CPT code 75572: Cardiac CT, structure and morphology2026 Medicare rate & RVUs

Medicare pays $229.46 for 75572 nationally in the office. Local office rates run $204.01–$308.90.

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 75572 covers

This service uses contrast-enhanced computed tomography to assess cardiac anatomy and morphology. It may be ordered to examine structures such as the heart chambers, valves, pericardium, or a suspected cardiac mass. A radiology or cardiology imaging team acquires the study, and a qualified physician interprets the images. Three-dimensional image postprocessing, when performed as part of the study, is included in the service.

Select this code when the clinical question centers on cardiac structure and morphology. Use a coronary CT angiography code when the target is the coronary arteries, and a calcium-scoring code when the study evaluates coronary calcium without contrast. Documentation should identify the clinical indication, contrast-enhanced cardiac CT protocol, and physician interpretation. CMS recognizes professional and technical components: report modifier 26 for interpretation, modifier TC for equipment and staff, or neither for the global service. When the applicable multiple-procedure reduction applies, it affects 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 75572 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

75572 rates by state

Office rate range in each state. Select a state to see its payment localities.

How the 75572 rate is calculated

Each of 75572’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.

Payment rules and modifiers for 75572

The CMS indicators that decide how 75572 is paid alongside other services.

What modifiers do to the payment

When to use modifier 26

75572 compared with similar codes

How to choose

75571Calcium scoringQuantitative coronary calcium

75571 evaluates coronary calcium with a noncontrast cardiac CT. Choose 75572 for contrast-enhanced assessment of cardiac structure and morphology.

75573Cardiac CTCongenital heart disease

75573 is the cardiac CT code for congenital heart disease. 75572 covers other cardiac structural and morphologic evaluations.

75574Coronary CTAWith contrast and 3D reconstruction

75574 is used when coronary CT angiography is the imaging target. Choose 75572 when the study is directed at cardiac structure and morphology.

75561Cardiac MRIMorphology and function with contrast

75561 evaluates cardiac morphology using MRI with contrast; 75572 uses CT with contrast for cardiac structural assessment.

Codes related to 75572

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

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

Open CMS sourceHow we calculate rates