CPT 72132 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 | • 23 - Emergency Room • 22 - On Campus Outpatient Hospital |
| Common Modifiers | • None • 26 - Professional component • GC - Service performed by resident under supervision |
| Complexity Level | Moderate |
National average reimbursement for CPT 72132 by major payers:
$232.86
$279.01
$316.67
$325.32
| 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 72132 | ||||||
United | 72132 | $157.00 | 1639165954 - ROBERT MAXEY | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Diagnostic Radiology Physician (2085R0202X) |
United | 72132 | $463.79 | 1528065919 - DAVID VAN DE WYNGAERDE | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Orthopaedic Surgery Physician (207X00000X) |
United | 72132 | $103.80 | 1497935670 - ROBERT REED | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Certified Registered Nurse Anesthetist (367500000X) |
United | 72132 | $157.00 | 1750591475 - ANGELA SCHILSKY | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Diagnostic Radiology Physician (2085R0202X) |
United | 72132 | $157.00 | 1396806444 - RADIOLOGY ASSOCIATES OF NORTH TEXAS | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Nuclear Radiology Physician (2085N0904X) |
United | 72132 | $157.00 | 1912394495 - ENIOLA FAGBONGBE | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TN | Diagnostic Radiology Physician (2085R0202X) |
United | 72132 | $268.04 | 1033492483 - HEALTH IMAGING PARTNERS, LLC | 271385885 | TX | Physiological Laboratory (293D00000X) |
United | 72132 | $423.14 | 1497018212 - JORDAN FITE | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | VA | Diagnostic Radiology Physician (2085R0202X) |
United | 72132 | $567.59 | 1669452348 - KRISTINA KEZAR | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Hospitalist Physician (208M00000X) |
United | 72132 | $169.02 | 1558023317 - COURTNEY ZAK | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | NM | Medical Physician Assistant (363AM0700X) |
United | 72132 | $103.80 | 1962552661 - TARA GORDON | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Physician Assistant (363A00000X) |
United | 72132 | $53.06 | 1285703215 - JAMES HAYES | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Emergency Medicine Physician (207P00000X) |
United | 72132 | $423.14 | 1114920444 - JOHN WILCOX | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Diagnostic Radiology Physician (2085R0202X) |
United | 72132 | $580.15 | 1225802655 - ALEXANDER SMITH | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Physician Assistant (363A00000X) |
United | 72132 | $531.78 | 1194705137 - WILLIAM HORSTMAN | 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 72132 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The CPT 72132 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 72132 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 |
|---|---|---|
| 72131 | Low | Cat Lumbar Spine;W/O Contrst Materl,18-2 |
| 72132 | Moderate | Ct Lumbar Spine;W/Contrast Material |
| 72133 | Moderate | Computerized Axial Tomography Lumbar Spine; Without Contrast Material Followed By Contrast Material(S) And Further Sections |
| 72148 | Moderate | Mri,Spin.Canal,Lumb;W/O Cntrst Matl |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 72132. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 72132 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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