CPT code 75573: Cardiac CT, congenital heart disease2026 Medicare rate & RVUs in Houston, TX
Contrast-enhanced cardiac CT evaluates congenital heart anatomy, including complex chamber, great-vessel, and venous relationships when detailed structural imaging is needed.
In Houston, TX, Medicare pays $310.55 for 75573 in the office.
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.
On this page 11 sections
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 Houston, TX 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. Houston, TX pays $310.55. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Houston, TX · this page$310.55
- Austin, TX · Texas$321.60+$11.05
- Beaumont, TX · Texas$289.05−$21.50
- Brazoria, TX · Texas$306.72−$3.83
- Dallas, TX · Texas$308.35−$2.20
- Fort Worth, TX · Texas$306.22−$4.33
- Galveston, TX · Texas$307.44−$3.11
Other areas in Texas first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| Rest of TexasTexas | $297.50 | — |
| Los Angeles, CACalifornia | $351.14 | — |
| Washington, DC areaDistrict of Columbia | $353.66 | — |
| Miami, FLFlorida | $327.01 | — |
| Chicago, ILIllinois | $318.33 | — |
| Manhattan, NYNew York | $353.65 | — |
| AlaskaAlaska | $362.66 | — |
| 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 | — |
| Madera, CACalifornia | $329.23 | — |
| Merced, CACalifornia | $329.23 | — |
| Modesto, CACalifornia | $329.23 | — |
| Napa, CACalifornia | $381.84 | — |
| Oxnard, CACalifornia | $349.60 | — |
| Redding, CACalifornia | $329.23 | — |
| Rest of CaliforniaCalifornia | $329.23 | — |
| Riverside, CACalifornia | $331.12 | — |
| Sacramento, CACalifornia | $345.58 | — |
| Salinas, CACalifornia | $344.29 | — |
| San Diego, CACalifornia | $352.39 | — |
| Marin County, CACalifornia | $404.50 | — |
| San Francisco, CACalifornia | $404.31 | — |
| San Benito County, CACalifornia | $413.24 | — |
| Santa Clara County, CACalifornia | $412.45 | — |
| San Luis Obispo, CACalifornia | $338.71 | — |
| Santa Cruz, CACalifornia | $355.80 | — |
| Santa Maria, CACalifornia | $345.58 | — |
| Santa Rosa, CACalifornia | $359.41 | — |
| Stockton, CACalifornia | $329.23 | — |
| Vallejo, CACalifornia | $381.56 | — |
| Visalia, CACalifornia | $329.23 | — |
| Yuba City, CACalifornia | $329.23 | — |
| ColoradoColorado | $323.16 | — |
| ConnecticutConnecticut | $329.12 | — |
| DelawareDelaware | $306.49 | — |
| Fort Lauderdale, FLFlorida | $316.75 | — |
| Rest of FloridaFlorida | $302.45 | — |
| Atlanta, GAGeorgia | $314.21 | — |
| Rest of GeorgiaGeorgia | $286.57 | — |
| Hawaii, Guam, HIHawaii | $337.10 | — |
| IowaIowa | $287.13 | — |
| IdahoIdaho | $288.66 | — |
| East St. Louis, ILIllinois | $297.41 | — |
| Rest of IllinoisIllinois | $293.31 | — |
| Suburban Chicago, ILIllinois | $320.21 | — |
| IndianaIndiana | $290.28 | — |
| KansasKansas | $285.31 | — |
| KentuckyKentucky | $284.34 | — |
| New Orleans, LALouisiana | $297.06 | — |
| Rest of LouisianaLouisiana | $283.70 | — |
| Metropolitan Boston, MAMassachusetts | $354.84 | — |
| Rest of MassachusettsMassachusetts | $321.15 | — |
| Baltimore area, MDMaryland | $328.06 | — |
| Rest of MarylandMaryland | $312.30 | — |
| Rest of MaineMaine | $289.51 | — |
| Southern Maine, MEMaine | $305.21 | — |
| Detroit, MIMichigan | $305.47 | — |
| Rest of MichiganMichigan | $290.85 | — |
| MinnesotaMinnesota | $311.69 | — |
| Metropolitan Kansas City, MOMissouri | $295.71 | — |
| Metropolitan St. Louis, MOMissouri | $298.72 | — |
| Rest of MissouriMissouri | $278.72 | — |
| MississippiMississippi | $277.17 | — |
| MontanaMontana | $309.28 | — |
| North CarolinaNorth Carolina | $292.47 | — |
| North DakotaNorth Dakota | $305.92 | — |
| NebraskaNebraska | $288.79 | — |
| New HampshireNew Hampshire | $317.62 | — |
| Northern New JerseyNew Jersey | $350.19 | — |
| Rest of New JerseyNew Jersey | $333.45 | — |
| New MexicoNew Mexico | $292.14 | — |
