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CMS RVU26D · Effective 2026-10-01

75563 in Delaware

Office / nonfacility

$425.93

Base rate per service

Facility setting

Not available in this setting

Base rate per service

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

Cardiac imaging

About 75563: Cardiac stress MRI with contrast

Reports cardiac MRI assessment with stress imaging and contrast when the examination evaluates heart morphology and function alongside stress-related findings.

This service combines cardiac MRI assessment of heart morphology and function with stress imaging and contrast-enhanced sequences. It is commonly performed in a hospital or advanced imaging center by a cardiac MRI team, with interpretation by a radiologist or cardiologist experienced in cardiac imaging. Stress imaging can help assess suspected myocardial ischemia, while the contrast-enhanced sequences contribute information about myocardial tissue and cardiac structure.

Select this code when the documented examination includes cardiac MRI, stress imaging, and contrast-enhanced sequences. The report should support the cardiac MRI protocol performed, use of contrast and stress imaging, and the interpreting clinician’s findings. Bill the global service without a component modifier, or report modifier 26 for the professional interpretation and modifier TC for the equipment-and-staff portion. CMS applies the diagnostic imaging multiple procedure reduction to both the technical and professional components when applicable.

CMS billing rules for 75563

Professional and technical components
Diagnostic test with a professional component (modifier 26, interpretation) and a technical component (modifier TC, equipment and staff); billing without a modifier is the global service.
Multiple procedures
Diagnostic imaging multiple procedure reduction applies to the technical and professional components.

Where the value comes from

  • Work RVU2.93 · 23%
  • Practice expense (office) RVU9.79 · 76%
  • Malpractice RVU0.15 · 1%

5.1K

Medicare services in 2024 · #1859 by national volume

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.

75563 compared with similar codes

Office rates for Delaware, from the same CMS release.

75559

Cardiac MRI

Stress imaging, no contrast

$376.85

Choose 75559 for cardiac MRI with stress imaging when contrast is not used. Choose 75563 when the stress MRI also includes contrast-enhanced sequences.

75561

Cardiac MRI

Morphology and function with contrast

$361.69

75561 covers cardiac MRI with contrast without stress imaging. The stress component distinguishes 75563.

75557

Cardiac MRI

Morphology and function, no contrast

$277.18

75557 describes cardiac MRI for morphology and function without contrast or stress imaging; 75563 includes both stress imaging and contrast.

The same code, a different location

How does Delaware compare?

75563 across payment areas

Same release and payment basis · bars start at $0

  1. Delaware · This locality

    $425.93

  2. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $492.04

    $66.11 higher than Delaware

  3. Dc + Md/Va Suburbs

    $493.93

    $68.00 higher than Delaware

  4. Miami

    $450.94

    $25.01 higher than Delaware

  5. Chicago

    $438.68

    $12.75 higher than Delaware

  6. Manhattan

    $492.04

    $66.11 higher than Delaware

  7. Alaska*

    $497.81

    $71.88 higher than Delaware

Other payment areas listed in Delaware appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 75563 ranges from $381.33 in Arkansas to $582.84 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas

  • Alabama

    Alabama · 75563

    Office

    $386.82

    Facility

    Unavailable

    $39.11 lower than Delaware for the office setting.

  • Arkansas

    Arkansas · 75563

    Office

    $381.33

    Facility

    Unavailable

    $44.60 lower than Delaware for the office setting.

  • Arizona

    Arizona · 75563

    Office

    $419.01

    Facility

    Unavailable

    $6.92 lower than Delaware for the office setting.

  • Bakersfield

    California · 75563

    Office

    $461.16

    Facility

    Unavailable

    $35.23 higher than Delaware for the office setting.

  • Chico

    California · 75563

    Office

    $460.60

    Facility

    Unavailable

    $34.67 higher than Delaware for the office setting.

  • El Centro

    California · 75563

    Office

    $460.63

    Facility

    Unavailable

    $34.70 higher than Delaware for the office setting.

  • Fresno

    California · 75563

    Office

    $460.60

    Facility

    Unavailable

    $34.67 higher than Delaware for the office setting.

  • Hanford-Corcoran

    California · 75563

    Office

    $460.60

    Facility

    Unavailable

    $34.67 higher than Delaware for the office setting.

  • Madera

    California · 75563

    Office

    $460.60

    Facility

    Unavailable

    $34.67 higher than Delaware for the office setting.

  • Merced

    California · 75563

    Office

    $460.60

    Facility

    Unavailable

    $34.67 higher than Delaware for the office setting.

