CPT 71555 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 • TC - Technical component |
| Complexity Level | Moderate |
National average reimbursement for CPT 71555 by major payers:
$444.75
$503.24
$573.74
$604.14
| 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 71555 | ||||||
United | 71555 | $154.80 | 1922457894 - AARON JAFFE | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | TX | Internal Medicine Physician (207R00000X) |
United | 71555 | $331.60 | 1831179852 - ROBERT GLOYNA | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Diagnostic Radiology Physician (2085R0202X) |
United | 71555 | $154.80 | 1295137743 - JENNIFER RONECKER | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | NY | Neurological Surgery Physician (207T00000X) |
United | 71555 | $101.19 | 1447317110 - BAPTIST HEALTH CARE, INC., BAPTIST HOME HEALT CARE AND MEDICAL EQUIPMENT | 590657322 - BAPTIST HEALTH CARE INC | FL | Home Health Agency (251E00000X) |
United | 71555 | $331.60 | 1669458352 - MARK KNIPMEYER | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | IA | Anesthesiology Physician (207L00000X) |
United | 71555 | $1006.79 | 1720391279 - MUHAMMAD KHAN | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Neurology Physician (2084N0400X) |
United | 71555 | $1006.79 | 1346668225 - STEPHANIE RICE | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | NY | Radiation Oncology Physician (2085R0001X) |
United | 71555 | $414.55 | 1740728088 - SUSAN WALL | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Clinical Social Worker (1041C0700X) |
United | 71555 | $253.69 | 1346650942 - JACK SHORT | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Critical Care Medicine (Internal Medicine) Physician (207RC0200X) |
United | 71555 | $331.60 | 1508829912 - ALGIMANTAS JECIUS | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | NC | Surgery Physician (208600000X) |
United | 71555 | $154.80 | 1841452737 - SALLY MCFARLANE-PARROTT | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | MI | Anesthesiology Physician (207L00000X) |
United | 71555 | $435.32 | 1881257236 - SHANNON AURELIUS | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | FL | Physician Assistant (363A00000X) |
United | 71555 | $1768.96 | 1487244778 - HEALTH IMAGING PARTNERS, LLC | 271385885 | TX | Physiological Laboratory (293D00000X) |
United | 71555 | $777.73 | 1750591475 - ANGELA SCHILSKY | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Diagnostic Radiology Physician (2085R0202X) |
United | 71555 | $230.08 | 1417303405 - MARK WINTER | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Diagnostic Radiology Physician (2085R0202X) |
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 71555 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The CPT 71555 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 71555 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 |
|---|---|---|
| 71270-CPT | Moderate | Computed Tomography Thorax Diagnostic; Without Contrast Material Followed By Contrast Material (S) And Further Sections (Desc Rvsd 1/1/21) |
| 71275-CPT | Moderate | Computed Tomographic Angiography Chest (Noncoronary) With Contrast Material(S) Including Noncontrast Images If Performed And Mage Postprocessing |
| 71550-CPT | Moderate | Magnetic Resonance (Eg, Proton) Imaging, Chest (Eg, For Evaluation Of Hilar And Mediastinal Lymphadenopathy); Without Contrast Material(S) |
| 71555-CPT | Moderate | Magnetic Resonance Angiography, Chest (Exclusing Myocardium) W Or Wo Contrast Materials |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 71555. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 71555 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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