CPT 75573
Global XXX ActiveCt hrt c+ strux cgen hrt ds
CPT 75573 Billing & Documentation Guide
CPT code 75573 (Ct hrt c+ strux cgen hrt ds) is classified under Radiology with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 2.49, a non-facility practice expense RVU of 6.6, and a malpractice RVU of 0.17, a total non-facility RVU of 9.26 and facility RVU of 9.26. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $319.79, though rates vary from $275.46 to $413.24 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 75573, 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 75573 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 75573 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 75573
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 2.49 | 2.49 |
| Practice Expense RVU | 6.6 | 6.6 |
| Malpractice RVU | 0.17 | 0.17 |
| Total RVU | 9.26 | 9.26 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 75573
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 | $350.07 | $350.07 | $329.23 - $413.24 | 29 |
| Florida | $315.4 | $315.4 | $302.45 - $327.01 | 3 |
| Georgia | $300.39 | $300.39 | $286.57 - $314.21 | 2 |
| Illinois | $307.32 | $307.32 | $293.31 - $320.21 | 4 |
| Michigan | $298.16 | $298.16 | $290.85 - $305.47 | 2 |
| North Carolina | $292.47 | $292.47 | $292.47 - $292.47 | 1 |
| New York | $340.76 | $340.76 | $296.58 - $361.15 | 5 |
| Ohio | $290.16 | $290.16 | $290.16 - $290.16 | 1 |
| Pennsylvania | $305.91 | $305.91 | $290.9 - $320.92 | 2 |
| Texas | $305.93 | $305.93 | $289.05 - $321.6 | 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 75573
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 75573 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 |
| 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 |
| 0877T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 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 |
| 36000 | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
Frequently Asked Questions, CPT 75573
What does CPT code 75573 mean? +
CPT code 75573 represents: Ct hrt c+ strux cgen hrt ds. It's in the Radiology category with a global period of XXX.
What is the Medicare reimbursement for CPT 75573? +
The 2026 Medicare national average non-facility payment for CPT 75573 is $319.79. Rates range from $275.46 to $413.24 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 75573? +
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 75573? +
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 June 2, 2026.
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