$226.12
75573 is selected for a congenital heart disease evaluation. 75572 covers contrast-enhanced cardiac morphology imaging without that congenital focus.
On this page
CMS RVU26D · Effective 2026-10-01
75573 Cardiac CT Medicare reimbursement rates in Vermont
Contrast-enhanced cardiac CT evaluates congenital heart anatomy, including complex chamber, great-vessel, and venous relationships when detailed structural imaging is needed. Compare 75573 office and facility rates across CMS payment localities in Vermont.
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 75573 in Vermont?
Vermont 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
$304.28
1 of 1 localities have a supported rate.
Payment area: Vermont
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 75573: Congenital heart CT with contrast
Contrast-enhanced cardiac CT evaluates congenital heart anatomy, including complex chamber, great-vessel, and venous relationships when detailed structural imaging is needed.
This examination uses contrast-enhanced computed tomography to map cardiac structures in congenital heart disease. It can show chamber connections, great vessels, and venous anatomy, with three-dimensional image processing and functional assessment when performed. Radiologists commonly interpret the study in coordination with congenital cardiologists or cardiac surgeons. It may be used to define anatomy in a patient with a known or suspected congenital defect or to support procedural planning when detailed cross-sectional imaging is needed.
Choose this code for a congenital heart disease evaluation, rather than a general cardiac morphology study or a coronary-focused CT angiogram. The report should establish the congenital indication and document the structures assessed and interpretation; the imaging record should support the contrast-enhanced cardiac study. CMS recognizes professional and technical components: report modifier 26 for interpretation, modifier TC for equipment and staff, or neither for the global service. The diagnostic imaging multiple procedure reduction applies to both the technical and professional components.
CMS billing rules for 75573
- 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 RVU2.49 · 27%
- Practice expense (office) RVU6.60 · 71%
- Malpractice RVU0.17 · 2%
1.2K
Medicare services in 2024 · #2868 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.
75573 compared with similar codes
Office rates for Vermont, from the same CMS release.
$320.60
75574 is coronary CT angiography, while 75573 evaluates congenital cardiac anatomy. The intended structures and imaging protocol distinguish them.
$359.84
75561 uses MRI with contrast for cardiac morphology; 75573 uses CT with contrast for congenital heart disease evaluation.
Compare 75573 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
Vermont →
Office / nonfacility
$304.28
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 75573 in Vermont.
PPRRVU2026_Oct_nonQPP.csv
8,489
- Code
- 75573
- Physician work
- 2.49
- Practice expense
- 6.60
- Malpractice
- 0.17
GPCI2026.csv
105
- Locality
- Vermont
- Physician work
- 1.000
- Practice expense
- 0.990
- Malpractice
- 0.506
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.49 | × 1.000 | 2.4900 |
| Practice expense | 6.60 | × 0.990 | 6.5340 |
| Malpractice | 0.17 | × 0.506 | 0.0860 |
| Total RVUs | 9.1100 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Vermont$304.28
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.49 | 1 |
| Practice expense | 6.6 | 0.99 |
| Malpractice | 0.17 | 0.506 |
(2.49 × 1 + 6.6 × 0.99 + 0.17 × 0.506) × $33.4009 = $304.28
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.
75573 billing questions
When is 75573 a better fit than 75572?
Use 75573 when the CT is specifically evaluating congenital heart disease. Code 75572 is for cardiac morphology imaging without that congenital-heart evaluation focus.
How does 75573 differ from 75574?
75573 evaluates congenital cardiac anatomy; 75574 is a coronary CT angiography service. Select based on the examination's documented purpose and protocol.
Can the professional and technical portions be billed separately?
Yes. Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical service. Billing without either modifier represents the global service.
Does the multiple procedure reduction affect both components?
Yes. CMS applies the diagnostic imaging multiple procedure reduction to both the technical and professional components.
What documentation supports reporting 75573?
Document the congenital heart disease indication, the cardiac structures evaluated, and the interpreting physician's findings. The record should support a contrast-enhanced cardiac CT examination.
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.
8,48675572,,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
8,49075573,26,Ct hrt c+ strux cgen hrt ds,A,,2.49,0.92,,0.92,,0.13,3.54,3.54,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,0.00,0.00,0.00
8,49175573,TC,Ct hrt c+ strux cgen hrt ds,A,,0.00,5.68,,5.68,NA,0.04,5.72,5.72,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,02,0,88,10.60,10.60,0.08
8,49275574,,Ct angio hrt w/3d image,A,,2.34,7.25,,7.25,NA,0.16,9.75,9.75,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,11.45,11.45,0.19
10204412,TX,18,HOUSTON,1.008,0.993,1.376
10304412,TX,99,REST OF TEXAS,1.000,0.949,0.903
10403502,UT,09,UTAH,1.000,0.940,0.898
10514512,VT,50,VERMONT,1.000,0.990,0.506
10611302,VA,00,VIRGINIA,1.000,0.983,0.706
10709202,VI,50,VIRGIN ISLANDS,1.000,1.011,0.985
10802402,WA,02,SEATTLE (KING CNTY),1.050,1.227,0.817