| NevadaNevada | $308.56 | — |
| NYC suburbs and Long Island, NYNew York | $361.15 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $335.17 | — |
| Queens, NYNew York | $357.25 | — |
| Rest of New YorkNew York | $296.58 | — |
| OhioOhio | $290.16 | — |
| OklahomaOklahoma | $284.44 | — |
| Portland, OROregon | $333.64 | — |
| Rest of OregonOregon | $306.72 | — |
| Metropolitan Philadelphia, PAPennsylvania | $320.92 | — |
| Rest of PennsylvaniaPennsylvania | $290.90 | — |
| Puerto RicoPuerto Rico | $311.63 | — |
| Rhode IslandRhode Island | $317.53 | — |
| South CarolinaSouth Carolina | $291.69 | — |
| South DakotaSouth Dakota | $305.52 | — |
| TennesseeTennessee | $286.60 | — |
| UtahUtah | $295.49 | — |
| VirginiaVirginia | $303.88 | — |
| Virgin Islands, VIUnited States Virgin Islands | $311.63 | — |
| VermontVermont | $304.28 | — |
| Rest of WashingtonWashington | $320.70 | — |
| King County, WAWashington | $362.45 | — |
| WisconsinWisconsin | $296.10 | — |
| West VirginiaWest Virginia | $282.86 | — |
| WyomingWyoming | $307.82 | — |
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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $362.66 | 1 |
| AL | $279.27 | 1 |
| AR | $275.46 | 1 |
| AZ | $301.64 | 1 |
| CA | $329.23–$413.24 | 29 |
| CO | $323.16 | 1 |
| CT | $329.12 | 1 |
| DC | $353.66 | 1 |
| DE | $306.49 | 1 |
| FL | $302.45–$327.01 | 3 |
| GA | $286.57–$314.21 | 2 |
| GU | $337.10 | 1 |
| HI | $337.10 | 1 |
| IA | $287.13 | 1 |
| ID | $288.66 | 1 |
| IL | $293.31–$320.21 | 4 |
| IN | $290.28 | 1 |
| KS | $285.31 | 1 |
| KY | $284.34 | 1 |
| LA | $283.70–$297.06 | 2 |
| MA | $321.15–$354.84 | 2 |
| MD | $312.30–$353.66 | 3 |
| ME | $289.51–$305.21 | 2 |
| MI | $290.85–$305.47 | 2 |
| MN | $311.69 | 1 |
| MO | $278.72–$298.72 | 3 |
| MS | $277.17 | 1 |
| MT | $309.28 | 1 |
| NC | $292.47 | 1 |
| ND | $305.92 | 1 |
| NE | $288.79 | 1 |
| NH | $317.62 | 1 |
| NJ | $333.45–$350.19 | 2 |
| NM | $292.14 | 1 |
| NV | $308.56 | 1 |
| NY | $296.58–$361.15 | 5 |
| OH | $290.16 | 1 |
| OK | $284.44 | 1 |
| OR | $306.72–$333.64 | 2 |
| PA | $290.90–$320.92 | 2 |
| PR | $311.63 | 1 |
| RI | $317.53 | 1 |
| SC | $291.69 | 1 |
| SD | $305.52 | 1 |
| TN | $286.60 | 1 |
| TX | $289.05–$321.60 | 8 |
| UT | $295.49 | 1 |
| VA | $303.88–$353.66 | 2 |
| VI | $311.63 | 1 |
| VT | $304.28 | 1 |
| WA | $320.70–$362.45 | 2 |
| WI | $296.10 | 1 |
| WV | $282.86 | 1 |
| WY | $307.82 | 1 |
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
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 Houston, TX 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
102
- Locality
- Houston, TX
- Physician work
- 1.008
- Practice expense
- 0.993
- Malpractice
- 1.376
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.49 | × 1.008 | 2.5099 |
| Practice expense | 6.60 | × 0.993 | 6.5538 |
| Malpractice | 0.17 | × 1.376 | 0.2339 |
| Total RVUs | 9.2976 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Houston, TX$310.55
Office: (2.49 × 1.008 + 6.6 × 0.993 + 0.17 × 1.376) × $33.4009 = $310.55
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
| 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
75573 without 26 · national office
$309.29
Cardiac CT, congenital heart disease
75573-26 · Professional component
$118.24
Pays only the interpretation and report.
How 75573 has changed in Houston, TX
75573 · Office / nonfacility
$310.55
Effective 2026-10-01
The base rate is $4.71 higher than on 2025-10-01, moving from $305.84 to $310.55 (1.5%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$305.84changed to$310.55
- 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
- Work GPCI 1.014 changed to 1.008
- Practice expense GPCI 1.003 changed to 0.993
- Malpractice GPCI 1.409 changed to 1.376
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
No ratechanged to$305.84
Held through RVU25B, RVU25C, RVU25D.
