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 | Diagnostic Radiology (Diagnostic Imaging) Procedures of the Spine and Pelvis 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 |
| Medicare Fee Schedule | View Medicare rates for 72132 |
National average reimbursement for CPT 72132 by major payers:
$232.86
$279.01
$316.67
$315.65
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
United | 72132 | $423.14 | 1497018212 - JORDAN FITE | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | VA | Diagnostic Radiology Physician (2085R0202X) |
United | 72132 | $115.94 | 1396775227 - STEPHEN MURPHY | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Certified Registered Nurse Anesthetist (367500000X) |
United | 72132 | $103.80 | 1497935670 - ROBERT REED | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Certified Registered Nurse Anesthetist (367500000X) |
United | 72132 | $115.94 | 1205806940 - SRINIVAS BOLLIMPALLI | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | ME | Anesthesiology Physician (207L00000X) |
United | 72132 | $463.79 | 1568132975 - MAZI CONDELEE | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Certified Registered Nurse Anesthetist (367500000X) |
United | 72132 | $53.06 | 1285703215 - JAMES HAYES | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Emergency Medicine Physician (207P00000X) |
United | 72132 | $268.04 | 1033492483 - HEALTH IMAGING PARTNERS, LLC | 271385885 | TX | Physiological Laboratory (293D00000X) |
United | 72132 | $580.15 | 1013998111 - ROBERT EMERY | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Diagnostic Radiology Physician (2085R0202X) |
United | 72132 | $260.27 | 1740728088 - SUSAN WALL | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Clinical Social Worker (1041C0700X) |
United | 72132 | $147.93 | 1073502985 - CHU CHEN | 42484572 - MERRIMACK VALLEY PEDIATRIC ASSOCIATES, INC. | MA | Pediatrics Physician (208000000X) |
United | 72132 | $157.00 | 1639165954 - ROBERT MAXEY | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Diagnostic Radiology Physician (2085R0202X) |
United | 72132 | $463.79 | 1295717908 - KATHLEEN SIMMONDS | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Certified Registered Nurse Anesthetist (367500000X) |
United | 72132 | $53.06 | 1164428249 - DOUGLAS WRIGHT | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Diagnostic Radiology Physician (2085R0202X) |
United | 72132 | $580.15 | 1851450969 - RADIOLOGY ASSOCIATES OF NORTH TEXAS PA | 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 | 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 Diagnostic Radiology (Diagnostic Imaging) Procedures of the Spine and Pelvis 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-CPT | Low | Ct Scan Of Lower Spine, Ct (Computed Tomography) Of Spine (Low Back). The Scanner Circles The Body Taking X-Rays And Assembles Them Into A 3-D Image. Dye May Be Injected To Make The Area Easier To See. |
| 72132-CPT | Moderate | Ct Scan Of Lower Spine, Ct (Computed Tomography) Of Spine (Low Back). The Scanner Circles The Body Taking X-Rays And Assembles Them Into A 3-D Image. Dye May Be Injected To Make The Area Easier To See. |
| 72133-CPT | Moderate | Ct Scan Of The Back, A Ct (Computed Tomography) Scan Of The Upper Middle Or Lower Back. The Scanner Circles The Body Taking X-Rays And Assembles Them Into A 3-D Image. After One Set Of Images A Second Set Is Taken With Contrast Dye To Highlight Areas. |
| 72148-CPT | Moderate | Mri Inner Spine (Canal), An Mri (Magnetic Resonance Imaging) Of The Interior Of The Lower Spine (Spinal Canal). A Contrast Agent May Be Given To Enhance The Images. |
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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