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CMS RVU26D · Effective 2026-10-01

75559 Cardiac MRI Medicare reimbursement rates in Connecticut

Reports cardiac MRI assessment of heart structure and function with stress imaging when the study is performed without contrast material. Compare 75559 office and facility rates across CMS payment localities in Connecticut.

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 75559 in Connecticut?

Connecticut has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.

Office / nonfacility

$404.38

1 of 1 localities have a supported rate.

Payment area: Connecticut

One mapped payment locality.

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.

Find 75559 in your payment locality →

Cardiac imaging

About 75559: Cardiac MRI with stress imaging without contrast

Reports cardiac MRI assessment of heart structure and function with stress imaging when the study is performed without contrast material.

This study uses magnetic resonance imaging to assess cardiac structure and function during stress, without contrast material. It is typically performed in a hospital imaging department by MRI staff, with a radiologist or cardiologist interpreting the images. Stress imaging may be used to evaluate how the heart responds to stress when assessing suspected ischemia or other cardiac concerns.

Select this code when the cardiac MRI includes stress imaging and no contrast is administered; a stress study performed with contrast is represented by 75563. The record should support the cardiac MRI protocol, stress imaging, absence of contrast, and the interpreting provider’s findings. The service has professional and technical components: report modifier 26 for interpretation only, modifier TC for equipment and staff only, or no component modifier when billing the global service. CMS applies the diagnostic imaging multiple procedure reduction to both the technical and professional components when applicable.

CMS billing rules for 75559

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 RVU2.88 · 25%
  • Practice expense (office) RVU8.39 · 74%
  • Malpractice RVU0.11 · 1%

37

Medicare services in 2024 · #5544 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.

75559 compared with similar codes

Office rates for Connecticut, from the same CMS release.

75557

Cardiac MRI

Morphology and function, no contrast

$297.22

Use 75557 for cardiac MRI without contrast when stress imaging is not performed. Use 75559 when the study includes stress imaging.

75561

Cardiac MRI

Morphology and function with contrast

$389.01

75561 describes cardiac MRI with contrast but without stress imaging. The stress component distinguishes 75559, which is performed without contrast.

75563

Cardiac MRI

Stress imaging with contrast

$458.06

Both codes include cardiac MRI stress imaging; contrast use separates them. Report 75563 when contrast is used and 75559 when it is not.

Compare 75559 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.

1 of 1 payment localities

Office and facility base rates · shared scale starting at $0

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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 75559 in Connecticut.

PPRRVU2026_Oct_nonQPP.csv

8,471

Code
75559
Physician work
2.88
Practice expense
8.39
Malpractice
0.11

GPCI2026.csv

38

Locality
Connecticut
Physician work
1.020
Practice expense
1.077
Malpractice
1.210
Office / nonfacility calculation for 75559 in Connecticut
ComponentRVULocality factorAdjusted
Physician work2.88× 1.0202.9376
Practice expense8.39× 1.0779.0360
Malpractice0.11× 1.2100.1331
Total RVUs12.1067
Conversion factor× 33.4009

Office / nonfacility rate, Connecticut$404.38

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.
Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work2.881.02
Practice expense8.391.077
Malpractice0.111.21

(2.88 × 1.02 + 8.39 × 1.077 + 0.11 × 1.21) × $33.4009 = $404.38

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.

75559 billing questions

How does 75559 differ from 75563?

Both describe cardiac MRI with stress imaging. Use 75559 when the study is performed without contrast and 75563 when contrast is used.

When should 75557 be reported instead?

75557 represents cardiac MRI for morphology and function without stress imaging. Report 75559 when the study also includes stress imaging.

Can the professional and technical portions be billed separately?

Yes. Use modifier 26 for the interpretation and modifier TC for the technical service. Without either modifier, the claim represents the global service.

Does CMS reduce payment when multiple diagnostic imaging services are performed?

The diagnostic imaging multiple procedure reduction applies to both the technical and professional components of this code when applicable.

What documentation supports reporting 75559?

Document the cardiac MRI protocol, that stress imaging was performed, that contrast was not used, and the interpretation of the study.

Can cardiac MRI flow mapping be reported with 75559?

Code 75565 is an add-on for cardiac MRI velocity flow mapping and may be reported with 75559 when that mapping service 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 75559PPRRVU2026_Oct_nonQPP.csv, line 8,471 (RVU26D)
Geographic factors for ConnecticutGPCI2026.csv, line 38 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet