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CPT 75572: Cardiac CT with 3D Post-Processing and Functional Assessment

CPT code 75572 represents a cardiac computed tomography (CT) study that evaluates heart structure and function with three-dimensional post-processing and optional venous analysis. Nationally, advanced cardiac CTs like 75572 are important for noninvasive anatomical and functional assessment, informing diagnostic pathways for coronary and structural heart disease and supporting pre-procedural planning.

Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find an overview of clinical context for cardiac CT, typical sites of service where 75572 is performed, and the common elements captured by the code such as 3D reconstruction and functional assessment. The publication also provides benchmarking and policy-relevant information (payment and coverage trends) for major commercial payers and Medicare, and highlights billing considerations tied to service complexity and site of service.

This executive summary prepares clinicians, coding professionals, and policy analysts to understand how CPT code 75572 fits into imaging service lines, what to expect from payer coverage environments nationally, and which clinical scenarios commonly generate use of this code. Data not available in the input is noted where applicable.

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Billing Code Overview

CPT code 75572 describes a computed tomography (CT) examination of the heart that assesses both structure and function. The procedure includes three-dimensional post-processing, functional cardiac assessment, and analysis of venous structures when performed.

Service type: Cardiac CT with advanced post-processing and functional assessment

Typical site of service: Hospital outpatient imaging center or freestanding diagnostic imaging facility

Data not available in the input.

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CPT 75572: Cardiac CT with 3D Post-Processing and Functional Assessment

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Get alerted when payer policies referencing 75572 are released or updated.

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Billing Code Overview

Service type: Cardiac CT with advanced post-processing and functional assessment

Typical site of service: Hospital outpatient imaging center or freestanding diagnostic imaging facility

Data not available in the input.

Clinical & Coding Specifications

Clinical Context

A 62-year-old patient with atypical chest pain and multiple cardiac risk factors is referred for a coronary CT angiography with functional assessment to evaluate for coronary artery disease and myocardial perfusion. The study is scheduled by the cardiology clinic and performed in the hospital radiology department or accredited outpatient imaging center. The workflow includes pre-scan screening for contrast allergy and renal function, patient positioning and ECG gating on the CT scanner, intravenous iodinated contrast administration, multiphase image acquisition for cardiac structure and function, and three-dimensional post-processing to assess coronary anatomy, ventricular function, and venous structures if indicated. The interpreting physician (cardiologist or radiologist) documents findings, provides measurements of ventricular function, and reports any significant coronary stenosis or extracardiac findings. Billing uses 75572 to report CT of the heart with three-dimensional post-processing and functional assessment.

Coding Specifications

Modifier	Description	When to Use
`26`	Professional component	Use when billing only the physician interpretation/report separate from technical work
`TC`	Technical component	Use when billing only the equipment, technologist, and technical component
`59`	Distinct procedural service	Use when another unrelated procedure is performed on the same day and must be reported separately
`52`	Reduced services	Use when the service is partially reduced or not completed as described by the code
`53`	Discontinued procedure	Use when the procedure is started but discontinued for patient-related reasons
`76`	Repeat procedure by same physician	Use when the identical procedure is repeated subsequent to the initial service the same day by the same provider
`77`	Repeat procedure by another physician	Use when the identical procedure is repeated by a different physician the same day
`TC`	Technical component	Use when only the technical component is provided (duplicated entry intentional for emphasis on common usage)
`QK`	Medical direction of 2-4 qualified individuals	Use when the physician medically directs multiple qualified individuals in anesthesia-related aspects of the exam (if applicable)
`GA`	Waiver of liability statement on file (ABN)	Use for Medicare when a signed Advance Beneficiary Notice is on file for non-covered services
`QX`	CRNA service with direction by anesthesiologist	Use if anesthesia services associated with the procedure are billed under CRNA with physician direction (when applicable)
`LT`	Left side	Use to identify the left side when laterality is required for reporting associated procedures
`RT`	Right side	Data not available in the input.

