CPT code 75573: Cardiac CT, congenital heart disease2026 Medicare rate & RVUs in Kansas

Contrast-enhanced cardiac CT evaluates congenital heart anatomy, including complex chamber, great-vessel, and venous relationships when detailed structural imaging is needed.

CMS RVU26DEffective Oct 1, 2026One payment locality1.2K Medicare services in 2024

In Kansas, Medicare pays $285.31 for 75573 in the office.

$285.31Office (non-facility)
Not available in this settingHospital or facility
−7.8%vs the national office rate ($309.29)

Check a contract rate as a % of Medicare · 75573 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 75573 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Kansas
  2. What 75573 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 75573 covers

This examination uses contrast-enhanced computed tomography to map cardiac structures in congenital heart disease. It can show chamber connections, great vessels, and venous anatomy, with three-dimensional image processing and functional assessment when performed. Radiologists commonly interpret the study in coordination with congenital cardiologists or cardiac surgeons. It may be used to define anatomy in a patient with a known or suspected congenital defect or to support procedural planning when detailed cross-sectional imaging is needed.

Choose this code for a congenital heart disease evaluation, rather than a general cardiac morphology study or a coronary-focused CT angiogram. The report should establish the congenital indication and document the structures assessed and interpretation; the imaging record should support the contrast-enhanced cardiac study. CMS recognizes professional and technical components: report modifier 26 for interpretation, modifier TC for equipment and staff, or neither for the global service. The diagnostic imaging 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.

How Kansas compares for 75573

Across 109 of 109 payment localities, the office rate for 75573 runs from $275.46 in Arkansas to $413.24 in San Benito County, CA. Kansas pays $285.31. The RVUs are the same everywhere; the geographic indexes change the dollars.

75573 in Kansas vs other payment areas
  1. Kansas · this page$285.31
  2. Los Angeles, CA · California$351.14+$65.83
  3. Washington, DC area · District of Columbia$353.66+$68.35
  4. Miami, FL · Florida$327.01+$41.70
  5. Chicago, IL · Illinois$318.33+$33.02
  6. Manhattan, NY · New York$353.65+$68.34
  7. Alaska · Alaska$362.66+$77.35

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

Every other payment area

75573 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$279.27—
ArkansasArkansas$275.46—
ArizonaArizona$301.64—
Bakersfield, CACalifornia$329.82—
Chico, CACalifornia$329.23—
El Centro, CACalifornia$329.26—
Fresno, CACalifornia$329.23—
Hanford, CACalifornia$329.23—

75573 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.

$275.46

$371.24

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

View every state and territory as a table
75573 office rate range by state
State / territoryOffice rate rangeLocalities
AK$362.661
AL$279.271
AR$275.461
AZ$301.641
CA$329.23–$413.2429
CO$323.161
CT$329.121
DC$353.661
DE$306.491
FL$302.45–$327.013
GA$286.57–$314.212
GU$337.101
HI$337.101
IA$287.131
ID$288.661
IL$293.31–$320.214
IN$290.281
KS$285.311
KY$284.341
LA$283.70–$297.062
MA$321.15–$354.842
MD$312.30–$353.663
ME$289.51–$305.212
MI$290.85–$305.472
MN$311.691
MO$278.72–$298.723
MS$277.171
MT$309.281
NC$292.471
ND$305.921
NE$288.791
NH$317.621
NJ$333.45–$350.192
NM$292.141
NV$308.561
NY$296.58–$361.155
OH$290.161
OK$284.441
OR$306.72–$333.642
PA$290.90–$320.922
PR$311.631
RI$317.531
SC$291.691
SD$305.521
TN$286.601
TX$289.05–$321.608
UT$295.491
VA$303.88–$353.662
VI$311.631
VT$304.281
WA$320.70–$362.452
WI$296.101
WV$282.861
WY$307.821

See 75573 in every payment locality

How the 75573 rate is calculated

Each of 75573’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 · 75573

RVUs × geographic indexes × conversion factor

Office or facility?

Work2.49

2.49 RVUs× 1.000 GPCI

Practice expense6.60

6.60 RVUs× 1.000 GPCI

Malpractice0.17

0.17 RVUs× 1.000 GPCI

Adjusted RVUs

9.2600

Conversion factor

$33.4009

Medicare rate

$309.29

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

The exact Kansas inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

8,489

Code
75573
Physician work
2.49
Practice expense
6.60
Malpractice
0.17

GPCI2026.csv

54

Locality
Kansas
Physician work
1.000
Practice expense
0.904
Malpractice
0.504
Office calculation for 75573 in Kansas
ComponentRVULocality factorAdjusted
Physician work2.49× 1.0002.4900
Practice expense6.60× 0.9045.9664
Malpractice0.17× 0.5040.0857
Total RVUs8.5421
Conversion factor× 33.4009

Office rate, Kansas$285.31

Office: (2.49 × 1 + 6.6 × 0.904 + 0.17 × 0.504) × $33.4009 = $285.31

Open 75573 in the RVU calculator

Payment rules and modifiers for 75573

The CMS indicators that decide how 75573 is paid alongside other services.

CMS payment indicators · 75573

Cardiac CT, congenital heart disease

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

75573 without 26 · national office

$309.29

Cardiac CT, congenital heart disease

75573-26 · Professional component

$118.24

Pays only the interpretation and report.

When to use modifier 26

How 75573 has changed in Kansas

75573 · Office / nonfacility

$285.31

Effective 2026-10-01

The base rate is $6.14 higher than on 2025-10-01, moving from $279.17 to $285.31 (2.2%).

