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Revenue Code (RC) 0359 Fee Schedule

Last Verified: April 2026

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 FactDetail
Service Type

CT Scan

Complexity LevelModerate

National average reimbursement for Revenue Code 0359 by major payers:

bcbs

$724.99

uhc

$1,028.78

aetna

$985.68

cigna

$1,203.70

Preview provider-level rates for...
For billing codeRC 0359
PayerCodeRateNPITax IDStateSpecialty

Select a payer to view fee schedule data

Choose a payer from the options above to see rates for RC 0359

United
0359$405.001306843826 - WEST CARROLL HEALTH SYSTEMS LLC, WEST CARROLL MEMORIAL HOSPITAL562300247 - WEST CARROLL HEALTH SYSTEMS L.L.C.LAGeneral Acute Care Hospital (282N00000X)
United
0359$1091.001073568754 - MOORESVILLE HOSPITAL MANAGEMENT ASSOCIATES LLC, LAKE NORMAN REGIONAL MEDICAL CENTER592612221 - (NC) MOORESVILLE HOSPITAL MANAGEMENT ASSOCIATES, LLCNCGeneral Acute Care Hospital (282N00000X)
United
0359$1699.001730761065 - BURKE HOSPITAL COMPANY, BURKE HEALTH853939331 - BURKE HOSPITAL COMPANY, LLCGAGeneral Acute Care Hospital (282N00000X)
United
0359$1699.001730761065 - BURKE HOSPITAL COMPANY, BURKE HEALTH853939331 - BURKE HOSPITAL COMPANY, LLCGAGeneral Acute Care Hospital (282N00000X)
United
0359$1036.001336623198 - IACC/EHI NW, LLC, INTEGRIS COMMUNITY HOSPITAL - OKC WEST352635546 - (OK) IACCEHI NW LLCOKGeneral Acute Care Hospital (282N00000X)
United
0359$973.001992767511 - LAVACA HOSPITAL DISTRICT, LAVACA MEDICAL CENTER746240037TXCritical Access Hospital (282NC0060X)
United
0359$1088.001376591941 - HOSPITAL SERVICE DISTRICT 1 OF EAST BATON ROUGE PARISH, LANE REGIONAL MEDICAL CENTER726015227LAGeneral Acute Care Hospital (282N00000X)
United
0359$1478.001578591756 - MAURY REGIONAL HOSPITAL MARSHALL MEDICAL CENTER, MARSHALL MEDICAL CENTER621590713TNCritical Access Hospital (282NC0060X)
United
0359$563.001972071991 - GAINESVILLE COMMUNITY HOSPITAL, INC., NORTH TEXAS MEDICAL CENTER831683025 - (TX) GAINESVILLE COMMUNITY HOSPITAL INCTXGeneral Acute Care Hospital (282N00000X)
United
0359$574.001699754812 - HARDIN COUNTY GENERAL HOSPITAL, HARDIN MEDICAL CENTER626002428 - (TN) HARDIN COUNTY GENERAL HOSPITALTNGeneral Acute Care Hospital (282N00000X)
United
0359$1003.001225041809 - FORREST COUNTY GENERAL HOSPITAL646001587 - FORREST COUNTY GENERAL HOSPITALMSGeneral Acute Care Hospital (282N00000X)
United
0359$1325.001912918277 - JAY HOSPITAL, INC.592425149 - JAY HOSPITAL INCFLCritical Access Hospital (282NC0060X)
United
0359$538.001477508687 - AURORA HEALTH CARE NORTH, INC., AURORA MEDICAL CENTER MANITOWOC391211629 - (WI) AURORA HEALTH CARE INCWIGeneral Acute Care Hospital (282N00000X)
United
0359$580.001255380127 - KANSAS MEDICAL CENTER LLC201853760 - (KS) KANSAS MEDICAL CENTER, LLCKSGeneral Acute Care Hospital (282N00000X)
United
0359$874.001487639175 - KNOX COUNTY HOSPITAL DISTRICT, KNOX COUNTY HOSPITAL DISTRICT750808798TXGeneral Acute Care Hospital (282N00000X)
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist

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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.

CodeComplexityDescription
0358-RCModerateCT Scan
0359-RCModerateOther

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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