Does 75577 require prior authorization?

No, 75577 does not require prior authorization (high confidence). Code is covered without prior authorization.

What is the Medicare reimbursement rate for 75577?

Medicare facility rate: $1012.05. Non-facility rate: $1012.05. Work RVU: 0.85.

HCPCS/CPT

No Prior Auth Required

Code is covered without prior authorization (high confidence)

Work RVU

0.85

Facility

$1012.05

Non-Facility

$1012.05

CGS-L39840 — Artificial Intelligence Enabled CT Based Quantitative Coronary Topography (AI-QCT)/Coronary Plaque Analysis (AI-CPA)

J18 MAC Part B

WPS-L35121 — Coronary Computed Tomography Angiography (CCTA)

J8 MAC Part B

WPS-L39913 — Artificial Intelligence Enabled CT Based Quantitative Coronary Topography (AI-QCT)/Coronary Plaque Analysis (AI-CPA)

J8 MAC Part B

NORIDIAN-L39881 — Artificial Intelligence Enabled CT Based Quantitative Coronary Topography (AI-QCT)/Coronary Plaque Analysis (AI-CPA)

JF Part B

Ask Verity about documentation requirements, denial risks, or coverage in your state.