CPT 73200 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 | • RT - Right side of body • 26 - Professional component • None |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 73200 |
National average reimbursement for CPT 73200 by major payers:
$229.79
$232.91
$265.24
$282.57
| 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 73200 | ||||||
United | 73200 | $154.30 | 1033564026 - AYSHA AGARWAL | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Critical Care Medicine (Internal Medicine) Physician (207RC0200X) |
United | 73200 | $154.30 | 1518996792 - JOSEPH LACH | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Internal Medicine Physician (207R00000X) |
United | 73200 | $92.40 | 1841626322 - DANIELLE BORGERDING | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Physician Assistant (363A00000X) |
United | 73200 | $325.70 | 1871750604 - JUAN LOZANO | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Neuroradiology Physician (2085N0700X) |
United | 73200 | $129.02 | 1386080604 - PRESTON SPINDLE | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Diagnostic Radiology Physician (2085R0202X) |
United | 73200 | $129.02 | 1104141399 - ERIC WEISSMANN | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Diagnostic Radiology Physician (2085R0202X) |
United | 73200 | $110.73 | 1568428282 - MAZHAR ALI | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | NC | Certified Registered Nurse Anesthetist (367500000X) |
United | 73200 | $110.73 | 1508329525 - MEGAN BRENNAN | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | MO | Certified Registered Nurse Anesthetist (367500000X) |
United | 73200 | $454.73 | 1992043517 - MARY FIESTA | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Adult Health Nurse Practitioner (363LA2200X) |
United | 73200 | $325.70 | 1750591475 - ANGELA SCHILSKY | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Diagnostic Radiology Physician (2085R0202X) |
United | 73200 | $220.27 | 1184356685 - HEALTH IMAGING PARTNERS, LLC | 271385885 | TX | Physiological Laboratory (293D00000X) |
United | 73200 | $448.79 | 1154315745 - STEVEN LAMPERT | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Anesthesiology Physician (207L00000X) |
United | 73200 | $110.73 | 1881190403 - JEROME ROGICH | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | CA | Emergency Medicine Physician (207P00000X) |
United | 73200 | $356.39 | 1922413285 - STEVEN NUANES | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Internal Medicine Physician (207R00000X) |
United | 73200 | $325.70 | 1396215059 - REBECA STANLEY | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Physician Assistant (363A00000X) |
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 73200 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The CPT 73200 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 73200 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 |
|---|---|---|
| 73200-CPT | Moderate | C A T Upper Extremity; W/O Contrast Mate |
| 73201-CPT | Moderate | Ct Upper Extremity;W/Contrast Mater |
| 73202-CPT | Moderate | Computerized Axial Tomography Upper Extremity; Without Contrast Material Followed By Contrast Material(S) And Further Sections |
| 73206-CPT | Moderate | Computed Tomographic Angiography Upper Extremity With Contrast Material(S) Including Noncontrast Images If Performed And Image Postprocessing E Post-Processing |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 73200. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 73200 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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