CPT 75571
Global XXX ActiveCt hrt w/o dye w/ca test
CPT 75571 Billing & Documentation Guide
CPT code 75571 (Ct hrt w/o dye w/ca test) is classified under Radiology with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 0.57, a non-facility practice expense RVU of 2.36, and a malpractice RVU of 0.05, a total non-facility RVU of 2.98 and facility RVU of 2.98. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $103.12, though rates vary from $87.61 to $135.7 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 75571, 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 75571 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 75571 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 75571
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 0.57 | 0.57 |
| Practice Expense RVU | 2.36 | 2.36 |
| Malpractice RVU | 0.05 | 0.05 |
| Total RVU | 2.98 | 2.98 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 75571
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 | $113.9 | $113.9 | $106.65 - $135.7 | 29 |
| Florida | $101.38 | $101.38 | $96.91 - $105.32 | 3 |
| Georgia | $96.27 | $96.27 | $91.34 - $101.19 | 2 |
| Illinois | $98.46 | $98.46 | $93.62 - $103.09 | 4 |
| Michigan | $95.41 | $95.41 | $92.89 - $97.92 | 2 |
| North Carolina | $93.65 | $93.65 | $93.65 - $93.65 | 1 |
| New York | $110.15 | $110.15 | $95.1 - $117.08 | 5 |
| Ohio | $92.69 | $92.69 | $92.69 - $92.69 | 1 |
| Pennsylvania | $98.21 | $98.21 | $92.98 - $103.43 | 2 |
| Texas | $98.3 | $98.3 | $92.32 - $103.95 | 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 75571
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 75571 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 01922 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 0558T | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
| 0694T | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
| 0903T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0904T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0905T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 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 |
| 76000 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 76001 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
Frequently Asked Questions, CPT 75571
What does CPT code 75571 mean? +
CPT code 75571 represents: Ct hrt w/o dye w/ca test. It's in the Radiology category with a global period of XXX.
What is the Medicare reimbursement for CPT 75571? +
The 2026 Medicare national average non-facility payment for CPT 75571 is $103.12. Rates range from $87.61 to $135.7 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 75571? +
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 75571? +
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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