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See a sample rate comparisonCPT 72159 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.
Mra Of Spine Blood Vessels, An Mr (Magnetic Resonance) Angiogram Is A Detailed Image Of Blood Flow And Blood Vessels Inside The Spine. A Contrast Agent May Be Injected To Make A Specific Area Easier To See.
| Key Fact | Detail |
|---|---|
| Service Type | Radiology Procedures Diagnostic Radiology (Diagnostic Imaging) Procedures |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital 11 - Office |
| Common Modifiers | None 26 - Professional component GC - Service performed by resident under supervision |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 72159 |
| Medicaid Fee Schedule | View Medicaid rates for 72159 |
National average reimbursement for CPT 72159 by major payers:
$443.36
$527.07
$534.65
$613.33
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CPT 72159
5 of 25 sample ratesHigher to lower in this preview
Pulin Patel
Radiology Associates Of North Texas, PA
$1,057.46Published rateJonathan Dickson
Radiology Associates Of North Texas, PA
$824.66Published rateKevin Schlessel
Columbus Arthritis Center
$590.51Published rateDavid Donaldson
Radiology Associates Of North Texas, PA
$232.80Published rateKim Iglesia
Radiology Associates Of North Texas, PA
$78.52Published rate
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See a sample payer proposalCPT 72159 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The CPT 72159 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 72159 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 |
|---|---|---|
| 72141-CPT | Moderate | Mri Inner Spine (Canal), An Mri (Magnetic Resonance Imaging) Of The Interior Of The Upper Spine (Spinal Canal). A Contrast Agent May Be Given To Enhance The Images. |
| 72142-CPT | Moderate | Mri Inner Spine (Canal), An Mri (Magnetic Resonance Imaging) Of The Interior Of The Upper Spine (Spinal Canal). A Contrast Agent May Be Given To Enhance The Images. |
| 72146-CPT | Moderate | Mri Inner Spine (Canal), An Mri (Magnetic Resonance Imaging) Of The Interior Of The Middle Spine (Spinal Canal). A Contrast Agent May Be Given To Enhance The Images. |
| 72159-CPT | Moderate | Mra Of Spine Blood Vessels, An Mr (Magnetic Resonance) Angiogram Is A Detailed Image Of Blood Flow And Blood Vessels Inside The Spine. A Contrast Agent May Be Injected To Make A Specific Area Easier To See. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 72159. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 72159 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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