CPT code 75574: Coronary CTA, with contrast and 3D reconstruction2026 Medicare rate & RVUs in Texas
Reports contrast-enhanced CT angiography of the heart with 3D image processing to evaluate coronary arteries and related cardiac anatomy.
Medicare pays $303.49–$339.25 for 75574 in the office in Texas, from Beaumont, TX to Austin, TX. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
Your location
On this page 9 sections
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.
Where 75574 pays more and less in Texas
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
8 payment localities
$303.49 to $339.25
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin, TX | $339.25 | Unavailable |
| Beaumont, TX | $303.49 | Unavailable |
| Brazoria, TX | $322.93 | Unavailable |
| Dallas, TX | $324.63 | Unavailable |
| Fort Worth, TX | $322.28 | Unavailable |
| Galveston, TX | $323.67 | Unavailable |
| Houston, TX | $326.60 | Unavailable |
| Rest of Texas | $312.79 | Unavailable |
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
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.
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
| 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
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.
75574 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 75571Calcium scoringQuantitative coronary calcium
- Use 75571 for noncontrast coronary calcium measurement. Use 75574 when the service is contrast-enhanced CT angiography of the heart.
- 75572Cardiac CTStructure and morphology
- 75572 focuses on cardiac structural detail by CT. 75574 is the angiographic study used to evaluate coronary vessels.
- 75580CT-derived FFRCoronary CTA dataset
- 75580 describes computational analysis derived from coronary CTA data; it does not report the CTA acquisition itself. Report 75574 for the angiographic study.
- 75561Cardiac MRIMorphology and function with contrast
- 75561 is cardiac MRI with contrast, while 75574 uses CT angiography. Choose based on the imaging method actually performed.
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
Fee sheets · Coming soon
Put 75574 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
Join the waitlist