Use 75571 for noncontrast coronary calcium measurement. Use 75574 when the service is contrast-enhanced CT angiography of the heart.
On this page
CMS RVU26D · Effective 2026-10-01
75574 Coronary CTA Medicare reimbursement rates in Massachusetts
Reports contrast-enhanced CT angiography of the heart with 3D image processing to evaluate coronary arteries and related cardiac anatomy. Compare 75574 office and facility rates across CMS payment localities in Massachusetts.
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 75574 in Massachusetts?
Massachusetts 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
$338.66–$375.25
2 of 2 localities have a supported rate.
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.
Cardiac imaging
About 75574: Coronary CT angiography with 3D reconstruction
Reports contrast-enhanced CT angiography of the heart with 3D image processing to evaluate coronary arteries and related cardiac anatomy.
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.
CMS billing rules for 75574
- 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 RVU2.34 · 24%
- Practice expense (office) RVU7.25 · 74%
- Malpractice RVU0.16 · 2%
210.3K
Medicare services in 2024 · #377 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.
75574 compared with similar codes
Office rates for Massachusetts, from the same CMS release.
75572 focuses on cardiac structural detail by CT. 75574 is the angiographic study used to evaluate coronary vessels.
75580 describes computational analysis derived from coronary CTA data; it does not report the CTA acquisition itself. Report 75574 for the angiographic study.
75561 is cardiac MRI with contrast, while 75574 uses CT angiography. Choose based on the imaging method actually performed.
Compare 75574 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
Metropolitan Boston →
Office / nonfacility
$375.25
Facility
Unavailable
Rest Of Massachusetts →
Office / nonfacility
$338.66
Facility
Unavailable
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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 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.
