Summary & Overview
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.
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.
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 |