2025 CPT code 75559
(Active) Effective Date: N/A Revision Date: N/A Diagnostic Radiology - Cardiac MRI Radiology Feed
Cardiac magnetic resonance imaging (MRI) of morphology and function without contrast, including stress imaging.
Modifiers may be applied based on the specific circumstances of the service.Examples include modifiers 26 (professional component only) and TC (technical component only).Consult the official CPT manual for details.
Medical necessity is determined by the clinical indication for cardiac MRI, such as evaluating suspected coronary artery disease, cardiomyopathy, valvular heart disease, or other cardiac conditions. The stress component is medically necessary when information on myocardial response to increased workload is clinically relevant.
Radiologist or cardiologist.Responsibility includes image acquisition, interpretation, and report generation.Physician may also be involved in patient preparation, medication administration (for stress testing), and post-procedure monitoring.
In simple words: This test uses a powerful magnet and radio waves to create detailed pictures of your heart. It's done without a special dye (contrast). The test also includes a part where you get medicine to make your heart work harder, helping doctors see how well it functions under stress.
This CPT code encompasses cardiac magnetic resonance imaging (MRI) to assess the structure (morphology) and function of the heart without the use of contrast material.The procedure includes stress imaging, which involves administering medication to increase heart rate and blood flow, allowing for evaluation of cardiac response under stress conditions.The images obtained provide detailed anatomical and functional information about the heart.
Example 1: A patient presents with chest pain and suspected coronary artery disease.A stress cardiac MRI (75559) is performed to assess cardiac function and morphology under stress conditions without the need for contrast. This helps avoid potential risks associated with contrast administration., A patient with known cardiomyopathy undergoes a cardiac MRI (75559) to evaluate left ventricular function and wall motion abnormalities. The stress portion helps determine the response to increased cardiac workload., A patient with a history of valvular heart disease requires a cardiac MRI (75559) to assess valve function and morphology. Stress testing may be useful in evaluating hemodynamic compromise.
* Patient history and physical examination findings.* Indication for the procedure.* Details about the medication used for stress testing (name, dose, route of administration).* Imaging findings and interpretation.* Any complications encountered.
** Additional details regarding specific clinical scenarios and payer policies should be checked with a comprehensive medical code database.Always reference the latest CPT and NCCI guidelines before coding.
- Payment Status: Active
- Modifier TC rule: The technical component (TC) modifier may apply in specific scenarios, such as when the physician only interprets the images.However, this is dependent on payer policies and may not apply in all situations.
- Fee Schedule : Fee schedules vary widely based on location, payer, and other factors. Historical fee data should be reviewed with a fee schedule database for specifics.
- Specialties:Cardiology, Radiology
- Place of Service:Office, Hospital Outpatient Department, Ambulatory Surgical Center