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.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $310.55 | Not available in this setting | RVU26D |
| 2026-07-01 | $310.55 | Not available in this setting | RVU26C |
| 2026-04-01 | $310.55 | Not available in this setting | RVU26B |
| 2026-01-01 | $310.55 | Not available in this setting | RVU26A |
| 2025-10-01 | $305.84 | Not available in this setting | RVU25D |
| 2025-07-01 | $305.84 | Not available in this setting | RVU25C |
| 2025-04-01 | $305.84 | Not available in this setting | RVU25B |
| 2025-01-01 | $305.84 | Not available in this setting | RVU25A |
| 2024-10-01 | Additional calculation required | Not available in this setting | RVU24D |
| 2024-07-01 | Additional calculation required | Not available in this setting | RVU24C |
| 2024-04-01 | Additional calculation required | Not available in this setting | RVU24B |
| 2024-03-09 | Additional calculation required | Not available in this setting | RVU24AR |
| 2024-01-01 | Additional calculation required | Not available in this setting | RVU24A |
| 2023-10-01 | Additional calculation required | Not available in this setting | RVU23D |
| 2023-07-01 | Additional calculation required | Not available in this setting | RVU23C |
| 2023-04-01 | Additional calculation required | Not available in this setting | RVU23B |
| 2023-01-01 | Additional calculation required | Not available in this setting | RVU23A |
| 2022-10-01 | Additional calculation required | Not available in this setting | RVU22D |
| 2022-07-01 | Additional calculation required | Not available in this setting | RVU22C |
| 2022-04-01 | Additional calculation required | Not available in this setting | RVU22B |
| 2022-01-01 | Additional calculation required | Not available in this setting | RVU22A |
| 2021-10-01 | Additional calculation required | Not available in this setting | RVU21D |
| 2021-07-01 | Additional calculation required | Not available in this setting | RVU21C |
| 2021-04-01 | Additional calculation required | Not available in this setting | RVU21B |
| 2021-01-01 | Additional calculation required | Not available in this setting | RVU21A |
| 2020-10-01 | Additional calculation required | Not available in this setting | RVU20D |
| 2020-07-01 | Additional calculation required | Not available in this setting | RVU20C |
| 2020-04-01 | Additional calculation required | Not available in this setting | RVU20B |
| 2020-01-01 | Additional calculation required | Not available in this setting | RVU20A |
| 2019-10-01 | Additional calculation required | Not available in this setting | RVU19D |
| 2019-07-01 | Additional calculation required | Not available in this setting | RVU19C |
| 2019-04-01 | Additional calculation required | Not available in this setting | RVU19B |
| 2019-01-01 | Additional calculation required | Not available in this setting | RVU19A |
| 2018-10-01 | Additional calculation required | Not available in this setting | RVU18D |
| 2018-07-01 | Additional calculation required | Not available in this setting | RVU18C |
| 2018-04-01 | Additional calculation required | Not available in this setting | RVU18B |
| 2018-01-01 | Additional calculation required | Not available in this setting | RVU18AR1 |
| 2017-10-01 | Additional calculation required | Not available in this setting | RVU17D |
| 2017-07-01 | Additional calculation required | Not available in this setting | RVU17C |
| 2017-04-01 | Additional calculation required | Not available in this setting | RVU17B |
| 2017-01-01 | Additional calculation required | Not available in this setting | RVU17A |
| 2016-10-01 | Additional calculation required | Not available in this setting | RVU16D |
| 2016-07-01 | Additional calculation required | Not available in this setting | RVU16C |
| 2016-04-01 | Additional calculation required | Not available in this setting | RVU16B |
| 2016-01-01 | Additional calculation required | Not available in this setting | RVU16A |
| 2015-10-01 | Additional calculation required | Not available in this setting | RVU15D |
| 2015-07-01 | Additional calculation required | Not available in this setting | RVU15C |
| 2015-04-01 | Additional calculation required | Not available in this setting | RVU15B |
| 2015-01-01 | Additional calculation required | Not available in this setting | RVU15A |
| 2014-10-01 | Additional calculation required | Not available in this setting | RVU14D |
| 2014-07-01 | Additional calculation required | Not available in this setting | RVU14C |
| 2014-04-01 | Additional calculation required | Not available in this setting | RVU14B |
| 2014-01-01 | Additional calculation required | Not available in this setting | RVU14A |
| 2013-10-01 | Additional calculation required | Not available in this setting | RVU13D |
| 2013-07-01 | Additional calculation required | Not available in this setting | RVU13C |
| 2013-04-01 | Additional calculation required | Not available in this setting | RVU13B |
| 2013-01-01 | Additional calculation required | Not available in this setting | RVU13AR |
Where the Houston, TX rate applies
Houston, TX is a Medicare payment area, not a city. Our Census mapping connects it to 46 cities and communities in Texas. Some span more than one payment area; confirm with the service ZIP.
- 75573 in Houston · multiple payment areas
- Aldine
- Atascocita
- Barrett
- 75573 in Baytown · multiple payment areas
- Bellaire
- Bunker Hill Village
- Channelview
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
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