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

Report this contrast-enhanced cardiac CT when imaging is directed at evaluating heart structure and morphology rather than coronary artery stenosis or calcium burden.

CMS RVU26DEffective Oct 1, 2026One payment locality66.3K Medicare services in 2024

In Napa, CA, Medicare pays $285.16 for 75572 in the office.

$285.16Office (non-facility)
Not available in this settingHospital or facility
+24.3%vs the national office rate ($229.46)

Check a contract rate as a % of Medicare · 75572 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 75572 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Napa, CA
  2. What 75572 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 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.

How Napa, CA compares for 75572

Across 109 of 109 payment localities, the office rate for 75572 runs from $204.01 in Arkansas to $308.90 in San Benito County, CA. Napa, CA pays $285.16. The RVUs are the same everywhere; the geographic indexes change the dollars.

75572 in Napa, CA vs other payment areas
  1. Napa, CA · this page$285.16
  2. Bakersfield, CA · California$245.47−$39.69
  3. Chico, CA · California$245.11−$40.05
  4. El Centro, CA · California$245.13−$40.03
  5. Fresno, CA · California$245.11−$40.05
  6. Hanford, CA · California$245.11−$40.05
  7. Los Angeles, CA · California$261.61−$23.55

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

Every other payment area

75572 in every other Medicare payment locality
Payment localityOfficeFacility
Madera, CACalifornia$245.11—
Merced, CACalifornia$245.11—
Modesto, CACalifornia$245.11—
Oxnard, CACalifornia$260.56—
Redding, CACalifornia$245.11—
Rest of CaliforniaCalifornia$245.11—
Riverside, CACalifornia$246.23—
Sacramento, CACalifornia$257.52—

75572 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.

$204.01

$277.01

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

View every state and territory as a table
75572 office rate range by state
State / territoryOffice rate rangeLocalities
AK$267.511
AL$206.891
AR$204.011
AZ$223.741
CA$245.11–$308.9029
CO$240.231
CT$244.321
DC$263.011
DE$227.381
FL$223.71–$241.503
GA$211.85–$233.012
GU$251.211
HI$251.211
IA$213.081
ID$214.181
IL$216.64–$237.014
IN$215.411
KS$211.581
KY$210.421
LA$209.89–$219.952
MA$238.66–$264.232
MD$231.79–$263.013
ME$214.68–$226.712
MI$215.19–$225.842
MN$232.011
MO$206.05–$221.363
MS$205.101
MT$229.461
NC$216.931
ND$227.481
NE$214.371
NH$235.981
NJ$247.62–$260.332
NM$216.111
NV$229.081
NY$220.02–$267.925
OH$214.791
OK$210.641
OR$227.80–$248.282
PA$215.42–$238.072
PR$231.271
RI$235.771
SC$216.121
SD$227.251
TN$212.541
TX$214.02–$239.008
UT$218.981
VA$225.61–$263.012
VI$231.271
VT$226.121
WA$238.37–$270.072
WI$220.051
WV$208.761
WY$228.601

See 75572 in every payment locality

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.

How the rate is built · 75572

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.71

1.71 RVUs× 1.000 GPCI

Practice expense5.06

5.06 RVUs× 1.000 GPCI

Malpractice0.10

0.10 RVUs× 1.000 GPCI

Adjusted RVUs

6.8700

Conversion factor

$33.4009

Medicare rate

$229.46

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

The exact Napa, CA inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

8,486

Code
75572
Physician work
1.71
Practice expense
5.06
Malpractice
0.10

GPCI2026.csv

17

Locality
Napa, CA
Physician work
1.063
Practice expense
1.318
Malpractice
0.508
Office calculation for 75572 in Napa, CA
ComponentRVULocality factorAdjusted
Physician work1.71× 1.0631.8177
Practice expense5.06× 1.3186.6691
Malpractice0.10× 0.5080.0508
Total RVUs8.5376
Conversion factor× 33.4009

Office rate, Napa, CA$285.16

Office: (1.71 × 1.063 + 5.06 × 1.318 + 0.1 × 0.508) × $33.4009 = $285.16

Open 75572 in the RVU calculator

Payment rules and modifiers for 75572

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

CMS payment indicators · 75572

Cardiac CT, structure and morphology

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

75572 without 26 · national office

$229.46

Cardiac CT, structure and morphology

75572-26 · Professional component

$80.16

Pays only the interpretation and report.

When to use modifier 26

How 75572 has changed in Napa, CA

75572 · Office / nonfacility

$285.16

Effective 2026-10-01

The base rate is $7.90 higher than on 2025-10-01, moving from $277.26 to $285.16 (2.8%).

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

    $277.26changed to$285.16

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.75 changed to 1.71
    • Practice expense RVU 5.09 changed to 5.06
    • Work GPCI 1.058 changed to 1.063
    • Practice expense GPCI 1.310 changed to 1.318
    • Malpractice GPCI 0.521 changed to 0.508

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $287.68changed to$277.26

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 5.14 changed to 5.09
    • Malpractice RVU 0.11 changed to 0.10

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $282.98changed to$287.68

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $285.61changed to$282.98

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 5.16 changed to 5.14
    • Malpractice RVU 0.12 changed to 0.11
    • Work GPCI 1.051 changed to 1.058
    • Practice expense GPCI 1.265 changed to 1.310
    • Malpractice GPCI 0.513 changed to 0.521
  5. January 1, 2023

    RVU23A

    $283.59changed to$285.61

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 5.17 changed to 5.16
    • Work GPCI 1.044 changed to 1.051
    • Practice expense GPCI 1.220 changed to 1.265
    • Malpractice GPCI 0.504 changed to 0.513

