Reimbursement Codes/75580

CPT I · CT-FFR · Proposed

75580: CT-derived fractional flow reserve analysis

Category I code for noninvasive coronary fractional flow reserve estimated by software analysis of a coronary CT angiography dataset, with physician interpretation and report. Widely associated with HeartFlow FFRCT pathways.

About this code

Category I code for noninvasive coronary fractional flow reserve estimated by software analysis of a coronary CT angiography dataset, with physician interpretation and report. Widely associated with HeartFlow FFRCT pathways. Proposed SaMS, O1, New Technology APC 1510. 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, O1, New Technology APC 1510.

PaymentProposed CY2027 OPPS $850.50 (APC 1510). CY2026 clinical APC 5724 payment was $877.34 in the ACR Table 61 excerpt.

What changed

CMS proposes moving CT-FFR from clinical APC 5724 to New Technology APC 1510 with O1 SaMS status.

Who bills under it

Hospital outpatient cardiology and radiology programmes reporting CT-derived FFR.

Related FDA AI clearances

Code
75580
Code type
CPT I
Category
CT-FFR
Rule status
Proposed

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