Billing code 75572: Cardiac CTMedicare rate & RVUs in Oregon
Report this contrast-enhanced cardiac CT when imaging is directed at evaluating heart structure and morphology rather than coronary artery stenosis or calcium burden.
Medicare pays $227.80–$248.28 for 75572 in the office in Oregon, from Rest Of Oregon to Portland. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 75572 covers
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.
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.
Where 75572 pays more and less in Oregon
| Payment locality | Office | Facility |
|---|---|---|
| Portland | $248.28 | Unavailable |
| Rest Of Oregon | $227.80 | Unavailable |
How the 75572 rate is calculated
Each of 75572’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 75572
RVUs × geographic indexes × conversion factor
Work1.71
1.71 RVUs× 1.000 GPCI
Practice expense5.06
5.06 RVUs× 1.000 GPCI
Malpractice0.10
0.10 RVUs× 1.000 GPCI
Adjusted RVUs
6.8700
Conversion factor
$33.4009
Medicare rate
$229.46
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 75572
The CMS indicators that decide how 75572 is paid alongside other services.
CMS payment indicators · 75572
Cardiac CT
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 4 | Diagnostic imaging reduction applies to the technical component (and professional component) of additional services. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 1 | Diagnostic test with separate professional (26) and technical (TC) components. |
What modifiers do to the payment
Modifier 26 · payment effect
With and without the modifier
75572 without 26 · national office
$229.46
Cardiac CT
75572-26 · Professional component
$80.16
Pays only the interpretation and report.
75572 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 75571Calcium scoring
- 75571 evaluates coronary calcium with a noncontrast cardiac CT. Choose 75572 for contrast-enhanced assessment of cardiac structure and morphology.
- 75573Cardiac CT
- 75573 is the cardiac CT code for congenital heart disease. 75572 covers other cardiac structural and morphologic evaluations.
- 75574Coronary CTA
- 75574 is used when coronary CT angiography is the imaging target. Choose 75572 when the study is directed at cardiac structure and morphology.
- 75561Cardiac MRI
- 75561 evaluates cardiac morphology using MRI with contrast; 75572 uses CT with contrast for cardiac structural assessment.
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 indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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