CPT 72114 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 • 22 - On Campus Outpatient Hospital |
| Common Modifiers | • None • 26 - Professional component • TC - Technical component |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 72114 |
National average reimbursement for CPT 72114 by major payers:
$78.60
$72.81
$81.99
$93.33
| 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 72114 | ||||||
United | 72114 | $10.40 | 1689062432 - MATTHEW BERNSTEIN | 274181529 - (NY) HARLEM MEDICAL ASSOCIATES PC | FL | Foot & Ankle Surgery Podiatrist (213ES0103X) |
United | 72114 | $261.76 | 1083932214 - YAFELL SERULLE | 453023019 - (NY) NORTH SHORE-LIJ MEDICAL PC | FL | Neurological Surgery Physician (207T00000X) |
United | 72114 | $89.97 | 1942763917 - JONATHAN YAWMAN | 581537752 - EMORY UNIVERSITY | FL | Orthopaedic Trauma Physician (207XX0801X) |
United | 72114 | $163.52 | 1639460827 - JESNA SUBLETT | 462354804 - (FL) FLORIDA HOSPITAL HEALTHCARE PARTNERS INC | FL | Neurological Surgery Physician (207T00000X) |
United | 72114 | $31.71 | 1790275931 - POONEH ALAEI TALEGHANI | 271837909 - (FL) PERSONAL CARE MEDICAL GROUP LLC | FL | Foot & Ankle Surgery Podiatrist (213ES0103X) |
United | 72114 | $29.73 | 1548643109 - CAITLIN DIETRICH | 203729549 - (FL) TRI COUNTY PODIATRY, P.A. | FL | Foot & Ankle Surgery Podiatrist (213ES0103X) |
United | 72114 | $22.44 | 1164441416 - HARRY VAN LOVEREN | 237313346 - (FL) UNIVERSITY MEDICAL SERVICE ASSOCIATION INC | FL | Neurological Surgery Physician (207T00000X) |
United | 72114 | $34.52 | 1154432219 - EARL R HOROWITZ D P M PA, JACKSONVILLE FOOT HEALTH CENTER | 450641534 | FL | Podiatrist (213E00000X) |
United | 72114 | $10.06 | 1215994025 - LAURENCE LEDER | 141941024 - (FL) ASSOCIATES LLC | FL | Foot & Ankle Surgery Podiatrist (213ES0103X) |
United | 72114 | $13.86 | 1023013679 - PAMELA DOLBER | 542164865 - (FL) PAMELA S DOLBER DPM PA | FL | Podiatrist (213E00000X) |
United | 72114 | $57.63 | 1740254655 - CHRISTOPHER REEVES | 852855795 | FL | Foot & Ankle Surgery Podiatrist (213ES0103X) |
United | 72114 | $37.61 | 1558789842 - INGRID HARPER | 203380222 - (FL) ADVANCED FOOT AND ANKLE CARE, INC. | FL | Foot & Ankle Surgery Podiatrist (213ES0103X) |
United | 72114 | $59.75 | 1023079639 - MICHAEL TONEY | 453933445 - (FL) ADLER PODIATRY CLINIC PLLC | FL | Podiatrist (213E00000X) |
United | 72114 | $35.61 | 1053986380 - VICTORIA NOLTE | 270492585 - (FL) CERTIFIED FOOT ANKLE SPECIALISTS | MD | Podiatrist (213E00000X) |
United | 72114 | $12.67 | 1558748962 - MATTHEW WOLFSON | 205194878 - (FL) PREFERRED ORTHOPEDICS OF THE PALM BEACHES, P.A. | FL | Sports Medicine (Orthopaedic Surgery) Physician (207XX0005X) |
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 72114 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The CPT 72114 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 72114 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 |
|---|---|---|
| 72070-CPT | Low | X-Ray Spine; Thoracic, Ap And Lat |
| 72082-CPT | Low | Radiologic Examination, Spine, Entire Thoracic And Lumbar, Including Skull, Cervical And Sacral Spine If Performed (Eg, Scoliosis Evaluation); 2 Or 3 Views |
| 72100-CPT | Low | X-Ray Spine,Lumbosacral;Anteroposterior/ |
| 72114-CPT | Low | Radiologic Examination, Spine, Lumbosacral; Complete, Including Bending Views, 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 72114. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 72114 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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