CPT 70545 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 • 21 - Inpatient Hospital |
| Common Modifiers | • None • 26 - Professional component • 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 70545 |
National average reimbursement for CPT 70545 by major payers:
$328.12
$413.74
$451.36
$478.64
| 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 70545 | ||||||
United | 70545 | $169.02 | 1912070608 - CHRISTIAN BREBURDA | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | CA | Cardiovascular Disease Physician (207RC0000X) |
United | 70545 | $981.66 | 1124286737 - JOSHUA MARTIN | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Diagnostic Radiology Physician (2085R0202X) |
United | 70545 | $221.17 | 1740604982 - LAURA MACPHEE | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Acute Care Nurse Practitioner (363LA2100X) |
United | 70545 | $154.30 | 1366739005 - JOSEPH YETTO | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Diagnostic Radiology Physician (2085R0202X) |
United | 70545 | $883.78 | 1336120260 - GARY GRIDLEY | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Anesthesiology Physician (207L00000X) |
United | 70545 | $985.19 | 1255695870 - GREGORY MILIOS | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Anesthesiology Physician (207L00000X) |
United | 70545 | $883.78 | 1861641581 - JAMES KNELLER | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Clinical Cardiac Electrophysiology Physician (207RC0001X) |
United | 70545 | $169.02 | 1477843449 - LU PAN | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Internal Medicine Physician (207R00000X) |
United | 70545 | $171.52 | 1598375651 - E AND A MEDICAL ON THE GO HEALTHCARE OF SOUTH FLORIDA LLC, E AND A HEALTHCARE ON THE GO | 832289173 - (FL) E AND A MEDICAL ON THE GO HEALTHCARE OF SOUTH FLORIDA LLC | FL | Home Health Agency (251E00000X) |
United | 70545 | $101.40 | 1003303900 - KENNETH VEIGA | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Internal Medicine Physician (207R00000X) |
United | 70545 | $101.40 | 1154888493 - SASHA WALLACE | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | OH | Certified Registered Nurse Anesthetist (367500000X) |
United | 70545 | $883.78 | 1750513461 - SCOTT GIBSON | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Orthopaedic Surgery Physician (207X00000X) |
United | 70545 | $52.15 | 1629070529 - GREGORY LINDERER | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | NV | Anesthesiology Physician (207L00000X) |
United | 70545 | $985.19 | 1255369302 - S FAULKNER | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Surgery Physician (208600000X) |
United | 70545 | $985.19 | 1316931702 - JON SHERECK | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | CA | Orthopaedic Trauma Physician (207XX0801X) |
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 70545 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The CPT 70545 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 70545 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 | Computed Tomographic Angiography Head With Contrast Material(S) Including Noncontrast Images If Performed And Image Postprocessing Essing |
| 70544-CPT | Moderate | Magnetic Resonance Angiography, Head; Without Contrast Material(S) |
| 70545-CPT | Moderate | Magnetic Resonance Angiography, Head; With Contrast Material(S) |
| 70546-CPT | Moderate | Magnetic Resonance Angiography, Head; Without Contrast Material(S), Followed By Contrast Material(S) And Further Sequences |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 70545. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 70545 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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