Reimbursement Resources
CCTA, DEEPVESSEL FFR and Plaque AnalysisCoding at a Glance
| Service | Product / Examination | CPT® Code |
|---|---|---|
| Coronary CT angiography | CCTA | 75574 |
| CT-derived fractional flow reserve | DEEPVESSEL FFR | 75580 |
| Quantitative coronary plaque analysis | DEEPVESSEL Plaque | 75577 |
2026 Coding Update
Effective January 1, 2026, Category I CPT code 75577 replaced the previous coronary plaque-analysis Category III codes 0623T–0626T. FFRCT analysis continues to be reported with Category I CPT code 75580.
Service descriptions are plain-language summaries, not official CPT descriptors. Coding must reflect the service performed and applicable payer requirements. A CPT code does not guarantee coverage or payment. CPT® is a registered trademark of the American Medical Association.
2026 Medicare Payment Rates
2026 Hospital outpatient settings
National unadjusted facility payment rates under the Medicare Hospital Outpatient Prospective Payment System (OPPS).
| Service | CPT® Code | APC | 2026 Facility Payment |
|---|---|---|---|
| CCTA | 75574 | 5572 | $356.43 |
| DEEPVESSEL FFR FFRCT analysis |
75580 | 5724 | $877.34 |
| DEEPVESSEL Plaque Quantitative coronary plaque analysis |
75577 | 1511 | $950.50 |
Facility amounts exclude separately billable physician interpretation. These rates do not apply to hospital inpatient reimbursement.
Source: CMS October 2026 OPPS Addendum B, updated October 15, 2026.
2026 Physician offices and eligible independent imaging settings
National unadjusted Medicare Physician Fee Schedule (PFS) reference amounts for physician offices and eligible independent imaging settings.
| Service | CPT® Code | Global Payment | Technical Component (TC) |
Professional Component (26) |
|---|---|---|---|---|
| CCTA | 75574 | $325.66 | $215.10 | $110.56 |
| DEEPVESSEL FFR FFRCT analysis |
75580 | $886.79 | $852.39 | $34.40 |
| DEEPVESSEL Plaque Quantitative coronary plaque analysis |
75577 | $1,012.05 | $970.63 | $41.42 |
Global payment includes both components.
Do not add the technical and professional amounts to the global payment. Component billing depends on the services performed and the billing entity.
Rates use the 2026 non-Qualifying APM Participant conversion factor of $33.4009 and geographic practice cost indices of 1.000. Qualifying APM Participants have a separate conversion factor.
Source: CMS October 2026 Physician Fee Schedule relative value files (RVU26D)
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Coverage and Documentation
DEEPVESSEL FFR
Review the applicable FFRCT coverage policy and product indications for use. Maintain the clinical reason for testing, relevant symptoms and history, the interpreted CCTA findings, the treating clinician’s order and the FFRCT interpretation and report. Include additional information required by the payer. [5]
DEEPVESSEL Plaque
Review the applicable coronary plaque-analysis coverage policy and product indications for use. Document the clinical reason for testing, relevant symptoms and history, interpreted CCTA findings including CAD-RADS when required, the order and the plaque-analysis interpretation and report.
Frequently Asked Questions
Does a Category I code guarantee coverage?
No. A code identifies a service. Coverage and payment depend on the applicable policy, patient benefits, medical necessity, documentation and billing requirements. FDA clearance alone does not establish payer coverage. [1, 6]
Can both FFRCT and plaque analysis be billed from one CCTA examination?
What do global, TC and 26 mean?
Are these the amounts every provider will receive?
Questions About Reimbursement?
Contact Keya Medical with questions about reimbursement resources for DEEPVESSEL FFR and DEEPVESSEL Plaque.
Sources and Payment Notes
- CMS October 2026 OPPS Addendum B, updated October 15, 2026. Extracted rows for 75574, 75580 and 75577; all have status indicator S.
- CMS October 2026 Physician Fee Schedule relative value files — RVU26D, released August 26, 2026. Calculations use the published total RVUs for each code and modifier and the applicable conversion factor, rounded to cents.
- CMS January 2026 outpatient coding update, R13575CP. The 2026 code files and update reflect the plaque coding transition.
- CMS CY 2026 Physician Fee Schedule Final Rule fact sheet.
- CMS Billing and Coding Article A58406 — Non-Invasive Fractional Flow Reserve. An example of local documentation guidance; follow the current policy for the relevant MAC.
- WPS LCD L39913 — AI-QCT / Coronary Plaque Analysis. Local policy example; not a statement of nationwide or product-specific coverage.
This information is provided for educational purposes and does not constitute a guarantee of coverage or payment. Providers are responsible for determining medical necessity, selecting appropriate codes and complying with applicable payer requirements. Rates shown are before sequestration and other applicable payment adjustments and include the beneficiary cost-sharing portion of the allowed amount; they are not Medicare-only remittance amounts. CPT® is a registered trademark of the American Medical Association.
Learn more about DEEPVESSEL FFR and Plaque Analysis
For healthcare professionals in the United States