Reimbursement Codes/75577
CPT I · AI imaging · Proposed
75577: Coronary CT plaque AI analysis
Automated software analysis of coronary CT angiography that quantifies and characterises atherosclerotic plaque to help assess coronary disease severity.
About this code
Automated software analysis of coronary CT angiography that quantifies and characterises atherosclerotic plaque to help assess coronary disease severity. Proposed SaMS under CY2027 OPPS with status indicator O1 and New Technology APC 1511. This entry uses our own plain-English summary, not the copyrighted AMA CPT long descriptor. Always confirm the current CMS addendum before billing.
Medicare statusProposed SaMS under CY2027 OPPS with status indicator O1 and New Technology APC 1511.
PaymentProposed CY2027 hospital outpatient payment $950.50 (APC 1511), same as CY2026 in the ACR Table 61 excerpt of CMS Table 61.
What changed
CMS proposes to keep this code on New Technology APC 1511, rename SaaS to SaMS, and assign status indicator O1 for separate OPPS payment.
Who bills under it
Hospital outpatient departments billing coronary CT plaque analysis under OPPS.
Related FDA AI clearances
- Cleerly LABS (v2.0) · Cleerly, Inc. · K242338
- Cleerly ISCHEMIA · Cleerly, Inc · K231335
- Cleerly Labs v2.0 · Cleerly, Inc. · K202280
- Cleerly Labs · Cleerly Inc · K190868
- Code
- 75577
- Code type
- CPT I
- Category
- AI imaging
- Rule status
- Proposed
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