$90.73
75571 evaluates coronary calcium with a noncontrast cardiac CT. Choose 75572 for contrast-enhanced assessment of cardiac structure and morphology.
On this page
CMS RVU26D · Effective 2026-10-01
75572 Cardiac CT Medicare reimbursement rates in Oklahoma
Report this contrast-enhanced cardiac CT when imaging is directed at evaluating heart structure and morphology rather than coronary artery stenosis or calcium burden. Compare 75572 office and facility rates across CMS payment localities in Oklahoma.
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 75572 in Oklahoma?
Oklahoma 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
$210.64
1 of 1 localities have a supported rate.
Payment area: Oklahoma
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.
Cardiac imaging
About 75572: Contrast-enhanced cardiac structure CT
Report this contrast-enhanced cardiac CT when imaging is directed at evaluating heart structure and morphology rather than coronary artery stenosis or calcium burden.
This service uses contrast-enhanced computed tomography to assess cardiac anatomy and morphology. It may be ordered to examine structures such as the heart chambers, valves, pericardium, or a suspected cardiac mass. A radiology or cardiology imaging team acquires the study, and a qualified physician interprets the images. Three-dimensional image postprocessing, when performed as part of the study, is included in the service.
Select this code when the clinical question centers on cardiac structure and morphology. Use a coronary CT angiography code when the target is the coronary arteries, and a calcium-scoring code when the study evaluates coronary calcium without contrast. Documentation should identify the clinical indication, contrast-enhanced cardiac CT protocol, and physician interpretation. CMS recognizes professional and technical components: report modifier 26 for interpretation, modifier TC for equipment and staff, or neither for the global service. When the applicable multiple-procedure reduction applies, it affects both the technical and professional components.
CMS billing rules for 75572
- 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 RVU1.71 · 25%
- Practice expense (office) RVU5.06 · 74%
- Malpractice RVU0.10 · 1%
66.3K
Medicare services in 2024 · #689 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.
75572 compared with similar codes
Office rates for Oklahoma, from the same CMS release.
$284.44
75573 is the cardiac CT code for congenital heart disease. 75572 covers other cardiac structural and morphologic evaluations.
$298.56
75574 is used when coronary CT angiography is the imaging target. Choose 75572 when the study is directed at cardiac structure and morphology.
$334.51
75561 evaluates cardiac morphology using MRI with contrast; 75572 uses CT with contrast for cardiac structural assessment.
Compare 75572 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
Oklahoma →
Office / nonfacility
$210.64
Facility
Unavailable
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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 75572 in Oklahoma.
PPRRVU2026_Oct_nonQPP.csv
8,486
- Code
- 75572
- Physician work
- 1.71
- Practice expense
- 5.06
- Malpractice
- 0.10
GPCI2026.csv
86
- Locality
- Oklahoma
- Physician work
- 1.000
- Practice expense
- 0.893
- Malpractice
- 0.777
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.71 | × 1.000 | 1.7100 |
| Practice expense | 5.06 | × 0.893 | 4.5186 |
| Malpractice | 0.10 | × 0.777 | 0.0777 |
| Total RVUs | 6.3063 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Oklahoma$210.64
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.71 | 1 |
| Practice expense | 5.06 | 0.893 |
| Malpractice | 0.1 | 0.777 |
(1.71 × 1 + 5.06 × 0.893 + 0.1 × 0.777) × $33.4009 = $210.64
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.
75572 billing questions
When should I choose 75572 instead of coronary CT angiography?
Use 75572 when the study evaluates cardiac structure and morphology. When the imaging target is the coronary arteries, consider 75574 instead.
Is 3D postprocessing separately reported?
Three-dimensional postprocessing performed for this cardiac CT is included in 75572. Do not report it separately for the same study.
Which modifiers identify the professional and technical services?
Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical service. Reporting the code without either modifier represents the global service.
How does the multiple-procedure reduction affect this code?
When the diagnostic imaging multiple-procedure reduction applies, CMS applies it to both the technical and professional components of 75572.
How does 75572 differ from the congenital heart disease CT code?
75572 is for evaluating cardiac structure and morphology. Use 75573 when the cardiac CT is specifically for congenital heart disease.
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.
8,48375571,,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
8,48775572,26,Ct hrt w/3d image,A,,1.71,0.62,,0.62,,0.07,2.40,2.40,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,0.00,0.00,0.00
8,48875572,TC,Ct hrt w/3d image,A,,0.00,4.44,,4.44,NA,0.03,4.47,4.47,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,02,0,88,10.60,10.60,0.07
8,48975573,,Ct hrt c+ strux cgen hrt ds,A,,2.49,6.60,,6.60,NA,0.17,9.26,9.26,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,11.52,11.52,0.21
8311502,NC,00,NORTH CAROLINA,1.000,0.933,0.639
8403302,ND,01,NORTH DAKOTA**,1.000,1.000,0.406
8515202,OH,00,OHIO,1.000,0.913,1.008
8604312,OK,00,OKLAHOMA,1.000,0.893,0.777
8702302,OR,01,PORTLAND,1.016,1.111,0.744
8802302,OR,99,REST OF OREGON,1.000,0.996,0.703
8912502,PA,01,METROPOLITAN PHILADELPHIA,1.018,1.041,1.193