$245.11–$308.90
75571 quantifies coronary calcium on noncontrast images; 75572 evaluates cardiac structure and morphology with CT.
On this page
CMS RVU26D · Effective 2026-10-01
75571 Calcium scoring Medicare reimbursement rates in California
Noncontrast cardiac CT with quantitative coronary calcium assessment, reported when a clinician needs a measure of calcified coronary atherosclerotic burden. Compare 75571 office and facility rates across CMS payment localities in California.
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.
What does Medicare pay for 75571 in California?
California has 29 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 29 payment areas shown below, using the same CMS release.
Office / nonfacility
$106.65–$135.70
29 of 29 localities have a supported rate.
Lowest: Chico
Highest: San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
A spread of $29.05 per service.
Facility setting
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Where 75571 pays more and less in California
29 payment localities
$106.65 to $135.70
Cardiac imaging
About 75571: Noncontrast coronary calcium CT
Noncontrast cardiac CT with quantitative coronary calcium assessment, reported when a clinician needs a measure of calcified coronary atherosclerotic burden.
This service uses a noncontrast CT scan of the heart to quantify calcified plaque in the coronary arteries. It is commonly ordered as part of cardiovascular risk assessment; the resulting calcium score measures calcified burden rather than showing the coronary artery lumen as a contrast angiogram would. A radiologic technologist acquires the images, and a radiologist or cardiologist typically interprets them and documents the quantitative findings.
Report 75571 when the study includes both the noncontrast cardiac CT and quantitative coronary calcium evaluation. Documentation should support the scan performed, the quantified result, and the interpreting clinician’s findings. The service may be billed globally, or the interpretation and image acquisition may be billed separately with modifier 26 or TC, respectively. When multiple diagnostic imaging procedures are reported, the CMS multiple-procedure reduction applies to both the technical and professional components.
CMS billing rules for 75571
- 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 RVU0.57 · 19%
- Practice expense (office) RVU2.36 · 79%
- Malpractice RVU0.05 · 2%
117.9K
Medicare services in 2024 · #516 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.
75571 compared with similar codes
Office rates for California, from the same CMS release.
$347.75–$438.81
75571 assesses calcified coronary burden without contrast. 75574 is coronary CT angiography, which uses contrast to evaluate the coronary arteries.
$1,106.03–$1,448.43
75571 is noncontrast coronary calcium scoring. 75577 is a separate quantitative and qualitative plaque assessment, not the calcium-score service.
Compare 75571 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
29 of 29 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Bakersfield | Office $106.81 | Facility Unavailable |
| Chico | Office $106.65 | Facility Unavailable |
| El Centro | Office $106.66 | Facility Unavailable |
| Fresno | Office $106.65 | Facility Unavailable |
| Hanford-Corcoran | Office $106.65 | Facility Unavailable |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office $114.18 | Facility Unavailable |
| Madera | Office $106.65 | Facility Unavailable |
| Merced | Office $106.65 | Facility Unavailable |
| Modesto | Office $106.65 | Facility Unavailable |
| Napa | Office $124.98 | Facility Unavailable |
| Oxnard-Thousand Oaks-Ventura | Office $113.78 | Facility Unavailable |
| Redding | Office $106.65 | Facility Unavailable |
| Rest Of California | Office $106.65 | Facility Unavailable |
| Riverside-San Bernardino-Ontario | Office $107.20 | Facility Unavailable |
| Sacramento-Roseville-Folsom | Office $112.29 | Facility Unavailable |
| Salinas | Office $111.88 | Facility Unavailable |
| San Diego-Chula Vista-Carlsbad | Office $114.79 | Facility Unavailable |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office $132.76 | Facility Unavailable |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office $132.70 | Facility Unavailable |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office $135.70 | Facility Unavailable |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office $135.46 | Facility Unavailable |
| San Luis Obispo-Paso Robles | Office $110.04 | Facility Unavailable |
| Santa Cruz-Watsonville | Office $116.11 | Facility Unavailable |
| Santa Maria-Santa Barbara | Office $112.38 | Facility Unavailable |
| Santa Rosa-Petaluma | Office $117.30 | Facility Unavailable |
| Stockton | Office $106.65 | Facility Unavailable |
| Vallejo | Office $124.90 | Facility Unavailable |
| Visalia | Office $106.65 | Facility Unavailable |
| Yuba City | Office $106.65 | Facility Unavailable |
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75571 billing questions
How does 75571 differ from a coronary CT angiogram?
75571 quantifies coronary calcium on a noncontrast cardiac CT. A coronary CT angiogram, such as 75574, uses contrast to evaluate the coronary arteries.
Can the interpretation and scan acquisition 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 only the technical component?
No. CMS applies the diagnostic imaging multiple-procedure reduction to both the technical and professional components.
What documentation supports reporting 75571?
The record should identify the noncontrast cardiac CT, the quantitative coronary calcium findings, and the interpreting clinician’s report.
Is 75571 the right code when the CT evaluates cardiac structure?
Use 75571 for quantitative coronary calcium assessment. Cardiac CT performed to evaluate structure and morphology is represented by a different service, such as 75572.
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.
8,48075565,,Card mri veloc flow mapping,A,,0.24,1.11,,1.11,NA,0.01,1.36,1.36,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,48175565,26,Card mri veloc flow mapping,A,,0.24,0.09,,0.09,,0.01,0.34,0.34,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,48275565,TC,Card mri veloc flow mapping,A,,0.00,1.02,,1.02,NA,0.00,1.02,1.02,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,01,0,99,0.00,0.00,0.00
8,48375571,,Ct hrt w/o dye w/ca test,A,,0.57,2.36,,2.36,NA,0.05,2.98,2.98,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,2.84,2.84,0.05
8,48475571,26,Ct hrt w/o dye w/ca test,A,,0.57,0.20,,0.20,,0.03,0.80,0.80,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,0.00,0.00,0.00
8,48575571,TC,Ct hrt w/o dye w/ca test,A,,0.00,2.16,,2.16,NA,0.02,2.18,2.18,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,02,0,88,2.64,2.64,0.02
8,48675572,,Ct hrt w/3d image,A,,1.71,5.06,,5.06,NA,0.10,6.87,6.87,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,11.22,11.22,0.14