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See a sample rate comparisonCPT 72081 Fee Schedule
Last Verified: September 2026
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.
X Ray Exam Entire Spi 1 Vw, Radiologic Examination Spine Entire Thoracic And Lumbar Including Skull Cervical And Sacral Spine If Performed Eg Scoliosis Evaluation One View
| Key Fact | Detail |
|---|---|
| Service Type | Radiology Procedures Diagnostic Radiology (Diagnostic Imaging) Procedures |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 26 - Professional component TC - Technical component |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 72081 |
| Medicaid Fee Schedule | View Medicaid rates for 72081 |
National average reimbursement for CPT 72081 by major payers:
$51.02
$47.04
$51.61
$68.33
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CPT 72081
5 of 25 sample ratesHigher to lower in this preview
Juan Lozano
Radiology Associates Of North Texas, PA
$98.36Published rateCharles Duvall
Radiology Associates Of North Texas, PA
$64.05Published rateNathan Moss
Northern Arizona Healthcare Corporation
$42.59Published rateJack Short
Northern Arizona Healthcare Corporation
$28.51Published rateHamish Patel
Northern Arizona Healthcare Corporation
$13.71Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 72081 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The CPT 72081 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 72081 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 |
|---|---|---|
| 72081-CPT | Low | X Ray Exam Entire Spi 1 Vw, Radiologic Examination Spine Entire Thoracic And Lumbar Including Skull Cervical And Sacral Spine If Performed Eg Scoliosis Evaluation One View |
| 72082-CPT | Low | X Ray Exam Entire Spi 2 3 Vw, Radiologic Examination Spine Entire Thoracic And Lumbar Including Skull Cervical And Sacral Spine If Performed Eg Scoliosis Evaluation 2 Or 3 Views |
| 72083-CPT | Low | X Ray Exam Entire Spi 4 5 Vw, Radiologic Examination Spine Entire Thoracic And Lumbar Including Skull Cervical And Sacral Spine If Performed Eg Scoliosis Evaluation 4 Or 5 Views |
| 72084-CPT | Low | X Ray Exam Entire Spi 6 Vw, Radiologic Examination Spine Entire Thoracic And Lumbar Including Skull Cervical And Sacral Spine If Performed Eg Scoliosis Evaluation Minimum Of 6 Views |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 72081. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 72081 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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