CPT 71551 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 | • 22 - On Campus Outpatient Hospital • 11 - Office |
| Common Modifiers | • None • 26 - Professional component • MG - The order for this service does not have appropriate use criteria in the clinical decision support mechanism consulted by the ordering professional |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 71551 |
National average reimbursement for CPT 71551 by major payers:
$500.78
$579.32
$571.10
$679.16
| 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 71551 | ||||||
United | 71551 | $145.80 | 1790836252 - RANGADHAM NAGARAKANTI | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | TX | Clinical Cardiac Electrophysiology Physician (207RC0001X) |
United | 71551 | $104.55 | 1124012067 - ERNEST KENDRICK | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | TX | Psychiatry Physician (2084P0800X) |
United | 71551 | $145.80 | 1639131923 - EUGENE MCGOUGH | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | VA | Certified Registered Nurse Anesthetist (367500000X) |
United | 71551 | $145.80 | 1700871688 - ELIZABETH HARDING | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Hospitalist Physician (208M00000X) |
United | 71551 | $75.16 | 1992117089 - ADNAN ZUBAIR | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | GA | Orthopaedic Surgery Physician (207X00000X) |
United | 71551 | $145.80 | 1285874362 - FARHOUD KHOSRAVI | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Gastroenterology Physician (207RG0100X) |
United | 71551 | $221.96 | 1699980045 - DAVID DINAN | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Pediatric Radiology Physician (2085P0229X) |
United | 71551 | $1000.20 | 1922379023 - BOCEIFUS MEDLIN | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Certified Registered Nurse Anesthetist (367500000X) |
United | 71551 | $75.16 | 1467914291 - DANIEL MERRILL | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | CA | Pediatrics Physician (208000000X) |
United | 71551 | $302.45 | 1386872166 - NIKI POPP | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | WI | Anesthesiology Physician (207L00000X) |
United | 71551 | $1000.20 | 1487161733 - MELISSA YOUNKINS | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Certified Registered Nurse Anesthetist (367500000X) |
United | 71551 | $145.80 | 1316170996 - GABRIELLE DAVIS | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | CA | Plastic Surgery Physician (208200000X) |
United | 71551 | $302.45 | 1982678322 - ZOHREH KAZEMI-DUNN | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Obstetrics & Gynecology Physician (207V00000X) |
United | 71551 | $302.45 | 1669458352 - MARK KNIPMEYER | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | IA | Anesthesiology Physician (207L00000X) |
United | 71551 | $302.45 | 1689023228 - HAMISH PATEL | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | LA | Internal Medicine Physician (207R00000X) |
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 71551 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The CPT 71551 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 71551 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 |
|---|---|---|
| 71250-CPT | Low | Computed Tomography Thorax Diagnostic; Without Contrast Material (Desc Rvsd 1/1/21) |
| 71270-CPT | Moderate | Computed Tomography Thorax Diagnostic; Without Contrast Material Followed By Contrast Material (S) And Further Sections (Desc Rvsd 1/1/21) |
| 71550-CPT | Moderate | Magnetic Resonance (Eg, Proton) Imaging, Chest (Eg, For Evaluation Of Hilar And Mediastinal Lymphadenopathy); Without Contrast Material(S) |
| 71551-CPT | Moderate | Magnetic Resonance (Eg, Proton) Imaging, Chest (Eg, For Evaluation Of Hilar And Mediastinal Lymphadenopathy); With Contrast Material(S) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 71551. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 71551 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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