2025 CPT code 75557
(Active) Effective Date: N/A Revision Date: N/A Diagnostic Radiology - Cardiac Magnetic Resonance Imaging Diagnostic Radiology (Diagnostic Imaging) Procedures of the Heart Feed
Cardiac magnetic resonance imaging (MRI) to assess heart structure and function without contrast material.
Modifiers 26 (professional component) and TC (technical component) may apply depending on the billing entity (physician vs. facility).Other modifiers may be needed depending on the clinical situation. Consult the latest CPT guidelines.
Medical necessity for a cardiac MRI (75557) is established based on the patient's symptoms, clinical presentation, and need for non-invasive assessment of cardiac structure and function. This is often appropriate when other less invasive diagnostics are insufficient or inconclusive. Specific clinical scenarios that support medical necessity include suspected or known cardiomyopathy, congenital heart defects, valve disease, and post-surgical evaluation.
The physician or qualified healthcare professional is responsible for ordering the MRI, interpreting the images, and providing a diagnosis and treatment plan based on the findings. They may also be involved in preparing the patient for the procedure (removing metallic objects etc.).
- Diagnostic Radiology (Diagnostic Imaging) Procedures of the Heart
- Diagnostic Radiology (Diagnostic Imaging) Procedures of the Heart
In simple words: This test uses a strong magnet and radio waves to take detailed pictures of your heart.It shows how well your heart is working and if there are any problems with its structure. No special dye is used during this test.
This CPT code encompasses a cardiac MRI procedure focusing on evaluating the morphology (structure) and function of the heart without the administration of contrast material.The procedure uses magnetic fields and radio waves to generate detailed images of the heart's chambers, valves, and surrounding structures, allowing for assessment of size, shape, and functionality. This non-invasive technique aids in diagnosing and managing various cardiac conditions.
Example 1: A patient presents with chest pain and shortness of breath. A cardiac MRI (75557) is ordered to evaluate for possible cardiomyopathy or other structural abnormalities., A patient with a history of congenital heart disease requires regular monitoring of heart structure and function.A cardiac MRI (75557) is performed to assess the size and function of the heart chambers and valves., A patient has undergone a previous cardiac procedure and requires a follow-up assessment to monitor the effectiveness of the treatment. A cardiac MRI (75557) is used to evaluate the overall heart structure and function.
* Physician’s order specifying the need for cardiac MRI.* Patient’s medical history and relevant clinical findings.* Imaging report with detailed description of findings and interpretation.* Images of the cardiac MRI study.
** This code is for a cardiac MRI without contrast.If contrast is used, a different code should be reported (75561 or 75563 depending on whether stress imaging is also performed).
- Payment Status: Active
- Modifier TC rule: Modifier TC may apply if the technical component of the service is billed separately.
- Specialties:Cardiology, Radiology
- Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center