Taxonomy Code	Specialty	Notes
207RC0000X	Cardiology	Interpreting cardiologists perform coronary CT with functional assessment
2084P0800X	Diagnostic Radiology	Radiologists perform acquisition and interpretation of cardiac CT studies
2085R0201X	Internal Medicine - Cardiology	General cardiologists in hospital settings interpret and manage findings
207L00000X	Echocardiography/Cardiac Imaging	Physicians specialized in cardiac imaging and CT post-processing
363A00000X	Nurse Practitioner	Advanced practice providers who may order or assist in care coordination

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`I20.9`	Angina pectoris, unspecified	Common indication to evaluate coronary anatomy and ischemia risk with cardiac CT
`I25.10`	Atherosclerotic heart disease of native coronary artery without angina pectoris	Used to assess for coronary stenosis and plaque burden with CT coronary angiography
`I48.91`	Unspecified atrial fibrillation	Cardiac CT may be used for left atrial appendage evaluation or pre-procedural planning in some contexts
`R07.9`	Chest pain, unspecified	Non-specific chest pain is a frequent clinical scenario prompting coronary CT to exclude coronary disease
`I50.9`	Heart failure, unspecified	Functional assessment with cardiac CT can provide ventricular function information when echocardiography is inconclusive

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`71260`	CT thorax with contrast, for evaluation of pulmonary vasculature and lungs	May be performed if concurrent chest CT is needed for extracardiac findings or pulmonary embolism evaluation
`75571`	CT angiography, heart, without contrast for evaluation of cardiac structure only	Alternative or complementary study when contrast or functional assessment is not performed
`75574`	CT angiography, heart, including congenital heart disease assessment	Used for more extensive congenital heart evaluations or when additional post-processing is required
`93000`	Electrocardiogram, complete tracing and interpretation	Often performed immediately prior to CT for ECG gating and rhythm documentation
`36415`	Collection of venous blood by venipuncture	Performed for creatinine testing prior to IV contrast administration

CPT 75557: Cardiac MRI for Structure and Function, No Contrast

CPT-75559-CARDIAC-MRI-STRESS-NON-CONTRAST

CPT 75559: Cardiac MRI with Stress, Non-Contrast

CPT-75561-CARDIAC-MRI-WITH-AND-WITHOUT-CONTRAST

CPT 75561: Cardiac MRI Without and With Contrast

CPT-75563-CARDIAC-MRI-STRESS-REST-WITH-AND-WITHOUT-CONTRAST

CPT 75563: Cardiac MRI Stress and Rest with and without Contrast

CPT-75565-CARDIAC-MRI-VELOCITY-FLOW-MAPPING

CPT 75565: Cardiac MRI with Velocity Flow Mapping

CPT-75571-CORONARY-CALCIUM-SCORING-CT-NON-CONTRAST

CPT 75571: Non-Contrast CT Coronary Calcium Scoring

CPT-75573-CARDIAC-CT-CONGENITAL-HEART-EVALUATION

CPT 75573: Cardiac CT for Congenital Heart Evaluation

CPT-75574-CARDIAC-CT-WITH-CONTRAST-CORONARY-EVALUATION

CPT 75574: Cardiac CT With Contrast for Coronary Evaluation

CPT-75577-CORONARY-CTA-PLAQUE-QUANTIFICATION-POST-PROCESSING

CPT 75577: Coronary CTA Plaque Quantification and Post-Processing

CPT-75580-FFR-CT-FROM-CCTA-AUGMENTATION-SOFTWARE-REPORT

CPT 75580: FFR-CT from Coronary CT Angiography via Augmentative Software

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Jul 29, 2026.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Jul 29, 2026.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Jul 29, 2026.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

Clinical & Coding Specifications

Clinical Context

Coding Specifications

Modifier	Description	When to Use
`26`	Professional component	Use when billing only the physician interpretation/report separate from technical work
`TC`	Technical component	Use when billing only the equipment, technologist, and technical component
`59`	Distinct procedural service	Use when another unrelated procedure is performed on the same day and must be reported separately
`52`	Reduced services	Use when the service is partially reduced or not completed as described by the code
`53`	Discontinued procedure	Use when the procedure is started but discontinued for patient-related reasons
`76`	Repeat procedure by same physician	Use when the identical procedure is repeated subsequent to the initial service the same day by the same provider
`77`	Repeat procedure by another physician	Use when the identical procedure is repeated by a different physician the same day
`TC`	Technical component	Use when only the technical component is provided (duplicated entry intentional for emphasis on common usage)
`QK`	Medical direction of 2-4 qualified individuals	Use when the physician medically directs multiple qualified individuals in anesthesia-related aspects of the exam (if applicable)
`GA`	Waiver of liability statement on file (ABN)	Use for Medicare when a signed Advance Beneficiary Notice is on file for non-covered services
`QX`	CRNA service with direction by anesthesiologist	Use if anesthesia services associated with the procedure are billed under CRNA with physician direction (when applicable)
`LT`	Left side	Use to identify the left side when laterality is required for reporting associated procedures
`RT`	Right side	Data not available in the input.

