CPT 75565
Global ZZZ ActiveCard mri veloc flow mapping
CPT 75565 Billing & Documentation Guide
CPT code 75565 (Card mri veloc flow mapping) is classified under Radiology with a global period indicator of ZZZ. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 0.24, a non-facility practice expense RVU of 1.11, and a malpractice RVU of 0.01, a total non-facility RVU of 1.36 and facility RVU of 1.36. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $47.16, though rates vary from $40.04 to $62.54 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 75565, 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 75565 with related codes; this code has 6 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
Add-on code (global concept does not apply)
MUE Limit (Medically Unlikely Edits)
Submitting more than 4 units of 75565 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 75565
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 0.24 | 0.24 |
| Practice Expense RVU | 1.11 | 1.11 |
| Malpractice RVU | 0.01 | 0.01 |
| Total RVU | 1.36 | 1.36 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 75565
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 | $52.36 | $52.36 | $48.97 - $62.54 | 29 |
| Florida | $45.87 | $45.87 | $43.96 - $47.46 | 3 |
| Georgia | $43.8 | $43.8 | $41.49 - $46.11 | 2 |
| Illinois | $44.51 | $44.51 | $42.39 - $46.74 | 4 |
| Michigan | $43.3 | $43.3 | $42.24 - $44.36 | 2 |
| North Carolina | $42.82 | $42.82 | $42.82 - $42.82 | 1 |
| New York | $50.21 | $50.21 | $43.47 - $53.23 | 5 |
| Ohio | $42.2 | $42.2 | $42.2 - $42.2 | 1 |
| Pennsylvania | $44.76 | $44.76 | $42.37 - $47.15 | 2 |
| Texas | $44.87 | $44.87 | $42.06 - $47.55 | 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 75565
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 75565 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 |
| 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 |
| 76376 | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
| 76377 | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
| 96523 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
Frequently Asked Questions, CPT 75565
What does CPT code 75565 mean? +
CPT code 75565 represents: Card mri veloc flow mapping. It's in the Radiology category with a global period of ZZZ.
What is the Medicare reimbursement for CPT 75565? +
The 2026 Medicare national average non-facility payment for CPT 75565 is $47.16. Rates range from $40.04 to $62.54 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 75565? +
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 75565? +
This code has 6 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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