$352.90
Choose 75559 for cardiac MRI with stress imaging when contrast is not used. Choose 75563 when the stress MRI also includes contrast-enhanced sequences.
On this page
CMS RVU26D · Effective 2026-10-01
75563 Cardiac MRI Medicare reimbursement rates in Tennessee
Reports cardiac MRI assessment with stress imaging and contrast when the examination evaluates heart morphology and function alongside stress-related findings. Compare 75563 office and facility rates across CMS payment localities in Tennessee.
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 75563 in Tennessee?
Tennessee 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
$397.79
1 of 1 localities have a supported rate.
Payment area: Tennessee
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 75563: Cardiac stress MRI with contrast
Reports cardiac MRI assessment with stress imaging and contrast when the examination evaluates heart morphology and function alongside stress-related findings.
This service combines cardiac MRI assessment of heart morphology and function with stress imaging and contrast-enhanced sequences. It is commonly performed in a hospital or advanced imaging center by a cardiac MRI team, with interpretation by a radiologist or cardiologist experienced in cardiac imaging. Stress imaging can help assess suspected myocardial ischemia, while the contrast-enhanced sequences contribute information about myocardial tissue and cardiac structure.
Select this code when the documented examination includes cardiac MRI, stress imaging, and contrast-enhanced sequences. The report should support the cardiac MRI protocol performed, use of contrast and stress imaging, and the interpreting clinician’s findings. Bill the global service without a component modifier, or report modifier 26 for the professional interpretation and modifier TC for the equipment-and-staff portion. CMS applies the diagnostic imaging multiple procedure reduction to both the technical and professional components when applicable.
CMS billing rules for 75563
- 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 RVU2.93 · 23%
- Practice expense (office) RVU9.79 · 76%
- Malpractice RVU0.15 · 1%
5.1K
Medicare services in 2024 · #1859 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.
75563 compared with similar codes
Office rates for Tennessee, from the same CMS release.
$337.71
75561 covers cardiac MRI with contrast without stress imaging. The stress component distinguishes 75563.
$259.72
75557 describes cardiac MRI for morphology and function without contrast or stress imaging; 75563 includes both stress imaging and contrast.
Compare 75563 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
Tennessee →
Office / nonfacility
$397.79
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 75563 in Tennessee.
PPRRVU2026_Oct_nonQPP.csv
8,477
- Code
- 75563
- Physician work
- 2.93
- Practice expense
- 9.79
- Malpractice
- 0.15
GPCI2026.csv
95
- Locality
- Tennessee
- Physician work
- 1.000
- Practice expense
- 0.909
- Malpractice
- 0.537
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.93 | × 1.000 | 2.9300 |
| Practice expense | 9.79 | × 0.909 | 8.8991 |
| Malpractice | 0.15 | × 0.537 | 0.0805 |
| Total RVUs | 11.9097 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Tennessee$397.79
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.93 | 1 |
| Practice expense | 9.79 | 0.909 |
| Malpractice | 0.15 | 0.537 |
(2.93 × 1 + 9.79 × 0.909 + 0.15 × 0.537) × $33.4009 = $397.79
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.
75563 billing questions
How does 75563 differ from 75559?
75563 includes contrast-enhanced sequences in addition to stress imaging. 75559 describes cardiac MRI with stress imaging without contrast.
When should 75561 be used instead?
Use 75561 for cardiac MRI with contrast when stress imaging is not part of the examination. 75563 is the choice when the exam includes both contrast and stress imaging.
Can the professional and technical portions be billed separately?
Yes. Report modifier 26 for the professional interpretation or modifier TC for the technical portion; billing without either modifier represents the global service.
Does a multiple procedure reduction affect this code?
CMS applies the diagnostic imaging multiple procedure reduction to the technical and professional components when applicable.
What documentation supports reporting 75563?
The record should identify the cardiac MRI examination, contrast-enhanced sequences, stress imaging, and the interpreting clinician’s findings.
Can flow velocity mapping be reported with 75563?
Code 75565 is an add-on for cardiac MRI flow velocity mapping and may be reported with 75563 when that mapping 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.
8,47475561,,Cardiac mri for morph w/dye,A,,2.54,8.24,,8.24,NA,0.15,10.93,10.93,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,11.56,11.56,0.16
8,47575561,26,Cardiac mri for morph w/dye,A,,2.54,0.93,,0.93,,0.12,3.59,3.59,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,0.00,0.00,0.00
8,47675561,TC,Cardiac mri for morph w/dye,A,,0.00,7.31,,7.31,NA,0.03,7.34,7.34,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,01,0,88,10.63,10.63,0.04
8,47775563,,Card mri w/stress img & dye,A,,2.93,9.79,,9.79,NA,0.15,12.87,12.87,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,24.98,24.98,0.20
8,47875563,26,Card mri w/stress img & dye,A,,2.93,1.08,,1.08,,0.12,4.13,4.13,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,0.00,0.00,0.00
8,47975563,TC,Card mri w/stress img & dye,A,,0.00,8.71,,8.71,NA,0.03,8.74,8.74,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,01,0,88,23.90,23.90,0.08
8,48075565,,Card mri veloc flow mapping,A,,0.24,1.11,,1.11,NA,0.01,1.36,1.36,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9214412,RI,01,RHODE ISLAND,1.019,1.033,0.892
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537
9604412,TX,31,AUSTIN,1.002,1.058,0.886
9704412,TX,20,BEAUMONT,1.000,0.910,0.929
9804412,TX,09,BRAZORIA,1.008,0.991,0.780