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    No ratechanged to$283.59

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $298.58changed toNo rate

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $324.55changed to$298.58

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 5.66 changed to 5.16
    • Malpractice RVU 0.11 changed to 0.10
    • Work GPCI 1.055 changed to 1.049
    • Practice expense GPCI 1.256 changed to 1.238
    • Malpractice GPCI 0.458 changed to 0.496

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $349.52changed to$324.55

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 6.22 changed to 5.66

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $348.80changed to$349.52

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 6.15 changed to 6.22
    • Work GPCI 1.057 changed to 1.055
    • Practice expense GPCI 1.271 changed to 1.256
    • Malpractice GPCI 0.477 changed to 0.458

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    No ratechanged to$348.80

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$285.16Not available in this settingRVU26D
2026-07-01$285.16Not available in this settingRVU26C
2026-04-01$285.16Not available in this settingRVU26B
2026-01-01$285.16Not available in this settingRVU26A
2025-10-01$277.26Not available in this settingRVU25D
2025-07-01$277.26Not available in this settingRVU25C
2025-04-01$277.26Not available in this settingRVU25B
2025-01-01$277.26Not available in this settingRVU25A
2024-10-01$287.68Not available in this settingRVU24D
2024-07-01$287.68Not available in this settingRVU24C
2024-04-01$287.68Not available in this settingRVU24B
2024-03-09$287.68Not available in this settingRVU24AR
2024-01-01$282.98Not available in this settingRVU24A
2023-10-01$285.61Not available in this settingRVU23D
2023-07-01$285.61Not available in this settingRVU23C
2023-04-01$285.61Not available in this settingRVU23B
2023-01-01$285.61Not available in this settingRVU23A
2022-10-01$283.59Not available in this settingRVU22D
2022-07-01$283.59Not available in this settingRVU22C
2022-04-01$283.59Not available in this settingRVU22B
2022-01-01$283.59Not available in this settingRVU22A
2021-10-01Additional calculation requiredNot available in this settingRVU21D
2021-07-01Additional calculation requiredNot available in this settingRVU21C
2021-04-01Additional calculation requiredNot available in this settingRVU21B
2021-01-01Additional calculation requiredNot available in this settingRVU21A
2020-10-01$298.58Not available in this settingRVU20D
2020-07-01$298.58Not available in this settingRVU20C
2020-04-01$298.58Not available in this settingRVU20B
2020-01-01$298.58Not available in this settingRVU20A
2019-10-01$324.55Not available in this settingRVU19D
2019-07-01$324.55Not available in this settingRVU19C
2019-04-01$324.55Not available in this settingRVU19B
2019-01-01$324.55Not available in this settingRVU19A
2018-10-01$349.52Not available in this settingRVU18D
2018-07-01$349.52Not available in this settingRVU18C
2018-04-01$349.52Not available in this settingRVU18B
2018-01-01$349.52Not available in this settingRVU18AR1
2017-10-01$348.80Not available in this settingRVU17D
2017-07-01$348.80Not available in this settingRVU17C
2017-04-01$348.80Not available in this settingRVU17B
2017-01-01$348.80Not available in this settingRVU17A
2016-10-01Rate data unavailableNot available in this settingRVU16D
2016-07-01Rate data unavailableNot available in this settingRVU16C
2016-04-01Rate data unavailableNot available in this settingRVU16B
2016-01-01Rate data unavailableNot available in this settingRVU16A
2015-10-01Rate data unavailableNot available in this settingRVU15D
2015-07-01Rate data unavailableNot available in this settingRVU15C
2015-04-01Rate data unavailableNot available in this settingRVU15B
2015-01-01Rate data unavailableNot available in this settingRVU15A
2014-10-01Rate data unavailableNot available in this settingRVU14D
2014-07-01Rate data unavailableNot available in this settingRVU14C
2014-04-01Rate data unavailableNot available in this settingRVU14B
2014-01-01Rate data unavailableNot available in this settingRVU14A
2013-10-01Rate data unavailableNot available in this settingRVU13D
2013-07-01Rate data unavailableNot available in this settingRVU13C
2013-04-01Rate data unavailableNot available in this settingRVU13B
2013-01-01Rate data unavailableNot available in this settingRVU13AR

Price 75572 for an earlier date of service

Where the Napa, CA rate applies

Napa, CA is a Medicare payment area, not a city. Our Census mapping connects it to 11 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.

  • Napa
  • American Canyon
  • Angwin
  • Calistoga
  • Deer Park
  • Moskowite Corner
  • Oakville
  • Rutherford

Browse all communities in California

75572 billing questions

When should I choose 75572 instead of coronary CT angiography?

Use 75572 when the study evaluates cardiac structure and morphology. When the imaging target is the coronary arteries, consider 75574 instead.

Is 3D postprocessing separately reported?

Three-dimensional postprocessing performed for this cardiac CT is included in 75572. Do not report it separately for the same study.

Which modifiers identify the professional and technical services?

Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical service. Reporting the code without either modifier represents the global service.

How does the multiple-procedure reduction affect this code?

When the diagnostic imaging multiple-procedure reduction applies, CMS applies it to both the technical and professional components of 75572.

How does 75572 differ from the congenital heart disease CT code?

75572 is for evaluating cardiac structure and morphology. Use 75573 when the cardiac CT is specifically for congenital heart disease.

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 75572PPRRVU2026_Oct_nonQPP.csv, line 8,486 (RVU26D)
Geographic factors for Napa, CAGPCI2026.csv, line 17 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 75572 pays in Napa, CA?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets · Coming soon

Put 75572 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Join the waitlist