CPT 73050 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 • 52 - Reduced Services |
| Complexity Level | Low |
National average reimbursement for CPT 73050 by major payers:
$37.05
$39.46
$41.16
$47.67
| 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 73050 | ||||||
United | 73050 | $14.93 | 1104106368 - LEONARD LIM | 270623555 - SELF MEDICAL GROUP | SC | Pulmonary Disease Physician (207RP1001X) |
United | 73050 | $22.02 | 1417019753 - PHILIP HUSBAND | 651205795 | AZ | Pulmonary Disease Physician (207RP1001X) |
United | 73050 | $28.57 | 1912366568 - INLET PULMONARY CRITICAL CARE AND SLEEP MEDICINE, PA | 472541656 - (SC) IPCCSM, PA | SC | Pulmonary Disease Physician (207RP1001X) |
United | 73050 | $35.04 | 1740644343 - MEGAN DOYLE MCCLAM | 570359174 - ANMED HEALTH | SC | Pulmonary Disease Physician (207RP1001X) |
United | 73050 | $11.21 | 1700889904 - WILLIAM WALKER | 570359174 - ANMED HEALTH | SC | Pulmonary Disease Physician (207RP1001X) |
United | 73050 | $23.95 | 1194987743 - JULIA PAYNE | 134290167 - ST FRANCIS PHYSICIAN SERVICES INC | SC | Pulmonary Disease Physician (207RP1001X) |
United | 73050 | $17.43 | 1093592644 - ANSIBLE HEALTH MEDICAL GROUP PA | 883238466 | OH | Pulmonary Disease Physician (207RP1001X) |
United | 73050 | $12.72 | 1588748461 - DAVID ZAAS | 560530233 - SOUTHEASTERN REGIONAL MEDICAL CENTER | NC | Pulmonary Disease Physician (207RP1001X) |
United | 73050 | $57.25 | 1093087611 - RICHARD MCNEILLY | 571004971 - PRISMA HEALTH-UNIVERSITY MEDICAL GROUP | MT | Pulmonary Disease Physician (207RP1001X) |
United | 73050 | $17.53 | 1093592644 - ANSIBLE HEALTH MEDICAL GROUP PA | 883238466 | ND | Pulmonary Disease Physician (207RP1001X) |
United | 73050 | $20.92 | 1013963982 - UPSTATE LUNG AND CRITICAL CARE SPECIALISTS PC | 570962059 - (SC) UPSTATE LUNG & CRITICAL CARE SPE | SC | Pulmonary Disease Physician (207RP1001X) |
United | 73050 | $25.18 | 1093592644 - ANSIBLE HEALTH MEDICAL GROUP PA | 883238466 | AK | Pulmonary Disease Physician (207RP1001X) |
United | 73050 | $25.18 | 1093592644 - ANSIBLE HEALTH MEDICAL GROUP PA | 883238466 | NY | Pulmonary Disease Physician (207RP1001X) |
United | 73050 | $30.17 | 1932152485 - CAROLINA PULMONARY PHYSICIANS, PA | 570853742 - (SC) CAROLINA PULMONARY PHYSICIANS, P.A. | SC | Pulmonary Disease Physician (207RP1001X) |
United | 73050 | $11.13 | 1558391326 - SUSAN TAYLOR | 626000101 - ERLANGER MEDICAL CENTER | MS | Pulmonary Disease Physician (207RP1001X) |
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 73050 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The CPT 73050 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 73050 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.
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 73050. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 73050 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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