2025 CPT code 75563

Cardiac magnetic resonance imaging (MRI) to assess heart structure and function, performed initially without contrast, followed by contrast administration and additional sequences, including stress imaging.

Only one code from the cardiac MRI series (75557-75563) should be reported per session. If velocity flow mapping is performed, code 75565 may be reported additionally. If stress testing is performed and billed separately, report the appropriate code from the 93015-93018 series.

Modifiers 26 (professional component) and TC (technical component) can be used to report the physician's interpretation or the facility's technical services, respectively. Modifier 59 may be necessary to distinguish this procedure from other services provided during the same encounter.

Medical necessity must be established for this procedure. This typically involves documenting the patient's symptoms, medical history, and risk factors that justify the need for a comprehensive cardiac MRI evaluation. The documentation should clearly demonstrate how the results of the test will impact the patient's management and treatment plan.

The physician is responsible for supervising the procedure, interpreting the images, and formulating a diagnosis based on the findings. This includes reviewing patient history, ordering the test, ensuring appropriate patient preparation, analyzing images for abnormalities in cardiac structure and function, and correlating the imaging results with other clinical data.

In simple words: This procedure uses a powerful magnet and radio waves to create detailed pictures of your heart, both at rest and under stress. It involves two sets of images: one without dye and one with dye injected into a vein. The stress part involves medication to make your heart beat faster, mimicking exercise, to check for blockages or narrowing in the coronary arteries.

This procedure involves a comprehensive cardiac MRI evaluation using both non-contrast and contrast-enhanced imaging techniques combined with stress imaging. The initial phase acquires images without contrast material to assess baseline cardiac morphology and function. Subsequently, a contrast agent (e.g., gadolinium) is administered, and further sequences are obtained to enhance the visualization of myocardial perfusion and assess for any abnormalities.Stress imaging, typically using a pharmacologic agent like dobutamine, is then performed to evaluate the heart's response to increased workload and detect areas of ischemia or infarction. The entire procedure includes assessment of cardiac structure, function, perfusion, and response to stress.

Example 1: A 55-year-old male with chest pain and risk factors for coronary artery disease undergoes cardiac MRI with stress imaging to evaluate for myocardial ischemia., A 40-year-old female with a history of cardiomyopathy undergoes cardiac MRI to assess left ventricular function and morphology., A 60-year-old patient with a known history of coronary artery disease undergoes cardiac MRI with stress imaging to evaluate myocardial viability and perfusion.

Documentation should include the indication for the study, patient consent, details of contrast administration (if used), type and dosage of stress agent (if used), a comprehensive interpretation of the images with measurements of ventricular volumes, ejection fraction, and wall motion abnormalities, and a final diagnostic impression correlating the imaging findings with other clinical data.

  • Specialties:Cardiology, Radiology
  • Place of Service:Outpatient Hospital, Independent Clinic, Ambulatory Surgical Center,Mobile Unit
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