CPT 75561
Global XXX ActiveCardiac mri for morph w/dye
CPT 75561 Billing & Documentation Guide
CPT code 75561 (Cardiac mri for morph w/dye) is classified under Radiology with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 2.54, a non-facility practice expense RVU of 8.24, and a malpractice RVU of 0.15, a total non-facility RVU of 10.93 and facility RVU of 10.93. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $378.09, though rates vary from $323.84 to $493.73 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 75561, ensure documentation supports medical necessity and the specific components required for the code's level of service. For E/M codes, document MDM (medical decision-making) elements: problems addressed, data reviewed, and risk. For procedural codes, document the indication, technique, and any complications. Always verify NCCI edits before bundling 75561 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
No global period (E/M and other non-procedural services)
MUE Limit (Medically Unlikely Edits)
Submitting more than 1 units of 75561 for the same patient on the same date triggers automatic line denial unless an appropriate modifier and supporting documentation justify the higher quantity.
RVU Breakdown, CPT 75561
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 2.54 | 2.54 |
| Practice Expense RVU | 8.24 | 8.24 |
| Malpractice RVU | 0.15 | 0.15 |
| Total RVU | 10.93 | 10.93 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 75561
State-level averages across all MAC localities. Non-facility rates typically apply to office-based services; facility rates apply to hospital outpatient / inpatient.
| State | Non-Facility | Facility | Range (Non-Fac) | Localities |
|---|---|---|---|---|
| California | $416.26 | $416.26 | $390.61 - $493.73 | 29 |
| Florida | $370.73 | $370.73 | $355.48 - $384.02 | 3 |
| Georgia | $353.53 | $353.53 | $336.31 - $370.74 | 2 |
| Illinois | $360.64 | $360.64 | $343.95 - $376.96 | 4 |
| Michigan | $350.33 | $350.33 | $341.77 - $358.88 | 2 |
| North Carolina | $344.82 | $344.82 | $344.82 - $344.82 | 1 |
| New York | $402.71 | $402.71 | $349.82 - $426.81 | 5 |
| Ohio | $341.17 | $341.17 | $341.17 - $341.17 | 1 |
| Pennsylvania | $360.54 | $360.54 | $342.23 - $378.85 | 2 |
| Texas | $360.92 | $360.92 | $339.95 - $380.63 | 8 |
Source: CMS PFSRVU 2026 · Updated 2026-04-01. Full locality-level detail available for all 53 states, contact us for custom reports.
NCCI Bundling Edits, CPT 75561
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 75561 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 0694T | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
| 0708T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0709T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 36000 | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 36410 | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 36591 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 36592 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 75557 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 75559 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 76000 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
Frequently Asked Questions, CPT 75561
What does CPT code 75561 mean? +
CPT code 75561 represents: Cardiac mri for morph w/dye. It's in the Radiology category with a global period of XXX.
What is the Medicare reimbursement for CPT 75561? +
The 2026 Medicare national average non-facility payment for CPT 75561 is $378.09. Rates range from $323.84 to $493.73 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 75561? +
Radiology codes rely heavily on the professional/technical split: modifier 26 (professional component only) and TC (technical component only). Also common: 50 (bilateral imaging), 76 (repeat by same physician), 77 (repeat by different physician), and LT/RT for laterality.
What bundling edits apply to CPT 75561? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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