  • Modesto

    California · 75563

    Office

    $460.60

    Facility

    Unavailable

    $34.67 higher than Delaware for the office setting.

  • Napa

    California · 75563

    Office

    $537.55

    Facility

    Unavailable

    $111.62 higher than Delaware for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 75563

    Office

    $490.23

    Facility

    Unavailable

    $64.30 higher than Delaware for the office setting.

  • Redding

    California · 75563

    Office

    $460.60

    Facility

    Unavailable

    $34.67 higher than Delaware for the office setting.

  • Rest Of California

    California · 75563

    Office

    $460.60

    Facility

    Unavailable

    $34.67 higher than Delaware for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 75563

    Office

    $462.29

    Facility

    Unavailable

    $36.36 higher than Delaware for the office setting.

  • Sacramento-Roseville-Folsom

    California · 75563

    Office

    $484.37

    Facility

    Unavailable

    $58.44 higher than Delaware for the office setting.

  • Salinas

    California · 75563

    Office

    $482.57

    Facility

    Unavailable

    $56.64 higher than Delaware for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 75563

    Office

    $494.60

    Facility

    Unavailable

    $68.67 higher than Delaware for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 75563

    Office

    $570.52

    Facility

    Unavailable

    $144.59 higher than Delaware for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 75563

    Office

    $570.35

    Facility

    Unavailable

    $144.42 higher than Delaware for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 75563

    Office

    $582.84

    Facility

    Unavailable

    $156.91 higher than Delaware for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 75563

    Office

    $582.15

    Facility

    Unavailable

    $156.22 higher than Delaware for the office setting.

  • San Luis Obispo-Paso Robles

    California · 75563

    Office

    $474.66

    Facility

    Unavailable

    $48.73 higher than Delaware for the office setting.

  • Santa Cruz-Watsonville

    California · 75563

    Office

    $499.90

    Facility

    Unavailable

    $73.97 higher than Delaware for the office setting.

  • Santa Maria-Santa Barbara

    California · 75563

    Office

    $484.57

    Facility

    Unavailable

    $58.64 higher than Delaware for the office setting.

  • Santa Rosa-Petaluma

    California · 75563

    Office

    $505.04

    Facility

    Unavailable

    $79.11 higher than Delaware for the office setting.

  • Stockton

    California · 75563

    Office

    $460.60

    Facility

    Unavailable

    $34.67 higher than Delaware for the office setting.

  • Vallejo

    California · 75563

    Office

    $537.31

    Facility

    Unavailable

    $111.38 higher than Delaware for the office setting.

  • Visalia

    California · 75563

    Office

    $460.60

    Facility

    Unavailable

    $34.67 higher than Delaware for the office setting.

  • Yuba City

    California · 75563

    Office

    $460.60

    Facility

    Unavailable

    $34.67 higher than Delaware for the office setting.

  • Colorado

    Colorado · 75563

    Office

    $450.87

    Facility

    Unavailable

    $24.94 higher than Delaware for the office setting.

  • Connecticut

    Connecticut · 75563

    Office

    $458.06

    Facility

    Unavailable

    $32.13 higher than Delaware for the office setting.

  • Fort Lauderdale

    Florida · 75563

    Office

    $438.17

    Facility

    Unavailable

    $12.24 higher than Delaware for the office setting.

  • Rest Of Florida

    Florida · 75563

    Office

    $418.00

    Facility

    Unavailable

    $7.93 lower than Delaware for the office setting.

  • Atlanta

    Georgia · 75563

    Office

    $436.40

    Facility

    Unavailable

    $10.47 higher than Delaware for the office setting.

  • Rest Of Georgia

    Georgia · 75563

    Office

    $395.52

    Facility

    Unavailable

    $30.41 lower than Delaware for the office setting.

  • Hawaii, Guam

    Hawaii · 75563

    Office

    $472.56

    Facility

    Unavailable

    $46.63 higher than Delaware for the office setting.

  • Iowa

    Iowa · 75563

    Office

    $399.05

    Facility

    Unavailable

    $26.88 lower than Delaware for the office setting.

  • Idaho

    Idaho · 75563

    Office

    $401.07

    Facility

    Unavailable

    $24.86 lower than Delaware for the office setting.

  • East St. Louis

    Illinois · 75563

    Office

    $408.79

    Facility

    Unavailable

    $17.14 lower than Delaware for the office setting.

