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See a sample rate comparisonCPT 72285 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.
X-Ray Of Spinal Disc, An Exam Of One Or More Spinal Discs Using X-Ray And A Contrast Agent (Discography). A Spinal Disc Is The Soft Cushion Between Each Bone Of The Spine (Vertebra).
| Key Fact | Detail |
|---|---|
| Service Type | Radiology Procedures Diagnostic Radiology (Diagnostic Imaging) Procedures |
| Common Place of Service | 11 - Office 24 - Ambulatory Surgical Center |
| Common Modifiers | TC - Technical component 59 - Distinct Procedural Service None |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 72285 |
| Medicaid Fee Schedule | View Medicaid rates for 72285 |
National average reimbursement for CPT 72285 by major payers:
$164.56
$185.21
$161.88
$223.38
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CPT 72285
5 of 25 sample ratesHigher to lower in this preview
Naeem Chavla
Northern Arizona Healthcare Corporation
$297.60Published rateGregory Schweitz
Northern Arizona Healthcare Corporation
$203.41Published rateAbiola Femi-Abodunde
Radiology Associates Of North Texas, PA
$156.08Published rateMelissa Kolnik
Northern Arizona Healthcare Corporation
$94.19Published rateJeremy Hall
Radiology Associates Of North Texas, PA
$51.54Published rate
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See a sample payer proposalCPT 72285 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The CPT 72285 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 72285 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 |
|---|---|---|
| 72126-CPT | Moderate | Ct Scan Of Upper Spine, A Ct Scanner Circles The Body Taking X-Rays Of The Upper (Cervical) Spine And Assembles Them Into A 3-D Image. Dye (Contrast) May Be Used To Make The Area Easier To See. |
| 72127-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. |
| 72156-CPT | Moderate | Mri Neck Spine W O W Dye, Magnetic Resonance Eg Proton Imaging Spinal Canal And Contents Without Contrast Material Followed By Contrast Material S And Further Sequences Cervical |
| 72285-CPT | Low | X-Ray Of Spinal Disc, An Exam Of One Or More Spinal Discs Using X-Ray And A Contrast Agent (Discography). A Spinal Disc Is The Soft Cushion Between Each Bone Of The Spine (Vertebra). |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 72285. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 72285 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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