Revenue Code (RC) 0359 Fee Schedule
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Other
| Key Fact | Detail |
|---|---|
| Service Type | • CT Scan |
| Complexity Level | Moderate |
National average reimbursement for Revenue Code 0359 by major payers:

$724.99

$1,028.78

$985.68

$1,203.70
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for RC 0359 | ||||||
United | 0359 | $405.00 | 1306843826 - WEST CARROLL HEALTH SYSTEMS LLC, WEST CARROLL MEMORIAL HOSPITAL | 562300247 - WEST CARROLL HEALTH SYSTEMS L.L.C. | LA | General Acute Care Hospital (282N00000X) |
United | 0359 | $1091.00 | 1073568754 - MOORESVILLE HOSPITAL MANAGEMENT ASSOCIATES LLC, LAKE NORMAN REGIONAL MEDICAL CENTER | 592612221 - (NC) MOORESVILLE HOSPITAL MANAGEMENT ASSOCIATES, LLC | NC | General Acute Care Hospital (282N00000X) |
United | 0359 | $1699.00 | 1730761065 - BURKE HOSPITAL COMPANY, BURKE HEALTH | 853939331 - BURKE HOSPITAL COMPANY, LLC | GA | General Acute Care Hospital (282N00000X) |
United | 0359 | $1699.00 | 1730761065 - BURKE HOSPITAL COMPANY, BURKE HEALTH | 853939331 - BURKE HOSPITAL COMPANY, LLC | GA | General Acute Care Hospital (282N00000X) |
United | 0359 | $1036.00 | 1336623198 - IACC/EHI NW, LLC, INTEGRIS COMMUNITY HOSPITAL - OKC WEST | 352635546 - (OK) IACCEHI NW LLC | OK | General Acute Care Hospital (282N00000X) |
United | 0359 | $973.00 | 1992767511 - LAVACA HOSPITAL DISTRICT, LAVACA MEDICAL CENTER | 746240037 | TX | Critical Access Hospital (282NC0060X) |
United | 0359 | $1088.00 | 1376591941 - HOSPITAL SERVICE DISTRICT 1 OF EAST BATON ROUGE PARISH, LANE REGIONAL MEDICAL CENTER | 726015227 | LA | General Acute Care Hospital (282N00000X) |
United | 0359 | $1478.00 | 1578591756 - MAURY REGIONAL HOSPITAL MARSHALL MEDICAL CENTER, MARSHALL MEDICAL CENTER | 621590713 | TN | Critical Access Hospital (282NC0060X) |
United | 0359 | $563.00 | 1972071991 - GAINESVILLE COMMUNITY HOSPITAL, INC., NORTH TEXAS MEDICAL CENTER | 831683025 - (TX) GAINESVILLE COMMUNITY HOSPITAL INC | TX | General Acute Care Hospital (282N00000X) |
United | 0359 | $574.00 | 1699754812 - HARDIN COUNTY GENERAL HOSPITAL, HARDIN MEDICAL CENTER | 626002428 - (TN) HARDIN COUNTY GENERAL HOSPITAL | TN | General Acute Care Hospital (282N00000X) |
United | 0359 | $1003.00 | 1225041809 - FORREST COUNTY GENERAL HOSPITAL | 646001587 - FORREST COUNTY GENERAL HOSPITAL | MS | General Acute Care Hospital (282N00000X) |
United | 0359 | $1325.00 | 1912918277 - JAY HOSPITAL, INC. | 592425149 - JAY HOSPITAL INC | FL | Critical Access Hospital (282NC0060X) |
United | 0359 | $538.00 | 1477508687 - AURORA HEALTH CARE NORTH, INC., AURORA MEDICAL CENTER MANITOWOC | 391211629 - (WI) AURORA HEALTH CARE INC | WI | General Acute Care Hospital (282N00000X) |
United | 0359 | $580.00 | 1255380127 - KANSAS MEDICAL CENTER LLC | 201853760 - (KS) KANSAS MEDICAL CENTER, LLC | KS | General Acute Care Hospital (282N00000X) |
United | 0359 | $874.00 | 1487639175 - KNOX COUNTY HOSPITAL DISTRICT, KNOX COUNTY HOSPITAL DISTRICT | 750808798 | TX | General Acute Care Hospital (282N00000X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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Revenue Code 0359 vs. Other CT Scan Codes
The Revenue Code 0359 code is part of the CT Scan services . It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The Revenue Code 0359 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 0358-RC | Moderate | CT Scan |
| 0359-RC | Moderate | Other |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including Revenue Code 0359. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 0359 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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