75572 Ct hrt w/3d image
What 75572 is
CMS fee schedule short descriptor: Ct hrt w/3d image.
Full CPT long descriptions are licensed by the American Medical Association and are not published on this site; the short descriptor above is the one CMS prints in its own fee schedule file. See About CPT.
Medicare payment for 75572 (CY2026)
| Work RVU | Practice expense RVU | Malpractice RVU | Total | Medicare rate | |
|---|---|---|---|---|---|
| Non-facility (office) | 1.71 | 5.06 | 0.10 | 6.87 | $229.46 |
| Facility (hospital, ASC) | 1.71 | 5.06 | 0.10 | 6.87 | $229.46 |
National rates: total RVUs x the CY2026 conversion factor of 33.4009 (non-QP), before geographic adjustment. Actual Medicare payment is 80% of the rate shown after the deductible; the patient or secondary payer owes the 20% coinsurance.
Status: Active - payable under the Physician Fee Schedule. Global period: Global concept does not apply.
Medically Unlikely Edit (MUE)
Medicare caps 75572 at 1 unit per date of service for practitioner claims (MAI 3 - date of service edit (clinical): units above the MUE may pay with documentation on appeal), rationale: Anatomic Consideration. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.
Billed with 75572? These codes are bundled into it
75572 is a Column 1 code in 46 active NCCI PTP edits. When one of these Column 2 codes is reported on the same date of service, it is denied as bundled - unless the edit's modifier indicator is 1 and documentation supports a distinct service with an NCCI-associated modifier.
| Column 2 code | Short description | Modifier indicator | |
|---|---|---|---|
01922 | Anes n-invas img/radj ther | 0 - no modifier bypass | Check pair |
0558T | Ct scan f/biomchn ct alys | 1 - modifier may bypass | Check pair |
0694T | 3d vol img&rcnstj brst/ax | 1 - modifier may bypass | Check pair |
0708T | Id ca immntx prep & 1st njx | 1 - modifier may bypass | Check pair |
0709T | Id ca immntx each addl njx | 1 - modifier may bypass | Check pair |
0877T | Augmnt alys ch ct ild w/o ct | 1 - modifier may bypass | Check pair |
0903T | Ecg alg 12 lead reduced i&r | 1 - modifier may bypass | Check pair |
0904T | Ecg alg 12 ld rdcd trcg only | 1 - modifier may bypass | Check pair |
0905T | Ecg alg 12 ld rdcd i&r only | 1 - modifier may bypass | Check pair |
36000 | Place needle in vein | 1 - modifier may bypass | Check pair |
36005 | Injection ext venography | 1 - modifier may bypass | Check pair |
36410 | Vnpnxr 3yr/> phy/qhp dx/ther | 1 - modifier may bypass | Check pair |
36591 | Draw blood off venous device | 0 - no modifier bypass | Check pair |
36592 | Collect blood from picc | 0 - no modifier bypass | Check pair |
71250 | Ct thorax dx c- | 1 - modifier may bypass | Check pair |
71260 | Ct thorax dx c+ | 1 - modifier may bypass | Check pair |
71270 | Ct thorax dx c-/c+ | 1 - modifier may bypass | Check pair |
71271 | Ct thorax lung cancer scr c- | 1 - modifier may bypass | Check pair |
75571 | Ct hrt w/o dye w/ca test | 1 - modifier may bypass | Check pair |
76000 | Fluoroscopy <1 hr phys/qhp | 1 - modifier may bypass | Check pair |
76120 | Cine/video x-rays | 1 - modifier may bypass | Check pair |
76125 | Cine/video x-rays add-on | 1 - modifier may bypass | Check pair |
76376 | 3d render w/intrp postproces | 1 - modifier may bypass | Check pair |
76377 | 3d render w/intrp postproces | 1 - modifier may bypass | Check pair |
76942 | Echo guide for biopsy | 1 - modifier may bypass | Check pair |
76998 | Us guide intraop | 1 - modifier may bypass | Check pair |
77001 | Fluoroguide for vein device | 1 - modifier may bypass | Check pair |
77002 | Needle localization by xray | 1 - modifier may bypass | Check pair |
78803 | Rp loclzj tum spect 1 area | 1 - modifier may bypass | Check pair |
78830 | Rp loclzj tum spect w/ct 1 | 1 - modifier may bypass | Check pair |
Showing 30 of 46 column 2 codes. Use the pair checker for any specific combination.
75572 is bundled into these codes
75572 appears as a Column 2 code in 4 active edits. Reported with one of these Column 1 codes on the same date of service, 75572 is the code that denies.
| Column 1 code | Short description | Modifier indicator | |
|---|---|---|---|
0691T | Auto alys xst ct std vrt fx | 0 | Check pair |
0721T | Quan ct tiss charac w/o ct | 1 | Check pair |
75573 | Ct hrt c+ strux cgen hrt ds | 1 | Check pair |
75574 | Ct angio hrt w/3d image | 1 | Check pair |
Data: CMS CY2026 Physician Fee Schedule RVU file (October release, RVU26D) and Medicare NCCI PTP practitioner edits v32.3 (2026 Q4). Verify against the official files before billing or contracting decisions.