CPT code 75574: Coronary CTA, with contrast and 3D reconstruction2026 Medicare rate & RVUs in South Dakota

Reports contrast-enhanced CT angiography of the heart with 3D image processing to evaluate coronary arteries and related cardiac anatomy.

CMS RVU26DEffective Oct 1, 2026One payment locality210.3K Medicare services in 2024

In South Dakota, Medicare pays $322.11 for 75574 in the office.

$322.11Office (non-facility)
Not available in this settingHospital or facility
−1.1%vs the national office rate ($325.66)

Check a contract rate as a % of Medicare · 75574 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 75574 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in South Dakota
  2. What 75574 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 75574 covers

This service uses CT and intravenous contrast to create angiographic images of the heart, with image processing that supports review of the coronary arteries and cardiac structures. It is commonly performed in an outpatient imaging department or hospital by CT technologists, with interpretation by a radiologist or cardiologist. Clinicians may use coronary CTA when evaluating suspected coronary artery disease, including in patients with chest discomfort who need an anatomic assessment of coronary vessels.

Select the code for the contrast-enhanced cardiac angiographic study, rather than a noncontrast calcium score or a CT focused on structural heart detail. The record should support the clinical indication, contrast-enhanced acquisition, image processing, and the interpreting professional’s findings. The service may be billed globally, or split into professional interpretation with modifier 26 and technical services with modifier TC. When multiple diagnostic imaging procedures are billed, the CMS 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 South Dakota compares for 75574

Across 109 of 109 payment localities, the office rate for 75574 runs from $288.92 in Arkansas to $438.81 in San Benito County, CA. South Dakota pays $322.11. The RVUs are the same everywhere; the geographic indexes change the dollars.

75574 in South Dakota vs other payment areas
  1. South Dakota · this page$322.11
  2. Los Angeles, CA · California$371.38+$49.27
  3. Washington, DC area · District of Columbia$373.59+$51.48
  4. Miami, FL · Florida$343.76+$21.65
  5. Chicago, IL · Illinois$334.34+$12.23
  6. Manhattan, NY · New York$373.02+$50.91
  7. Alaska · Alaska$378.08+$55.97

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

Every other payment area

75574 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$293.07—
ArkansasArkansas$288.92—
ArizonaArizona$317.38—
Bakersfield, CACalifornia$348.30—
Chico, CACalifornia$347.75—
El Centro, CACalifornia$347.78—
Fresno, CACalifornia$347.75—
Hanford, CACalifornia$347.75—

75574 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.

$288.92

$393.28

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

View every state and territory as a table
75574 office rate range by state
State / territoryOffice rate rangeLocalities
AK$378.081
AL$293.071
AR$288.921
AZ$317.381
CA$347.75–$438.8129
CO$340.921
CT$346.991
DC$373.591
DE$322.601
FL$317.69–$343.763
GA$300.53–$330.842
GU$356.581
HI$356.581
IA$301.851
ID$303.471
IL$307.60–$336.874
IN$305.231
KS$299.761
KY$298.331
LA$297.59–$312.102
MA$338.66–$375.252
MD$328.91–$373.593
ME$304.27–$321.512
MI$305.28–$320.852
MN$328.921
MO$292.10–$314.053
MS$290.601
MT$325.651
NC$307.511
ND$322.481
NE$303.691
NH$334.921
NJ$351.58–$369.692
NM$306.631
NV$325.011
NY$311.96–$381.015
OH$304.631
OK$298.561
OR$323.10–$352.422
PA$305.51–$338.032
PR$328.241
RI$334.561
SC$306.451
SD$322.111
TN$301.151
TX$303.49–$339.258
UT$310.581
VA$319.97–$373.592
VI$328.241
VT$320.601
WA$338.23–$383.562
WI$311.791
WV$296.241
WY$324.271

See 75574 in every payment locality

How the 75574 rate is calculated

Each of 75574’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 · 75574

RVUs × geographic indexes × conversion factor

Office or facility?

Work2.34

2.34 RVUs× 1.000 GPCI

Practice expense7.25

7.25 RVUs× 1.000 GPCI

Malpractice0.16

0.16 RVUs× 1.000 GPCI

Adjusted RVUs

9.7500

Conversion factor

$33.4009

Medicare rate

$325.66

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

8,492

Code
75574
Physician work
2.34
Practice expense
7.25
Malpractice
0.16

GPCI2026.csv

94

Locality
South Dakota
Physician work
1.000
Practice expense
1.000
Malpractice
0.336
Office calculation for 75574 in South Dakota
ComponentRVULocality factorAdjusted
Physician work2.34× 1.0002.3400
Practice expense7.25× 1.0007.2500
Malpractice0.16× 0.3360.0538
Total RVUs9.6438
Conversion factor× 33.4009

Office rate, South Dakota$322.11

Office: (2.34 × 1 + 7.25 × 1 + 0.16 × 0.336) × $33.4009 = $322.11

Open 75574 in the RVU calculator

Payment rules and modifiers for 75574

The CMS indicators that decide how 75574 is paid alongside other services.

CMS payment indicators · 75574

Coronary CTA, with contrast and 3D reconstruction

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

75574 without 26 · national office

$325.66

Coronary CTA, with contrast and 3D reconstruction

75574-26 · Professional component

$110.56

Pays only the interpretation and report.

When to use modifier 26

How 75574 has changed in South Dakota

75574 · Office / nonfacility

$322.11

Effective 2026-10-01

The base rate is $7.02 higher than on 2025-10-01, moving from $315.09 to $322.11 (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

    $315.09changed to$322.11

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.40 changed to 2.34
    • Practice expense RVU 7.28 changed to 7.25
    • Malpractice GPCI 0.382 changed to 0.336

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    No ratechanged to$315.09

    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$322.11Not available in this settingRVU26D
2026-07-01$322.11Not available in this settingRVU26C
2026-04-01$322.11Not available in this settingRVU26B
2026-01-01$322.11Not available in this settingRVU26A
2025-10-01$315.09Not available in this settingRVU25D
2025-07-01$315.09Not available in this settingRVU25C
2025-04-01$315.09Not available in this settingRVU25B
2025-01-01$315.09Not 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 75574 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

75574 billing questions

How is this different from 75571?

75574 is contrast-enhanced CT angiography used to visualize coronary vessels and cardiac anatomy. 75571 is a noncontrast CT used to measure coronary artery calcium.

Is 3D image processing separately reported?

The image processing is included in 75574. Do not separately report a 3D rendering code for the processing included in this service.

Can the professional and technical services be billed separately?

Yes. Report modifier 26 for the professional interpretation or TC for the technical service; without either modifier, the code represents the global service.

Does the multiple procedure reduction affect both components?

Yes. When the diagnostic imaging multiple procedure reduction applies, it affects both the technical and professional components.

When might 75580 be reported with this study?

75580 may be reported for qualifying noninvasive computational analysis of coronary CT angiography data. It is an add-on service, not a replacement for the CTA acquisition reported with 75574.

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 75574PPRRVU2026_Oct_nonQPP.csv, line 8,492 (RVU26D)
Geographic factors for South DakotaGPCI2026.csv, line 94 (RVU26D)

Open CMS sourceHow we calculate rates

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