  • Rest Of Illinois

    Illinois · 75563

    Office

    $404.24

    Facility

    Unavailable

    $21.69 lower than Delaware for the office setting.

  • Suburban Chicago

    Illinois · 75563

    Office

    $443.25

    Facility

    Unavailable

    $17.32 higher than Delaware for the office setting.

  • Indiana

    Indiana · 75563

    Office

    $403.42

    Facility

    Unavailable

    $22.51 lower than Delaware for the office setting.

  • Kansas

    Kansas · 75563

    Office

    $395.99

    Facility

    Unavailable

    $29.94 lower than Delaware for the office setting.

  • Kentucky

    Kentucky · 75563

    Office

    $393.15

    Facility

    Unavailable

    $32.78 lower than Delaware for the office setting.

  • New Orleans

    Louisiana · 75563

    Office

    $411.26

    Facility

    Unavailable

    $14.67 lower than Delaware for the office setting.

  • Rest Of Louisiana

    Louisiana · 75563

    Office

    $392.05

    Facility

    Unavailable

    $33.88 lower than Delaware for the office setting.

  • Metropolitan Boston

    Massachusetts · 75563

    Office

    $496.77

    Facility

    Unavailable

    $70.84 higher than Delaware for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 75563

    Office

    $447.75

    Facility

    Unavailable

    $21.82 higher than Delaware for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 75563

    Office

    $456.49

    Facility

    Unavailable

    $30.56 higher than Delaware for the office setting.

  • Rest Of Maryland

    Maryland · 75563

    Office

    $434.36

    Facility

    Unavailable

    $8.43 higher than Delaware for the office setting.

  • Rest Of Maine

    Maine · 75563

    Office

    $401.82

    Facility

    Unavailable

    $24.11 lower than Delaware for the office setting.

  • Southern Maine

    Maine · 75563

    Office

    $425.08

    Facility

    Unavailable

    $0.85 lower than Delaware for the office setting.

  • Detroit

    Michigan · 75563

    Office

    $421.86

    Facility

    Unavailable

    $4.07 lower than Delaware for the office setting.

  • Rest Of Michigan

    Michigan · 75563

    Office

    $402.07

    Facility

    Unavailable

    $23.86 lower than Delaware for the office setting.

  • Minnesota

    Minnesota · 75563

    Office

    $435.83

    Facility

    Unavailable

    $9.90 higher than Delaware for the office setting.

  • Metropolitan Kansas City

    Missouri · 75563

    Office

    $409.81

    Facility

    Unavailable

    $16.12 lower than Delaware for the office setting.

  • Metropolitan St. Louis

    Missouri · 75563

    Office

    $414.18

    Facility

    Unavailable

    $11.75 lower than Delaware for the office setting.

  • Rest Of Missouri

    Missouri · 75563

    Office

    $384.61

    Facility

    Unavailable

    $41.32 lower than Delaware for the office setting.

  • Mississippi

    Mississippi · 75563

    Office

    $383.11

    Facility

    Unavailable

    $42.82 lower than Delaware for the office setting.

  • Montana**

    Montana · 75563

    Office

    $429.86

    Facility

    Unavailable

    $3.93 higher than Delaware for the office setting.

  • North Carolina

    North Carolina · 75563

    Office

    $406.15

    Facility

    Unavailable

    $19.78 lower than Delaware for the office setting.

  • North Dakota**

    North Dakota · 75563

    Office

    $426.89

    Facility

    Unavailable

    $0.96 higher than Delaware for the office setting.

  • Nebraska

    Nebraska · 75563

    Office

    $401.57

    Facility

    Unavailable

    $24.36 lower than Delaware for the office setting.

  • New Hampshire

    New Hampshire · 75563

    Office

    $442.65

    Facility

    Unavailable

    $16.72 higher than Delaware for the office setting.

  • Northern Nj

    New Jersey · 75563

    Office

    $488.69

    Facility

    Unavailable

    $62.76 higher than Delaware for the office setting.

  • Rest Of New Jersey

    New Jersey · 75563

    Office

    $464.35

    Facility

    Unavailable

    $38.42 higher than Delaware for the office setting.

  • New Mexico

    New Mexico · 75563

    Office

    $403.74

    Facility

    Unavailable

    $22.19 lower than Delaware for the office setting.

  • Nevada**

    Nevada · 75563

    Office

    $429.36

    Facility

    Unavailable

    $3.43 higher than Delaware for the office setting.

