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CPT 75580 Billing Guide: 2026 FFR-CT Coverage, Documentation, Reimbursement, and Denial Prevention

CPT 75580 FFR-CT billing 2026 hero banner: noninvasive analysis of an existing CCTA dataset, Category I since January 2024 replacing 0501T-0504T, ordering provider NPI requirement under A58095, LCD L38613 alternative-to-stress-testing rule, and Modifier 26/TC component billing, from One O Seven RCM.

CPT 75580 reports a noninvasive estimate of coronary fractional flow reserve, produced when augmentative software analyzes a coronary CT angiography dataset that was already acquired. A physician or other qualified healthcare professional reviews that estimate and writes the interpretation and report. The code doesn’t cover the original CT acquisition. Coverage and payment depend on the […]

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