Billing code 75563: Cardiac MRIMedicare rate & RVUs in Washington
Reports cardiac MRI assessment with stress imaging and contrast when the examination evaluates heart morphology and function alongside stress-related findings.
Medicare pays $447.28–$508.07 for 75563 in the office in Washington, from Rest Of Washington to Seattle (King Cnty). 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 75563 covers
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.
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 75563 pays more and less in Washington
| Payment locality | Office | Facility |
|---|---|---|
| Rest Of Washington | $447.28 | Unavailable |
| Seattle (King Cnty) | $508.07 | Unavailable |
How the 75563 rate is calculated
Each of 75563’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 · 75563
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 2.93Practice expense 9.79Malpractice 0.15
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 75563
The CMS indicators that decide how 75563 is paid alongside other services.
CMS payment indicators · 75563
Cardiac MRI
| 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
75563 without 26 · national office
$429.87
Cardiac MRI
75563-26 · Professional component
$137.95
Pays only the interpretation and report.
75563 compared with similar codes
Compare codes
75563 vs 75559 vs 75561 vs 75557: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 75559Cardiac MRI
- Choose 75559 for cardiac MRI with stress imaging when contrast is not used. Choose 75563 when the stress MRI also includes contrast-enhanced sequences.
- 75561Cardiac MRI
- 75561 covers cardiac MRI with contrast without stress imaging. The stress component distinguishes 75563.
- 75557Cardiac MRI
- 75557 describes cardiac MRI for morphology and function without contrast or stress imaging; 75563 includes both stress imaging and contrast.
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 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
Fee sheets
Put 75563 and the rest of your codes on one sheet
Build a fee sheet from your own code list at your locality, put your payer contracts beside Medicare, and see what changed each quarter.
Build my fee sheetOr price your code list free →