  • Nyc Suburbs/Long Island

    New York · 75563

    Office

    $502.23

    Facility

    Unavailable

    $76.30 higher than Delaware for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 75563

    Office

    $466.39

    Facility

    Unavailable

    $40.46 higher than Delaware for the office setting.

  • Queens

    New York · 75563

    Office

    $497.86

    Facility

    Unavailable

    $71.93 higher than Delaware for the office setting.

  • Rest Of New York

    New York · 75563

    Office

    $412.03

    Facility

    Unavailable

    $13.90 lower than Delaware for the office setting.

  • Ohio

    Ohio · 75563

    Office

    $401.46

    Facility

    Unavailable

    $24.47 lower than Delaware for the office setting.

  • Oklahoma

    Oklahoma · 75563

    Office

    $393.76

    Facility

    Unavailable

    $32.17 lower than Delaware for the office setting.

  • Portland

    Oregon · 75563

    Office

    $466.45

    Facility

    Unavailable

    $40.52 higher than Delaware for the office setting.

  • Rest Of Oregon

    Oregon · 75563

    Office

    $427.07

    Facility

    Unavailable

    $1.14 higher than Delaware for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 75563

    Office

    $446.00

    Facility

    Unavailable

    $20.07 higher than Delaware for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 75563

    Office

    $402.78

    Facility

    Unavailable

    $23.15 lower than Delaware for the office setting.

  • Puerto Rico

    Puerto Rico · 75563

    Office

    $433.39

    Facility

    Unavailable

    $7.46 higher than Delaware for the office setting.

  • Rhode Island

    Rhode Island · 75563

    Office

    $441.98

    Facility

    Unavailable

    $16.05 higher than Delaware for the office setting.

  • South Carolina

    South Carolina · 75563

    Office

    $404.27

    Facility

    Unavailable

    $21.66 lower than Delaware for the office setting.

  • South Dakota**

    South Dakota · 75563

    Office

    $426.54

    Facility

    Unavailable

    $0.61 higher than Delaware for the office setting.

  • Tennessee

    Tennessee · 75563

    Office

    $397.79

    Facility

    Unavailable

    $28.14 lower than Delaware for the office setting.

  • Austin

    Texas · 75563

    Office

    $448.46

    Facility

    Unavailable

    $22.53 higher than Delaware for the office setting.

  • Beaumont

    Texas · 75563

    Office

    $400.08

    Facility

    Unavailable

    $25.85 lower than Delaware for the office setting.

  • Brazoria

    Texas · 75563

    Office

    $426.61

    Facility

    Unavailable

    $0.68 higher than Delaware for the office setting.

  • Dallas

    Texas · 75563

    Office

    $428.73

    Facility

    Unavailable

    $2.80 higher than Delaware for the office setting.

  • Fort Worth

    Texas · 75563

    Office

    $425.53

    Facility

    Unavailable

    $0.40 lower than Delaware for the office setting.

  • Galveston

    Texas · 75563

    Office

    $427.50

    Facility

    Unavailable

    $1.57 higher than Delaware for the office setting.

  • Houston

    Texas · 75563

    Office

    $430.25

    Facility

    Unavailable

    $4.32 higher than Delaware for the office setting.

  • Rest Of Texas

    Texas · 75563

    Office

    $412.71

    Facility

    Unavailable

    $13.22 lower than Delaware for the office setting.

  • Utah

    Utah · 75563

    Office

    $409.74

    Facility

    Unavailable

    $16.19 lower than Delaware for the office setting.

  • Virginia

    Virginia · 75563

    Office

    $422.84

    Facility

    Unavailable

    $3.09 lower than Delaware for the office setting.

  • Virgin Islands

    United States Virgin Islands · 75563

    Office

    $433.39

    Facility

    Unavailable

    $7.46 higher than Delaware for the office setting.

  • Vermont

    Vermont · 75563

    Office

    $424.12

    Facility

    Unavailable

    $1.81 lower than Delaware for the office setting.

  • Rest Of Washington

    Washington · 75563

    Office

    $447.28

    Facility

    Unavailable

    $21.35 higher than Delaware for the office setting.

  • Seattle (King Cnty)

    Washington · 75563

    Office

    $508.07

    Facility

    Unavailable

    $82.14 higher than Delaware for the office setting.

  • Wisconsin

    Wisconsin · 75563

    Office

    $412.67

    Facility

    Unavailable

    $13.26 lower than Delaware for the office setting.

