CPT 70160 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.
| Key Fact | Detail |
|---|---|
| Service Type | • Radiology Procedures • Diagnostic Radiology (Diagnostic Imaging) Procedures |
| Common Place of Service | • 11 - Office • 23 - Emergency Room |
| Common Modifiers | • None • 26 - Professional component • TC - Technical component |
| Complexity Level | Moderate |
National average reimbursement for CPT 70160 by major payers:
$47.61
$39.69
$45.82
$52.41
| 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 CPT 70160 | ||||||
United | 70160 | $7.67 | 1750341269 - DAVID RIEPE | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Diagnostic Radiology Physician (2085R0202X) |
United | 70160 | $14.40 | 1154771780 - TARRIS WEBBER | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | OR | Internal Medicine Physician (207R00000X) |
United | 70160 | $14.40 | 1659633725 - GARY MORRIS | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Neurology with Special Qualifications in Child Neurology Physician (2084N0402X) |
United | 70160 | $9.02 | 1982988655 - SHILO GIFFORD | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Medical Physician Assistant (363AM0700X) |
United | 70160 | $52.20 | 1750476685 - RACHELLE TOGNACCI | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Hospitalist Physician (208M00000X) |
United | 70160 | $52.20 | 1225326127 - NICOLE KURNIK | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Plastic Surgery Physician (208200000X) |
United | 70160 | $14.40 | 1326093683 - JOHN JESSEPH | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | IN | Anesthesiology Physician (207L00000X) |
United | 70160 | $52.20 | 1073787545 - MICHAEL MIRZOYAN | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | NY | Pulmonary Disease Physician (207RP1001X) |
United | 70160 | $14.40 | 1477947760 - WILLIAM WATSON | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Anesthesiology Physician (207L00000X) |
United | 70160 | $82.09 | 1285926659 - JUSTIN SACKS | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Vascular & Interventional Radiology Physician (2085R0204X) |
United | 70160 | $37.79 | 1053548495 - MICHAEL HANSEN | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | NY | Critical Care Medicine (Internal Medicine) Physician (207RC0200X) |
United | 70160 | $27.86 | 1093045072 - HEALTH IMAGING PARTNERS, LLC | 271385885 | TX | Physiological Laboratory (293D00000X) |
United | 70160 | $82.09 | 1821382409 - BENJAMIN WILSON | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Vascular & Interventional Radiology Physician (2085R0204X) |
United | 70160 | $14.40 | 1659399293 - MICHAEL HUDSON | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Emergency Medicine Physician (207P00000X) |
United | 70160 | $37.79 | 1306839840 - ELLEN CLAXTON | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Obstetrics & Gynecology Physician (207V00000X) |
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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CPT 70160 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The CPT 70160 code is part of the Radiology Procedures services used for Diagnostic Radiology (Diagnostic Imaging) Procedures. 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 CPT 70160 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.
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 70160. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 70160 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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