CPT 75605
Global XXX ActiveContrast exam thoracic aorta
CPT 75605 Billing & Documentation Guide
CPT code 75605 (Contrast exam thoracic aorta) is classified under Radiology with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 1.11, a non-facility practice expense RVU of 2.37, and a malpractice RVU of 0.14, a total non-facility RVU of 3.62 and facility RVU of 3.62. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $124.45, though rates vary from $107.48 to $157.81 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 75605, 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 75605 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 75605 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 75605
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 1.11 | 1.11 |
| Practice Expense RVU | 2.37 | 2.37 |
| Malpractice RVU | 0.14 | 0.14 |
| Total RVU | 3.62 | 3.62 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 75605
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 | $134.61 | $134.61 | $126.97 - $157.81 | 29 |
| Florida | $125.6 | $125.6 | $119.78 - $131.31 | 3 |
| Georgia | $118.25 | $118.25 | $113.26 - $123.23 | 2 |
| Illinois | $122.63 | $122.63 | $116.66 - $127.62 | 4 |
| Michigan | $117.99 | $117.99 | $114.63 - $121.35 | 2 |
| North Carolina | $113.92 | $113.92 | $113.92 - $113.92 | 1 |
| New York | $133.5 | $133.5 | $115.56 - $142.25 | 5 |
| Ohio | $114.06 | $114.06 | $114.06 - $114.06 | 1 |
| Pennsylvania | $119.95 | $119.95 | $114.16 - $125.73 | 2 |
| Texas | $119.55 | $119.55 | $113.45 - $125.04 | 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 75605
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 75605 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 01916 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 01924 | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 01925 | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 01926 | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0645T | Column 1 (primary), can be billed with modifier | Yes | More extensive procedure |
| 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 |
| 35201 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 35206 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 35226 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
Frequently Asked Questions, CPT 75605
What does CPT code 75605 mean? +
CPT code 75605 represents: Contrast exam thoracic aorta. It's in the Radiology category with a global period of XXX.
What is the Medicare reimbursement for CPT 75605? +
The 2026 Medicare national average non-facility payment for CPT 75605 is $124.45. Rates range from $107.48 to $157.81 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 75605? +
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 75605? +
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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