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

    $279.17changed to$285.31

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.55 changed to 2.49
    • Practice expense RVU 6.61 changed to 6.60
    • Practice expense GPCI 0.906 changed to 0.904
    • Malpractice GPCI 0.540 changed to 0.504

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    No ratechanged to$279.17

    Held through RVU25B, RVU25C, RVU25D.

  3. 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, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1, RVU18B, RVU18C, RVU18D, RVU19A, RVU19B, RVU19C, RVU19D, RVU20A, RVU20B, RVU20C, RVU20D, RVU21A, RVU21B, RVU21C, RVU21D, RVU22A, RVU22B, RVU22C, RVU22D, RVU23A, RVU23B, RVU23C, RVU23D, RVU24A, RVU24AR, RVU24B, RVU24C, RVU24D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$285.31Not available in this settingRVU26D
2026-07-01$285.31Not available in this settingRVU26C
2026-04-01$285.31Not available in this settingRVU26B
2026-01-01$285.31Not available in this settingRVU26A
2025-10-01$279.17Not available in this settingRVU25D
2025-07-01$279.17Not available in this settingRVU25C
2025-04-01$279.17Not available in this settingRVU25B
2025-01-01$279.17Not available in this settingRVU25A
2024-10-01Additional calculation requiredNot available in this settingRVU24D
2024-07-01Additional calculation requiredNot available in this settingRVU24C
2024-04-01Additional calculation requiredNot available in this settingRVU24B
2024-03-09Additional calculation requiredNot available in this settingRVU24AR
2024-01-01Additional calculation requiredNot available in this settingRVU24A
2023-10-01Additional calculation requiredNot available in this settingRVU23D
2023-07-01Additional calculation requiredNot available in this settingRVU23C
2023-04-01Additional calculation requiredNot available in this settingRVU23B
2023-01-01Additional calculation requiredNot available in this settingRVU23A
2022-10-01Additional calculation requiredNot available in this settingRVU22D
2022-07-01Additional calculation requiredNot available in this settingRVU22C
2022-04-01Additional calculation requiredNot available in this settingRVU22B
2022-01-01Additional calculation requiredNot 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
2020-10-01Additional calculation requiredNot available in this settingRVU20D
2020-07-01Additional calculation requiredNot available in this settingRVU20C
2020-04-01Additional calculation requiredNot available in this settingRVU20B
2020-01-01Additional calculation requiredNot available in this settingRVU20A
2019-10-01Additional calculation requiredNot available in this settingRVU19D
2019-07-01Additional calculation requiredNot available in this settingRVU19C
2019-04-01Additional calculation requiredNot available in this settingRVU19B
2019-01-01Additional calculation requiredNot available in this settingRVU19A
2018-10-01Additional calculation requiredNot available in this settingRVU18D
2018-07-01Additional calculation requiredNot available in this settingRVU18C
2018-04-01Additional calculation requiredNot available in this settingRVU18B
2018-01-01Additional calculation requiredNot available in this settingRVU18AR1
2017-10-01Additional calculation requiredNot available in this settingRVU17D
2017-07-01Additional calculation requiredNot available in this settingRVU17C
2017-04-01Additional calculation requiredNot available in this settingRVU17B
2017-01-01Additional calculation requiredNot available in this settingRVU17A
2016-10-01Additional calculation requiredNot available in this settingRVU16D
2016-07-01Additional calculation requiredNot available in this settingRVU16C
2016-04-01Additional calculation requiredNot available in this settingRVU16B
2016-01-01Additional calculation requiredNot available in this settingRVU16A
2015-10-01Additional calculation requiredNot available in this settingRVU15D
2015-07-01Additional calculation requiredNot available in this settingRVU15C
2015-04-01Additional calculation requiredNot available in this settingRVU15B
2015-01-01Additional calculation requiredNot available in this settingRVU15A
2014-10-01Additional calculation requiredNot available in this settingRVU14D
2014-07-01Additional calculation requiredNot available in this settingRVU14C
2014-04-01Additional calculation requiredNot available in this settingRVU14B
2014-01-01Additional calculation requiredNot available in this settingRVU14A
2013-10-01Additional calculation requiredNot available in this settingRVU13D
2013-07-01Additional calculation requiredNot available in this settingRVU13C
2013-04-01Additional calculation requiredNot available in this settingRVU13B
2013-01-01Additional calculation requiredNot available in this settingRVU13AR

Price 75573 for an earlier date of service

Where the Kansas rate applies

Kansas is a Medicare payment area, not a city. Our Census mapping connects it to 740 cities and communities in Kansas. Some span more than one payment area; confirm with the service ZIP.

  • Abbyville
  • Abilene
  • Ada
  • Admire
  • Agenda
  • Agra
  • Albert
  • Alden

Browse all communities in Kansas

75573 billing questions

When is 75573 a better fit than 75572?

Use 75573 when the CT is specifically evaluating congenital heart disease. Code 75572 is for cardiac morphology imaging without that congenital-heart evaluation focus.

How does 75573 differ from 75574?

75573 evaluates congenital cardiac anatomy; 75574 is a coronary CT angiography service. Select based on the examination's documented purpose and protocol.

Can the professional and technical portions 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 both components?

Yes. CMS applies the diagnostic imaging multiple procedure reduction to both the technical and professional components.

What documentation supports reporting 75573?

Document the congenital heart disease indication, the cardiac structures evaluated, and the interpreting physician's findings. The record should support a contrast-enhanced cardiac CT examination.

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 75573PPRRVU2026_Oct_nonQPP.csv, line 8,489 (RVU26D)
Geographic factors for KansasGPCI2026.csv, line 54 (RVU26D)

Open CMS sourceHow we calculate rates

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