  • West Virginia

    West Virginia · 75563

    Office

    $389.19

    Facility

    Unavailable

    $36.74 lower than Delaware for the office setting.

  • Wyoming**

    Wyoming · 75563

    Office

    $428.57

    Facility

    Unavailable

    $2.64 higher than Delaware for the office setting.

See how rates vary across the country

75563 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$381.33

$521.72

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$497.811
AL$386.821
AR$381.331
AZ$419.011
CA$460.60–$582.8429
CO$450.871
CT$458.061
DC$493.931
DE$425.931
FL$418.00–$450.943
GA$395.52–$436.402
GU$472.561
HI$472.561
IA$399.051
ID$401.071
IL$404.24–$443.254
IN$403.421
KS$395.991
KY$393.151
LA$392.05–$411.262
MA$447.75–$496.772
MD$434.36–$493.933
ME$401.82–$425.082
MI$402.07–$421.862
MN$435.831
MO$384.61–$414.183
MS$383.111
MT$429.861
NC$406.151
ND$426.891
NE$401.571
NH$442.651
NJ$464.35–$488.692
NM$403.741
NV$429.361
NY$412.03–$502.235
OH$401.461
OK$393.761
OR$427.07–$466.452
PA$402.78–$446.002
PR$433.391
RI$441.981
SC$404.271
SD$426.541
TN$397.791
TX$400.08–$448.468
UT$409.741
VA$422.84–$493.932
VI$433.391
VT$424.121
WA$447.28–$508.072
WI$412.671
WV$389.191
WY$428.571

Explore 75563 on the national rate map →

Where does this rate apply?

Delaware is a Medicare payment area. Our Census mapping connects it to 79 cities and communities in Delaware, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Browse all communities in Delaware →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 75563 in Delaware. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$468.52

$425.93 × 110% = $468.52

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

Compare your contract offer →

How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 75563 in Delaware.

PPRRVU2026_Oct_nonQPP.csv

8,477

Code
75563
Physician work
2.93
Practice expense
9.79
Malpractice
0.15

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Office / nonfacility calculation for 75563 in Delaware
ComponentRVULocality factorAdjusted
Physician work2.93× 1.0052.9446
Practice expense9.79× 0.9889.6725
Malpractice0.15× 0.8990.1348
Total RVUs12.7520
Conversion factor× 33.4009

Office / nonfacility rate, Delaware$425.93

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 75563 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work2.931.005
Practice expense9.790.988
Malpractice0.150.899

(2.93 × 1.005 + 9.79 × 0.988 + 0.15 × 0.899) × $33.4009 = $425.93

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

75563 · Office / nonfacility

$425.93

Effective 2026-10-01

The base rate is $14.73 higher than on 2025-10-01, moving from $411.20 to $425.93 (3.6%).

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

    $411.20changed to$425.93

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 3.00 changed to 2.93
    • Practice expense RVU 9.62 changed to 9.79
    • Work GPCI 1.009 changed to 1.005
    • Practice expense GPCI 0.992 changed to 0.988
    • Malpractice GPCI 0.949 changed to 0.899

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $411.20

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$425.93Not available in this settingRVU26D
2026-07-01$425.93Not available in this settingRVU26C
2026-04-01$425.93Not available in this settingRVU26B
2026-01-01$425.93Not available in this settingRVU26A
2025-10-01$411.20Not available in this settingRVU25D
2025-07-01$411.20Not available in this settingRVU25C
2025-04-01$411.20Not available in this settingRVU25B
2025-01-01$411.20Not available in this settingRVU25A

75563 billing questions

How does 75563 differ from 75559?

75563 includes contrast-enhanced sequences in addition to stress imaging. 75559 describes cardiac MRI with stress imaging without contrast.

When should 75561 be used instead?

Use 75561 for cardiac MRI with contrast when stress imaging is not part of the examination. 75563 is the choice when the exam includes both contrast and stress imaging.

Can the professional and technical portions be billed separately?

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

Does a multiple procedure reduction affect this code?

CMS applies the diagnostic imaging multiple procedure reduction to the technical and professional components when applicable.

What documentation supports reporting 75563?

The record should identify the cardiac MRI examination, contrast-enhanced sequences, stress imaging, and the interpreting clinician’s findings.

Can flow velocity mapping be reported with 75563?

Code 75565 is an add-on for cardiac MRI flow velocity mapping and may be reported with 75563 when that mapping is performed and documented.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.

Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.

RVUs for 75563PPRRVU2026_Oct_nonQPP.csv, line 8,477 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet