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CMS RVU26D · Effective 2026-10-01

75565 Cardiac MRI Medicare reimbursement rates in Maine

Reports cardiac MRI velocity flow mapping added to a primary cardiac MRI to measure blood-flow direction and velocity in the heart or great vessels. Compare 75565 office and facility rates across CMS payment localities in Maine.

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 75565 in Maine?

Maine has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.

Office / nonfacility

$42.33–$44.97

2 of 2 localities have a supported rate.

Lowest: Rest Of Maine

Highest: Southern Maine

A spread of $2.64 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.

Find 75565 in your payment locality →

Cardiac imaging

About 75565: Cardiac MRI velocity flow mapping

Reports cardiac MRI velocity flow mapping added to a primary cardiac MRI to measure blood-flow direction and velocity in the heart or great vessels.

This add-on captures and analyzes blood-flow velocity during cardiac MRI, such as flow across a valve or through a vessel. It can help quantify regurgitant flow or assess a suspected shunt, including in congenital heart disease. An MRI technologist performs the acquisition, with interpretation by a radiologist or cardiologist. The service is used with a primary cardiac MRI examination, not as a stand-alone study.

Report 75565 only when velocity flow mapping is performed in addition to the primary cardiac MRI; the record should support the mapping acquisition and its interpretation. CMS treats it as an add-on paid within the primary procedure's global period. The diagnostic test has professional and technical components: modifier 26 identifies interpretation, modifier TC identifies equipment and staff, and reporting without either modifier represents the global service.

CMS billing rules for 75565

Global period
Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
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.

Where the value comes from

  • Work RVU0.24 · 18%
  • Practice expense (office) RVU1.11 · 82%
  • Malpractice RVU0.01 · 1%

27.3K

Medicare services in 2024 · #1008 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.

75565 compared with similar codes

Office rates for Maine, from the same CMS release.

75557

Cardiac MRI

Morphology and function, no contrast

$262.22–$276.42

75557 identifies the primary cardiac MRI without stress imaging or contrast. Add 75565 only when velocity flow mapping is also performed.

75561

Cardiac MRI

Morphology and function with contrast

$341.16–$360.75

75561 identifies a primary cardiac MRI with contrast and without stress imaging. It does not, by itself, identify velocity flow mapping.

75563

Cardiac MRI

Stress imaging with contrast

$401.82–$425.08

75563 identifies a primary cardiac MRI with stress imaging and contrast. 75565 is a separate add-on when velocity flow mapping is performed with that examination.

Compare 75565 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.

2 of 2 payment localities

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

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75565 billing questions

Can 75565 be billed by itself?

No. It is an add-on for velocity flow mapping performed with a primary cardiac MRI, such as 75557, 75559, 75561, or 75563.

How is 75565 different from the primary cardiac MRI code?

The primary code identifies the cardiac MRI examination, including whether stress imaging or contrast is used. 75565 separately identifies additional velocity flow mapping performed during that examination.

When should modifier 26 or TC be used?

Use modifier 26 for the professional interpretation and modifier TC for the technical service, including equipment and staff. Without either modifier, the claim represents the global service.

What documentation supports reporting 75565?

Document that velocity flow mapping was acquired and interpreted as part of the cardiac MRI, along with the clinical reason for assessing flow, such as suspected regurgitation or a shunt.

Is 75565 paid separately from the primary MRI's global period?

CMS treats 75565 as an add-on paid within the primary procedure's global period.

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 75565PPRRVU2026_Oct_nonQPP.csv, line 8,480 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet