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 · 75571
RVUs × geographic indexes × conversion factor
Work0.57
0.57 RVUs× 1.000 GPCI
Practice expense2.36
2.36 RVUs× 1.000 GPCI
Malpractice0.05
0.05 RVUs× 1.000 GPCI
Adjusted RVUs
2.9800
Conversion factor
$33.4009
Medicare rate
$99.53
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 75571
The CMS indicators that decide how 75571 is paid alongside other services.
CMS payment indicators · 75571
Calcium scoring, quantitative coronary calcium
| 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
75571 without 26 · national office
$99.53
Calcium scoring, quantitative coronary calcium
75571-26 · Professional component
$26.72
Pays only the interpretation and report.
75571 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 75572Cardiac CTStructure and morphology
- 75571 quantifies coronary calcium on noncontrast images; 75572 evaluates cardiac structure and morphology with CT.
- 75574Coronary CTAWith contrast and 3D reconstruction
- 75571 assesses calcified coronary burden without contrast. 75574 is coronary CT angiography, which uses contrast to evaluate the coronary arteries.
- 75577Coronary plaque analysisCTA-based quantification
- 75571 is noncontrast coronary calcium scoring. 75577 is a separate quantitative and qualitative plaque assessment, not the calcium-score service.
75571 billing questions
How does 75571 differ from a coronary CT angiogram?
75571 quantifies coronary calcium on a noncontrast cardiac CT. A coronary CT angiogram, such as 75574, uses contrast to evaluate the coronary arteries.
Can the interpretation and scan acquisition be billed separately?
Yes. Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical service. Billing without either modifier represents the global service.
Does the multiple-procedure reduction affect only the technical component?
No. CMS applies the diagnostic imaging multiple-procedure reduction to both the technical and professional components.
What documentation supports reporting 75571?
The record should identify the noncontrast cardiac CT, the quantitative coronary calcium findings, and the interpreting clinician’s report.
Is 75571 the right code when the CT evaluates cardiac structure?
Use 75571 for quantitative coronary calcium assessment. Cardiac CT performed to evaluate structure and morphology is represented by a different service, such as 75572.
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
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