Plateaus happen when metabolism adapts to caloric changes
Cardiac Magnetic Resonance (CMR) Imaging, CPT Codes 75557, 75559, 75561, 75563 (APCs 5523, 5524, 5572, and 5573) For CY 2026, we proposed to continue to assign the following cardiac magnetic resonance imaging (MRI) CPT codes to APC 5523, 5524, 5572, and 5573 respectively: CPT code 75557( Cardiac magnetic resonance imaging for morphology and function without contrast material ) to APC 5523 (Level 3 Imaging without Contrast) with a proposed payment of $245.72 based on a geometric mean cost of around $299 and 1,452 single frequency claims used for ratesetting
Based on the data, we continue to believe that assignment to APC 5464 for CPT code 0817T is appropriate
We also acknowledge commenters' concerns about applying volume standardization to numerator component (3)