Taxonomy Code	Specialty	Notes
207RC0000X	Cardiology	Interpreting cardiologists perform coronary CT with functional assessment
2084P0800X	Diagnostic Radiology	Radiologists perform acquisition and interpretation of cardiac CT studies
2085R0201X	Internal Medicine - Cardiology	General cardiologists in hospital settings interpret and manage findings
207L00000X	Echocardiography/Cardiac Imaging	Physicians specialized in cardiac imaging and CT post-processing
363A00000X	Nurse Practitioner	Advanced practice providers who may order or assist in care coordination

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`I20.9`	Angina pectoris, unspecified	Common indication to evaluate coronary anatomy and ischemia risk with cardiac CT
`I25.10`	Atherosclerotic heart disease of native coronary artery without angina pectoris	Used to assess for coronary stenosis and plaque burden with CT coronary angiography
`I48.91`	Unspecified atrial fibrillation	Cardiac CT may be used for left atrial appendage evaluation or pre-procedural planning in some contexts
`R07.9`	Chest pain, unspecified	Non-specific chest pain is a frequent clinical scenario prompting coronary CT to exclude coronary disease
`I50.9`	Heart failure, unspecified	Functional assessment with cardiac CT can provide ventricular function information when echocardiography is inconclusive

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`71260`	CT thorax with contrast, for evaluation of pulmonary vasculature and lungs	May be performed if concurrent chest CT is needed for extracardiac findings or pulmonary embolism evaluation
`75571`	CT angiography, heart, without contrast for evaluation of cardiac structure only	Alternative or complementary study when contrast or functional assessment is not performed
`75574`	CT angiography, heart, including congenital heart disease assessment	Used for more extensive congenital heart evaluations or when additional post-processing is required
`93000`	Electrocardiogram, complete tracing and interpretation	Often performed immediately prior to CT for ECG gating and rhythm documentation
`36415`	Collection of venous blood by venipuncture	Performed for creatinine testing prior to IV contrast administration

CPT 75557: Cardiac MRI for Structure and Function, No Contrast

CPT-75559-CARDIAC-MRI-STRESS-NON-CONTRAST

CPT 75559: Cardiac MRI with Stress, Non-Contrast

CPT-75561-CARDIAC-MRI-WITH-AND-WITHOUT-CONTRAST

CPT 75561: Cardiac MRI Without and With Contrast

CPT-75563-CARDIAC-MRI-STRESS-REST-WITH-AND-WITHOUT-CONTRAST

CPT 75563: Cardiac MRI Stress and Rest with and without Contrast

CPT-75565-CARDIAC-MRI-VELOCITY-FLOW-MAPPING

CPT 75565: Cardiac MRI with Velocity Flow Mapping

CPT-75571-CORONARY-CALCIUM-SCORING-CT-NON-CONTRAST

CPT 75571: Non-Contrast CT Coronary Calcium Scoring

CPT-75573-CARDIAC-CT-CONGENITAL-HEART-EVALUATION

CPT 75573: Cardiac CT for Congenital Heart Evaluation

CPT-75574-CARDIAC-CT-WITH-CONTRAST-CORONARY-EVALUATION

CPT 75574: Cardiac CT With Contrast for Coronary Evaluation

CPT-75577-CORONARY-CTA-PLAQUE-QUANTIFICATION-POST-PROCESSING

CPT 75577: Coronary CTA Plaque Quantification and Post-Processing

CPT-75580-FFR-CT-FROM-CCTA-AUGMENTATION-SOFTWARE-REPORT

CPT 75580: FFR-CT from Coronary CT Angiography via Augmentative Software

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Jul 29, 2026.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Jul 29, 2026.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Jul 29, 2026.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

OpenPayer

CPT 75572: Cardiac CT with 3D Post-Processing and Functional Assessment

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Billing Code Overview

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CPT 75572: Cardiac CT with 3D Post-Processing and Functional Assessment

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Billing Code Overview

Clinical & Coding Specifications

Clinical Context

Coding Specifications

Related Diagnoses

Related CPT Codes

Related Codes

References

Clinical & Coding Specifications

Clinical Context

Coding Specifications

Related Diagnoses

Related CPT Codes

Related Codes

References