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See a sample rate comparisonHealthcare 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 | 23 - Emergency Room 21 - Inpatient Hospital |
| Common Modifiers | None 26 - Professional component TC - Technical component |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 70498 |
| Medicaid Fee Schedule | View Medicaid rates for 70498 |
National average reimbursement for CPT 70498 by major payers:

$347.05

$446.57

$431.29

$521.44
Choose a payer to see a sample of rates for CPT 70498.
Charleston Radiologists, P.A.
Allergy & Asthma Of Dupage, S.C.
Mercy Medical Center
South Texas Radiology Group, P.A.
Mercy Medical Center
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Rate Benchmarking
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See a sample payer proposalCPT 70498 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The CPT 70498 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 70498 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 |
|---|---|---|
| 70496-CPT | Moderate | Ct Scan Of Head Blood Vessels, A Ct (Computed Tomography) Angiogram Produces Images Of The Blood Vessels In The Head. The Scanner Circles The Body Taking X-Rays And Assembles Them Into A 3-D Image. Contrast Dye May Be Injected To Highlight A Specific Area. |
| 70498-CPT | Moderate | Ct Scan Of Neck Blood Vessels, A Ct (Computed Tomography) Angiogram Produces Images Of The Blood Vessels In The Neck. The Scanner Circles The Body Taking X-Rays And Assembles Them Into A 3-D Image. Contrast Dye May Be Injected To Highlight A Specific Area. |
| 70540-CPT | Moderate | Mri Of The Face And Neck, Mri (Magnetic Resonance Imaging) Uses A Strong Magnetic Field To View And Create Images Of The Eyes Face And Neck. A Contrast Agent May Be Introduced To Highlight Areas. Multiple Images May Be Taken. |
| 70542-CPT | Moderate | Mri Of The Face And Neck, Mri (Magnetic Resonance Imaging) Uses A Strong Magnetic Field To View And Create Images Of The Eyes Face And Neck. A Contrast Agent May Be Introduced To Highlight Areas. Multiple Images May Be Taken. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 70498. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 70498 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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