CPT 72133 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 | Moderate |
National average reimbursement for CPT 72133 by major payers:
$264.80
$332.30
$356.08
$385.95
| 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 72133 | ||||||
United | 72133 | $163.32 | 1629137831 - RADIOLOGY ASSOCIATES OF NORTH TEXAS COUNTY PA | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Diagnostic Ultrasound Physician (2085U0001X) |
United | 72133 | $686.61 | 1083101638 - RYAN RICHTER | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Diagnostic Radiology Physician (2085R0202X) |
United | 72133 | $693.00 | 1568576320 - STANLEY JOHNSEN | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Neurology with Special Qualifications in Child Neurology Physician (2084N0402X) |
United | 72133 | $197.86 | 1295977718 - CHRISTOPHER MUELLER | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Cardiovascular Disease Physician (207RC0000X) |
United | 72133 | $197.86 | 1356755433 - PETER LASATER | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | MI | Orthopaedic Surgery Physician (207X00000X) |
United | 72133 | $108.00 | 1912986944 - JACQUELINE EUBANY | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | WI | Clinical Cardiac Electrophysiology Physician (207RC0001X) |
United | 72133 | $693.00 | 1841443975 - MOHAMAD HABOUKH | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Internal Medicine Physician (207R00000X) |
United | 72133 | $686.61 | 1811996382 - MARC LIEBESKIND | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Diagnostic Radiology Physician (2085R0202X) |
United | 72133 | $163.32 | 1831488519 - NEAL DESAI | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Vascular & Interventional Radiology Physician (2085R0204X) |
United | 72133 | $304.66 | 1235629825 - ALYSSA NORMAN | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | NY | Psychiatry Physician (2084P0800X) |
United | 72133 | $142.94 | 1346668225 - STEPHANIE RICE | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Radiation Oncology Physician (2085R0001X) |
United | 72133 | $163.32 | 1699980045 - DAVID DINAN | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Pediatric Radiology Physician (2085P0229X) |
United | 72133 | $163.32 | 1104169432 - GREGORY SCHAIBERGER | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | FL | Diagnostic Radiology Physician (2085R0202X) |
United | 72133 | $523.29 | 1649276072 - KENNETH WHITE | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Diagnostic Radiology Physician (2085R0202X) |
United | 72133 | $54.90 | 1780998237 - NEEJA DAVE | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Internal Medicine Physician (207R00000X) |
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 72133 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The CPT 72133 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 72133 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 72133. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 72133 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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