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

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 South Dakota, Medicare pays $227.25 for 75572 in the office.

$227.25Office (non-facility)
Not available in this settingHospital or facility
−1.0%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 South Dakota
  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 South Dakota 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. South Dakota pays $227.25. The RVUs are the same everywhere; the geographic indexes change the dollars.

75572 in South Dakota vs other payment areas
  1. South Dakota · this page$227.25
  2. Los Angeles, CA · California$261.61+$34.36
  3. Washington, DC area · District of Columbia$263.01+$35.76
  4. Miami, FL · Florida$241.50+$14.25
  5. Chicago, IL · Illinois$235.03+$7.78
  6. Manhattan, NY · New York$262.46+$35.21
  7. Alaska · Alaska$267.51+$40.26

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

Every other payment area

75572 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$206.89—
ArkansasArkansas$204.01—
ArizonaArizona$223.74—
Bakersfield, CACalifornia$245.47—
Chico, CACalifornia$245.11—
El Centro, CACalifornia$245.13—
Fresno, CACalifornia$245.11—
Hanford, CACalifornia$245.11—

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 South Dakota 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

94

Locality
South Dakota
Physician work
1.000
Practice expense
1.000
Malpractice
0.336
Office calculation for 75572 in South Dakota
ComponentRVULocality factorAdjusted
Physician work1.71× 1.0001.7100
Practice expense5.06× 1.0005.0600
Malpractice0.10× 0.3360.0336
Total RVUs6.8036
Conversion factor× 33.4009

Office rate, South Dakota$227.25

Office: (1.71 × 1 + 5.06 × 1 + 0.1 × 0.336) × $33.4009 = $227.25

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 South Dakota

75572 · Office / nonfacility

$227.25

Effective 2026-10-01

The base rate is $4.76 higher than on 2025-10-01, moving from $222.49 to $227.25 (2.1%).

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

    $222.49changed to$227.25

    • 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
    • Malpractice GPCI 0.382 changed to 0.336

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $230.75changed to$222.49

    • 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

    $226.98changed to$230.75

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $235.64changed to$226.98

    • 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
    • Malpractice GPCI 0.364 changed to 0.382
  5. January 1, 2023

    RVU23A

    $240.92changed to$235.64

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 5.17 changed to 5.16
    • Malpractice GPCI 0.347 changed to 0.364

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    No ratechanged to$240.92

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $250.71changed toNo rate

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $268.59changed to$250.71

    • 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
    • Malpractice GPCI 0.389 changed to 0.368

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $288.46changed to$268.59

    • 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

    $285.08changed to$288.46

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 6.15 changed to 6.22
    • Malpractice GPCI 0.395 changed to 0.389

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $283.71changed to$285.08

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 6.13 changed to 6.15
    • Malpractice GPCI 0.400 changed to 0.395

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $284.38changed to$283.71

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 6.12 changed to 6.13

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $282.96changed to$284.38

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $289.27changed to$282.96

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 6.30 changed to 6.12
    • Malpractice RVU 0.06 changed to 0.11
    • Malpractice GPCI 0.416 changed to 0.400

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $312.53changed to$289.27

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 7.41 changed to 6.30
    • Malpractice GPCI 0.432 changed to 0.416

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $312.53

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$227.25Not available in this settingRVU26D
2026-07-01$227.25Not available in this settingRVU26C
2026-04-01$227.25Not available in this settingRVU26B
2026-01-01$227.25Not available in this settingRVU26A
2025-10-01$222.49Not available in this settingRVU25D
2025-07-01$222.49Not available in this settingRVU25C
2025-04-01$222.49Not available in this settingRVU25B
2025-01-01$222.49Not available in this settingRVU25A
2024-10-01$230.75Not available in this settingRVU24D
2024-07-01$230.75Not available in this settingRVU24C
2024-04-01$230.75Not available in this settingRVU24B
2024-03-09$230.75Not available in this settingRVU24AR
2024-01-01$226.98Not available in this settingRVU24A
2023-10-01$235.64Not available in this settingRVU23D
2023-07-01$235.64Not available in this settingRVU23C
2023-04-01$235.64Not available in this settingRVU23B
2023-01-01$235.64Not available in this settingRVU23A
2022-10-01$240.92Not available in this settingRVU22D
2022-07-01$240.92Not available in this settingRVU22C
2022-04-01$240.92Not available in this settingRVU22B
2022-01-01$240.92Not 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$250.71Not available in this settingRVU20D
2020-07-01$250.71Not available in this settingRVU20C
2020-04-01$250.71Not available in this settingRVU20B
2020-01-01$250.71Not available in this settingRVU20A
2019-10-01$268.59Not available in this settingRVU19D
2019-07-01$268.59Not available in this settingRVU19C
2019-04-01$268.59Not available in this settingRVU19B
2019-01-01$268.59Not available in this settingRVU19A
2018-10-01$288.46Not available in this settingRVU18D
2018-07-01$288.46Not available in this settingRVU18C
2018-04-01$288.46Not available in this settingRVU18B
2018-01-01$288.46Not available in this settingRVU18AR1
2017-10-01$285.08Not available in this settingRVU17D
2017-07-01$285.08Not available in this settingRVU17C
2017-04-01$285.08Not available in this settingRVU17B
2017-01-01$285.08Not available in this settingRVU17A
2016-10-01$283.71Not available in this settingRVU16D
2016-07-01$283.71Not available in this settingRVU16C
2016-04-01$283.71Not available in this settingRVU16B
2016-01-01$283.71Not available in this settingRVU16A
2015-10-01$284.38Not available in this settingRVU15D
2015-07-01$284.38Not available in this settingRVU15C
2015-04-01$282.96Not available in this settingRVU15B
2015-01-01$282.96Not available in this settingRVU15A
2014-10-01$289.27Not available in this settingRVU14D
2014-07-01$289.27Not available in this settingRVU14C
2014-04-01$289.27Not available in this settingRVU14B
2014-01-01$289.27Not available in this settingRVU14A
2013-10-01$312.53Not available in this settingRVU13D
2013-07-01$312.53Not available in this settingRVU13C
2013-04-01$312.53Not available in this settingRVU13B
2013-01-01$312.53Not available in this settingRVU13AR

Price 75572 for an earlier date of service

Where the South Dakota rate applies

South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Agar
  • Agency Village
  • Akaska
  • Albee
  • Alcester
  • Alexandria
  • Allen

Browse all communities in South Dakota

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 South DakotaGPCI2026.csv, line 94 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 75572 pays in South Dakota?

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